Objective: This study was carried out to determine Caesarean Section rate and its related risk factors in urban area. Material and Methods: Total 370 deliveries occurred in last 3 years were included in study and various epidemiological risk factors related to Caesarean section were identified. Results: Total 370 deliveries were included in study, out of which 139 were Caesarean section. Majority of deliveries were conducted in institutions (98.9%). Among institutional delivery also majority done in private sector only (341 out of 366). Majority CS occurred in private facilities (134 out of 139) only. CS is more common in higher socio economic class. Majority of CS occurred during 1st birth order followed by 2nd and 3rd. with increasing birth order, the outcome of CS becomes more and more favoring male child. Conclusions: Majority of CS in present study were conducted in private sector, which suggests some commercial interest may be at work. CS is more common in higher socioeconomic class due to their affordability. Good job status also associated factors for occurrence of CS.