This interventional quasi experimental study was carried out at Gynaecology Department, Jinnah Hospital Lahore to determine frequency, indications of emergency and elective caesarean sections and to establish a comparison of maternal complications. During one year period July 2003-june 2004 total birth were 3932.955 women underwent caesarean section which makes the rate of 24.3% in our unit. Out of 955, 713(74.6%) were emergency and 242(25.4%) were elective caesarean sections. Common indications in emergency group were fetal distress (26.21%), repeat section (18.9%), failed progress of labour (14.3%) and malpresention (13%). In elective group repeat section (48.7%), malpresentation (17.3%), cephalopelvic disproportion (10.8%) antepartum haemorrhage (8.3%) were common indications. 490(93.2%) patients in emergency group required blood transfusions mainly due to anemia and 36(6.8%) patients in elective group were transfused mainly due to placenta previa.54 women faced intraoperative complications.54(93.1%) belong to emergency group and 4(6.89%) belong to elective group. caesarean hysterectomy were done in 6 patients in emergency group. post operative complications were encountered in 162 patients.150(92.6%) were from emergency and 12(7.4%) were from elective group. Infective morbidity constituted the major post operative problem.
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