Background: To study the obstetric outcome of rural referrals who undergo emergency cesarean delivery versus elective cesarean delivery in a tertiary care hospital in rural scenario and to evaluate the risks and complications associated with it.

Methods: This comparative study was conducted at IQ City Medical College in West Bengal, India over a period of 18 months. Among the total of 200 patients who fulfilled the inclusion criteria 100 patients referred to us, who underwent cesarean delivery are emergency group and 100 patients admitted in our hospital who were posted for elective cesarean delivery were the other group in the study period.

Results: During our study period the referred cases constituted of 19.8%. Cesarean delivery rate among referred Cases was 40.7%. statistically significant association was found between emergency CS and younger patients, low parity, irregular attendance at antenatal clinics, intra operative complications, postoperative morbidity and low Apgar score, NICU admission and also mortality as compared to elective caesarean section group.

Conclusions: It was concluded that every effort should be directed to effect-planned CS, as determined during the antenatal period, if possible, so as to reduce the various problems associated with emergency CS.

Key Words: Non communicable disease, Multimorbidity, Perinatal outcomes

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