“…A total 61 studies illustrated the indications for CS, and 11 described factors which were significantly associated with rising CS (4 out of 11 studies reported both indications and Eight studies 50,55,67,70,80,83,84,86 illustrated the indications for primary CS. The most common indication for primary CS was fetal distress (5.58-60.8%), 50,55,67,70,80,83,86 followed by CPD, 50,55,70,80,83,84,86 malpresentation, 55,67,80,83,84 HDP, 50,67,80,84,85 NPOL, 67,70,80,84,85 obstructed labor, 50,70,80,84,85 failed induction, 70,80,84,85 APH/placenta previa/abruptio, 50,80,84,86 and oligohydramnios, 80,83,84,86 precious pregnancy, 80,83,84,86 and maternal request,…”