A total of 5786 cesarean sections (C.S.) were done at Al_Diwaniyah maternity and children teaching hospital at 1 year interval from January 2018 to January 2019. The C.S. were analyzed and compared with reports from other parts of the world. Out of a total admissions of 15054 pregnant woman, 5786 ended with cesarean sections, and 9268 ended with normal vaginal delivery. The incidence of cesarean section was 38.4% and the incidence of normal vaginal delivery was 61.5%. The age of patients were between 15-40 years old