According to the 2008/2009 Guide to a Healthy Birth, which got it’s data from the Center for Disease Control preliminary data for live births occuring in 2006.

Hawai`i had an increase of 74.1% from 14.7% in the year 2000 to 25.6% in the year 2006

“The World Health Organization recommends that the cesarean section rate for industrialized nations should not exceed 15%.  A safe range, as determined by WHO experts, is 10-15%.