Objective: In this study we try to identify the potential predisposing risks factors for high cesarean section rate, cesarean section wound morbidity and the relation between antenatal care and the cesarean section wound morbidity. Design: descriptive retrospective plus prospective study. Setting: Jinnah Medical College and Teaching Hospitals, Department of Obstetrics and Gynecology, Karachi, Pakistan. Subjects: All the healthy women with term pregnancy, delivering by abdominal route at JMCH, from Jan 1, 2010 to December 31, 2011. Method: Data was collected, on a specially designed questionnaire and informed consent was taken, before collecting data, from the patients who developed complication after abdominal delivery during the study period. Results: During the study period, there were 1440 deliveries with an overall CS rate of 40%. The rate of cesarean section wound morbidity was 29%. In most of the patients, wound complication was wound disruption which was evident with in one week after surgery. Conclusion: Nearly one third of abdominally delivered patient develop wound complication. The risk of complication increases with anemia, large family size, unbooked status, emergency surgery and postpartum hemorrhage.