Abstract
Bangladesh has seen a dramatic rise in Caesarean section (C-section) deliveries, often without clear medical justification. This research explores the sociocultural, economic, and knowledge-based factors influencing the decision-making around C-sections. Through mixed-methods research—including community surveys, focus group discussions, and stakeholder interviews—the project will assess levels of awareness, perceptions of risk, and the role of healthcare providers and social networks. Based on the findings, an evidence-based community intervention will be designed to address misconceptions, empower women and families, and promote informed birthing decisions. The goal is to reduce unnecessary surgical deliveries while supporting maternal and neonatal health.

Keywords: Caesarean section, maternal health, awareness, decision-making, Bangladesh, community intervention, reproductive health, health literacy

Public Health Relevance
Unnecessary C-sections contribute to increased maternal morbidity, healthcare costs, and inequities in care. Addressing the social drivers and misinformation behind rising C-section rates will support safer childbirth practices and promote health equity in maternal care.