Objective: To verify the incidence of caesarean and vaginal delivery in women treated in a public hospital in the city of Pedro Juan Caballero - Paraguay and to know the most frequent indications for caesarean operations. Material and methods: The study was descriptive, retrospective, and documentary, based on information from medical records. The data collection place was the Pedro Juan Caballero Regional Hospital, Paraguay. The population chosen for the study consisted of pregnant women from 14 years of age, in the period from June 2018 to June 2019, totaling 2,087 records. 2087 records were analyzed, of which 200 deliveries by caesarean section were selected 200 records of deliveries by caesarean section performed in this period (26.28% of the total). Results: 761 cesarean sections were registered, corresponding to 36.28% of deliveries and 1,326 vaginal deliveries. Cesarean section wa...