FIGURE 2.6 Too Many Cesareans or Too Few? Rates of cesarean deliveries vary widely from nation to nation. Latin America has the highest rates in the world (note that 50 percent of all births in Chile are by cesarean), and sub-Saharan Africa has the lowest (the rate in Chad is 2 percent). The underlying issue is whether some women who should have cesareans do not get them, while other women have unnecessary cesareans.