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INTRODUCTION: Caesarean section is commonly perceived as a simple alternative to difficult vaginal birth and in the recent years its prevalence during the second stage is increasing. Caesarean section in second stage of labor has additional associated risks for the mother such as obstetric hemorrhage, extended uterine tear, bladder injury and longer hospital stay. It is also associated with increased neonatal morbidity in terms of NICU admissions, fetal acidemia & hypoxemia. AIMS & OBJECTIVE: This study was conducted to know the indications of second stage caesarean section and to assess maternal and neonatal outcomes in second stage caesarean section. MATERIAL & METHOD: A cross-sectional study was conducted in the Department of Obstetrics and Gynaecology of NSCB medical college Jabalpur. A total of 100 cases of 2nd stage caesarean section were analysed in terms of indication for caesarean section, intraoperative and postoperative complications and fetal outcomes. RESULT: During the study period of 6 months , a total of 100 women were studied who underwent for second stage caesarean section. The main indication of second-stage cesarean section was obstructed labour and the method of delivery mainly involved for the deeply impacted head was modified Patwardhan Method . Most common intra operative complication was uterine atony and there was increased incidence of intensive care unit (NICU) admission of neonates. CONCLUSION: Second stage caesarean section is associated with significant maternal and neonatal morbidity. A skilled obstetrician and proper training are required to take appropriate decisions for caesarean section at full dilatation of cervix.