Background: Caesarean Section is the operation which is commonly performed worldwide. Caesarean section is a boon to medical field where it has become an safe procedure for the delivery of the baby where delivery is associated with complications. The evolution of caesarean delivery has definitely reduced maternal and fetal mortality in practice of modern obstetrics. A caesarean delivery is typically performed when complications from pregnancy make traditional vaginal birth difficult which makes the life of the mother or child at risk. But there is an alarming increase in conducting caesarean section worldwide as most doctors have started practising defensive medicine.

Methods: This prospective observational study was conducted by the Dept of OBG, Melmaruvathur Adhiparaskthi Institute of Medical sciences, Melmaruvathur, Tamil nadufrom November 2018 to April 2019.A total of 92 patients were included in the study on the basis of inclusion criteria.

Results: The maximum cases 48(52.2%) were in the age of 21-25 yrs followed by 32(34.8%) in the age group 26-30years. The mean age of the patients was 28.76 (SD16.86) years .Themost common indications for caesarean sections were fetal distress which were seen in 39 cases(42.4%) followed by cephalopelvic disproportion seen in 21 cases (22.8%).Obstructed labour was the least indication noticed which was seen in 4 cases (4.4%).