Background: Operative delivery poses the risk of excessive blood loss and possible need for blood transfusion in the pregnant patient. Hence; the present study was undertaken for assessing the trends of blood loss and blood transfusion during Cesarean section. Materials & methods: A total of 50 female subjects were enrolled in the present study. Details including demography, previous pregnancy, delivery, blood loss, transfusion, and puerperal observations were recorded. Recorded blood loss was defined as low (≤500 ml), average (501-1000 ml) and excess (>1000 ml). The indication for BT was noted and no of BT required. All the results were recorded in Microsoft excel sheet and were analysed by SPSS software. Results: Out of 50 patients, 21 patients had blood loss of more than 1000 ml while 29 patients had blood loss of more than 1000 ml. Mean gestational age of subjects with blood loss of less than 1000 ml and more than 1000 ml was 33.6 weeks and 39.4 weeks respectively. While analysing and comparing the mean age, parity, mean gestational age and baby weight, significant results were obtained. Conclusion: Higher patient’s age and higher gestational age were commonly associated with patients with higher blood loss. Key words: Blood transfusion, Cesarean