Background:Second stage caesarean is technically more difficult due to deep engagement of fetal head, and this is associated with increased risk of maternal morbidity such as surgical injuries and intra operative excessive haemorrhage as well as fetal morbidity such as asphyxia and fetal injury. A Prospective study was done to compare the maternal and neonatal complications of caesarean sections performed in second stage compared to first stage of labour. Objective: To determine the maternal and perinatal outcome associated with caesarean sections performed in second stage versus first stage of labour.