The cesarean section is defined as the removal of the baby by cutting the abdomen in unnatural conditions. When the cesarean is medically necessary, the perinatal mortality and morbidity can effectively prevent. However, when applied without medical reasons, it causes medical and ethical based debates. Since second half of the 19th century, cesarean births began to be seen as part of obstetric practice, and in response to this increase, the World Health Organization stated that cesarean birth rates should be between 10-15%. On the other hand, our country ranks first in the world in terms of cesarean rates. One of the reasons for this is reported to be that it can’t fulfil the roles and responsibilities of midwives at the desired level in antenatal care, delivery and postnatal care. The midwives, by taking the guide ethic codes of the International Confederation of Midwives; with the mission of increasing the health and well-being of women and fetus / newborn serve with the obligation to take ethical precautions in all their practices. In this direction, midwives who see birth as a natural physiological process, taking into account the pre-fertilization period with an ethical perspective since beginning of pregnancy with supporting, monitoring and advising consultancy roles should be able to resolve of the women fears about birth. In this way, the problem of unnecessary cesarean attempt depending on the woman's preference can be solved. In this article, analysed why cesarean section is preferable to birth in our country, the role of midwives in decreasing cesarean rate will be explained.