Introduction : Caesarian delivery is the most common surgical procedure in obstetrics due to progressive increase in its frequency. Methods of placental delivery and suturing of uterine incision are very important steps during caesarian section as it has bearing not only on intra operative and post operative period but also on subsequent pregnancy. This study presents a comparative study between two groups and its effects on subsequent caesarian deliveries:Group I-Spontaneous delivery of placenta plus in situ repair of uterus Group 11-Manual removal of placenta plus exteriorization of uterus Objective : Objective of this study was to determine the difference in itnra operative and post…