 The study analyzed Caesarean section deliveries at Mandir Regional Referral Hospital using the 10-group Robson classification system, finding that more than three quarters of Caesarean deliveries occurred in groups 5, 4, 2 and 1. Previous CASE was the highest contributor to the CASE rate and the most common indication. The conclusion is that implementation of the Robson classification system is necessary in all tertiary hospitals. This article was authored by Sharing Tamang, Zygmedema, Sonam Pelden and others.