**Abstract**

Caesarean section is a procedure performed to save the life of the fetus and sometime to save the life of the woman. Although risks are low, affected women suffer from severe complications. The first caesarean section performed has a bearing on management of subsequent pregnancies. It is crucial that the procedure is performed when necessary. The evolution of caesarean section has shown marked improvement in maternal outcome especially after the introduction of antibiotics. The resistance of bacteria to antibiotics may lead to rethinking about the procedure performed long ago to try and minimised complications related to sepsis. Complications of caesarean sections are common in patients who have had a previous caesarean section. Training in previous caesarean sections will be vital in preventing these complications.

**Keywords:** ruptured membranes, preterm, prelabour
