Introduction: Higher than normally accepted Cesarean Section (CS) rates raise concerns about their inappropriate use. The aim of the present study was to examine cesarean delivery rates at the Department of Obstetrics and Gynecology, ESIC Medical College Faridabad based on the Robson’s Ten Group Classification System (TGCS). Methodology: In the present retrospective study, hospital records of patients who delivered in our department during the study period (Jan’19 to June’19) were extracted and cases were classified according to Robson’s TGCS of CS. Results: In the present study a total of 1297 patients were included, of which 462 underwent CS and rest had vaginal deliveries. Applying Robson’s TGCS revealed that majority of the patients were from Group 1 (30.2%) and Group 3 (31.2%). Highest CS rate was observed in Group 5 (98.1%), Group 6 (100%),
and Group 9 (100%). Of all the CS done in our study population (n=462), highest contribution was made by Group 5 patients (45.5%). Group 1 contributed 25.1% and Group 2 11.5% to the total CS performed in this population. For the CS performed, previous CS was the most common indication (46%). Conclusions: Obstetric audits at the institution level and practicing evidence-based obstetrics is required to reduce morbidity associated with CS. The Robson TGCS was found to be an easy to use tool for identifying the obstetric groups of women contributing to elevated CS rates.