A Caesarean section is a surgical procedure in which one or more incisions are made through a mother's abdomen (laparotomy) and uterus to deliver one or more babies, or, rarely, to remove a dead fetus. Methods and Materials: This study was a prospective descriptive one. It was done in Lumbini Medical College from 2068 Shrawan to 2069 Ashad. A total of 1419 deliveries occurred of which 234 deliveries by LSCS, incidence of LSCS was 16%. The commonest age group being operated ranged from 21-25

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... s (47.5%). Most of the patients who had undergone LSCS were multigravida-50.5%. The section was due to various indications, the most commonest cause in this study were fetal distress and obstructed labour, non progress of labour, the primary rate of LSCS was 85% while repeat section being 15%. Results: The Peak range of operations were done. In patients with 5 feet 2 inches height, the rate of elective LSCS 26.5%. Where emergency CS were done in 73.5% of cases. Regarding fetel outcome 97.5% survived and 2.5% had death. Conclusions : Fetal distress and non progress of labor was the commonest indication for Caesarean section in our instituituon.