RESUMEN
In this study the case records of 1414 patients who delivered at Alshaty hospital within one year were examined and some important variables related to cesarian section cases and their outcome were discussed. The Caesarean section rate was found to be 9.9%. The high number of grand multigravida and primigravida among these Saudi mothers hay, contributed to this high caesarean section rate. The high emergencies in these sections [73.6%] have resulted in higher incidence of maternal and fetal morbidity namely postoperative pyrexia [37%], maternal anemia [20%] and extensive neonatal resuscitation [34%]. The main indications of caesarean section in this hospital were repeated caesarean section [34.3%], failure of progress [19.3%] and fetal distress 12.9% The relation and interaction between the three groups were thoroughly discussed based on the mechanisms of these indications. It is concluded that the changing trend of indications of caesarean section was mostly related to the change' in departmental management rather than change in the characteristics of the patients