Caesarean section is the surgical delivery of a baby through incision in the abdominal wall and uterine wall. Primary Caesarean section is a operation that is performed for the first time on pregnant women. Primary Caesarean is of particular interest because it has influence on futures modes of delivery. The rate of Caesarean section procedures have increased tremendously. The indication of caesarean section have been undergoing gradual change over the last few decades, Given this context, the current study will be conducted to determine prevalence of primary caesarean sections in primiparous and multi-parous in a District hospital. Aim: 1) The study aims to identify the prevalence of primary Caesarean section among primiparous and multiparous. Objectives: 1) To study the indications for the primary Caesarean section in both primiparous and multiparous. 2) To determine the fetal outcome after primary caesarean section in both primiparous and multiparous. Material and Methods: A Hospital Cross-Sectional study. A pre designed semi-structured questionnaire was used to collect the data and the collected data was coded and entered into Microsoft Excel spreadsheets, and was analysed using the Statistical Package for Social Sciences version 26 (SPSS version 26). RESULTS: There was a high prevalence among both primiparous and multiparous. The highest indication for primary caesarean section was cephalo-pelvic disproportion.