Introduction: Caesarean Section (LSCS) is a major obstetric intervention for saving the life of the woman and newborns from pregnancy and birth-related complications. Nowadays, rising caesarean rates are a major public health concern of potential maternal and perinatal risk. In October 2014, the WHO  adopted Robson classification as the official name ‘Robson TGCS’. The Robson classification system classifies all deliveries into ten groups based on a set of predefined obstetric parameters. RTGCS 1 includes Nulliparous women with a single cephalic pregnancy >_37 weeks of gestation in spontaneous labour. In our country, once the patient has a caesarean section, then her subsequent pregnancies will be delivered by LSCS. So, this study was designed Robson TGCS 1 patient, to examine the clinical profile of primary LSCS between public versus private hospitals and the indication.

Materials and Methodology: A comparative observational study was designed between Chittagong Medical College Hospital (CMCH) and Surgiscope Hospital Private Limited (SHL), 50 patients of RTGCS 1 from each of the hospitals from May 2022 to October 2022.

Results: In CMCH, patients admitted into the first stage of labour with complications were 37(74%), but in SHL, it was 7(14%). In CMCH 13(26%) admitted without complications, whereas in SHL 34(86%). In CMCH, normal vaginal delivery + instrumental deliveries were 17(34%), and in SHL, it is 36(72%). The rate of Caesarean section in CMCH 33(66%) but SHL 14(28%). The most common indication of caesarean section is foetal distress in CMCH 11(22%), in SHL 7(14%). In SHL, there are 4(8%) CDMR (caesarean delivery for maternal request), but none of the patients were in CMCH.

Conclusion: As our main objective is to reduce the rate of primary LSCS among RTGCS 1. so, we must ensure appropriate care during the antenatal and intranatal period, thus can reduce the rate of primary caesarean section.

Shahana Begum acquired her MBBS degree in 1992 from Rajshahi University, Bangladesh. She achieved FCPS in Obstetrics and Gynaecology from the Bangladesh College of Physicians and Surgeons (BCPS) in 2000 and also passed her Masters (MS) from Chittagong University in the same year. She has been working as a government doctor since 1997 and is currently serving as an Associate Professor of Obstetrics and Gynaecology at Chittagong Medical College. She has been involved in long-standing clinical service, teaching, research, and public health activities. She is actively performing critical and emergency obstetrics services, with direct contribution to reducing maternal mortality through high-risk obstetrics care. Her continuous service is aligned with Sustainable Development Goals (SDGs) related to maternal health. She has a total of 20 national and international publications, with approximately 99 citations. She is actively involved in medical research, focusing on obstetrics and gynaecology of women’s health. Her academic role includes undergraduate and postgraduate medical teaching, mentoring of resident doctors, examiner responsibilities, and contributions to medical education. She also holds professional roles as a medical teacher, researcher, and social welfare activist.