Background: Caesarean sections (CS) were introduced in clinical practice as a life saving measure for both the mother and the baby. Caesarean section rates are increasing worldwide and a rapid increase has been observed in India. The rising CS rates are a major public health problem because it increases the health risk of both mother and baby. Objectives: 1. To determine the rate of caesarean sections in the Government Maternity hospital. 2. To identify the various determinants and factors for caesarean sections. Materials and methods: A hospital based cross sectional study was conducted. A total of 690 deliveries in Govt. Maternity hospital constituted the study group. Demographic characteristics, literacy, income, birth order, health problems and indications for caesarean section were studied. Data was analyzed using excel and Epi Info. Results: Two hundred and fifty five (36.9%) deliveries were by caesarean section, out of which repeat Csections were 22%, obstructed labour 18.5% and Fetal distress 16%. Conclusions: The results of the present study revealed a very high rate of caesarean sections, with repeat sections constituting a major portion of it. This could be reduced by reducing primary caesarean sections, giving quality obstetric care and adhering to standard guidelines.