World-wide 10 to 20 % delivery require some form of interventions which include cesarean sections. A prospective observational study was conducted at Patna Medical College Hospital comprised of 400 Cesarean sections included 22 sections performed in second stage of labor. It was concluded that Cesarean sections performed in second stage of labor were associated with increased mortality and morbidity. Conclusion: Cesarean sections done on second stage of labor are associated with increased intra-operative maternal complications and neonatal morbidity.