 The study found that the overall maternal complication rate was 44.04%, which is much higher than expected. Factors such as living in rural areas, having obstetric complications, previous caesarean scar, emergency surgeries, operating during the second stage of labor and prolonged duration of surgery were all identified as significant predictors of maternal complications. To reduce the incidence of these complications, it is recommended that timely and adequate progress of labor evaluation should be conducted, decisions for caesarean delivery should be made promptly, and vigilant care in the post-operative period should be provided. This article was authored by Highway Temerium Olamu, Zimanual Antenna Yixor, Lakachu Asrade, and others.