Results: The rate of cesarean delivery was 54.96%; factors associated with cesarean section were history of cesarean delivery (OR = 41.49; 95% CI: 35.51 - 48.47; p < 0.001); preeclampsia / high blood pressure (OR=34.39; 95% CI: 18.89 - 62.59; p < 0.001), maternal heart disease (OR = 8.35; 95% CI: 4.21 - 16.57; p < 0.001), breech or transverse lie pregnancy (OR = 4.57; 95% CI: 3.82 - 5.46; p < 0.001), multiple pregnancy (OR = 4.57; 95% CI: 3.82 - 5.46; p < 0.001), Placenta previa (OR = 110.43; 95% CI: 41.27 - 295.49; p < 0.001), IVF prenancy (OR = 5.91; 95% CI: 5.15 - 6.78; p < 0.001).