Objective: The study attempts to determine the incidence, common indications, maternal and fetal outcomes and complications of cesarean section in a Tertiary  care hospital

Methods: A prospective observational study  done in department of Obstetrics and Gynecology, SMS Medical College Jaipur .All patients scheduled for elective and emergency caesarean sections(CS) between Jan–Dec 2014  .In total, 1406 CS were evaluated for indications, and maternal and neonatal outcome.
Results:The incidence of cesarean section was 1406/4875(28.8%) out of which emergency cesarean section accounted for 1153(82%) and elective cesarean section for253 (18%)  Majority of the patients were between 20–35 years with a mean age of 24.5 years with SD ± 5.14. The leading indications for CS were, fetal distress (20.8%) ,previous Cs (15.8%), PROM(13%) ,breech presentation (11.1%),Cephalopelvic Disproportion (CPD) (5.9%),  Severe Pregnancy induced hypertension (5.9%)and Antepartum Hemorrhage (APH) (6.5%) accounting for 82.6% of the indications for cesarean section In  our study, 209 (14.9%) had neonatal morbidity Approximately 45(3.2%) neonatal deaths occurred

Conclusion Cesarean sections performed for appropriate medical or obstetric indications are life saving for both the mother as well as the new born.