The objective of this work was to contribute to the study of the factors associated to the practice of caesarean at the Centre Hospital of Kavumu, health zone of Miti-Murhesa, during the period of 2016 to 2020 either five years. Monthly reports of activities and registers of maternity service produced during the period of 2016 to 2020 had been denuded based on the type of childbearing, age, parity and for caesarean cases, the causes of this type of childbearing. The rate of childbearing (by parturition or ceasarean) had been calculated and statistical analysis had been done by comparison of means using the Student t test, the ANOVA 1 F test and the Chi-square test. After data analysis, the following results had been obtained: the mean rates of parturition and caesarean childbearing were respectively of 89,7 % et 10,3 %; the furthering causes of high rate of caesareans at the CH Kavumu during the period of 2016 to 2020, in all ages slices confused were FSA, macrosomy, bad position, FDP, bursting and before bursting, maternal depletion and stationary work and the others causes interfere with a less incidence. Fanally, the associated factors to the practice of caesarean at the CH Kavumu are age, parity and caesarean cases. Studies carrying about analysis of size and weight of bearer women as associated factors to the practice of caesarean are indispensable.