Background: Caesarean section is among the commonest performing procedures worldwide. Its rate is steadily increasing, and its indications is expanding despite the increased morbidity and mortality over the vaginal delivery. Objectives: The aim of this is study is to study the maternal and fetal outcome of emergency caesarean section also the study aims to know the indications for the emergency caesarean sections. Methods: A prospective descriptive study conducted in Wad Medani Teaching Hospital in the period June 20th, 2021, to September 20th, 2021, and included 100 patients who had emergency caesarean sections. All data collected about patients was in included in a flow chart and analysed using SPSS (Statistical Package for Social Sciences) results were tabulated and presented in percentage forms. Results: The study revealed that: the rate of Caesarean section in the hospital was 35% of which 63.4% were emergency CS and 46.6% were elective CS, emergency CS was common in the age group 18-34 years (82%). Emergency CS is common in primigravidae ladies (50%). Most common indications of emergency CS were Failure to progress, repeat CS, Hypertension, fetal distress andmalpresentations. Intraoperative maternal complications such as anaestheticcomplications were (23%), haemorrhage (26%). Postoperative maternal complications such as PPH were (14%), Sepsis (12%), wound infection (6%) and VTE (5%). Regarding the neoanatal outcome in regard of APGAR score less than 7 at 5 were (12%) Other neoanatal complications such as RDS (14%), birth asphyxia (7%).