The Journal de Montreal says despite a push to reduce the number of Caesarian deliveries performed in Quebec's hospitals, Montreal-area hospitals report a steady or increased rate of Caesarians.
The highest rates are seen at the Royal Victoria Hospital, where 31% of deliveries are Caesarian and at the Lakeshore General, at 30%.
MUHC hospitals say they handle a disproportionate number of high-risk pregnancies.
Others such as the Jewish General Hospital are not far behind at 28%.
Dr. Cleve Ziegler is director of gynocology there. He cited factors such as aging mothers. in vitro patients, high-risk preganancies and obesity. While natural births are the goal for an otherwise normal labour and young healthy mother, he said Caesarians are a world trend that sees no sign of decreasing.
"I think it will continue because the demand from society is a perfect baby and labour and delivery are intrinsically risky things. At the end of the day, it's less stressful for both patient and physician in many cases to have a planned caesarian section or to have a low threshold to do a caesarian section," Dr. Ziegler told CJAD 800 News.
"I believe they will continue to rise. A Caesarian section, it really becomes safer. Family size is also another issue. Women aren't having five or six kids. One could argue that if a woman is going to have a couple of kids, two Caesarian sections are the safest way to go."
Only the CHUM has managed to put a significant dent in its Caesarian rate, reducing it by about three percentage points, to 23%.
The World Health Organization recommends a Caesarian rate no higher than 15-percent.