Caesarean section is a surgical operation consisting of extracting the fetus by incising the abdominal wall and uterus. It is a high-risk act for both the mother and the fetus, it is increasingly performed and often in an emergency. We present the indications, epidemiological profile and feto-maternal prognosis of the emergency caesarean section. This is a prospective, descriptive and analytical study covering a period of one month (June 1 to 30, 2021). The study took place at the Mother and Child Health Center in the Zinder region. Included in the sample were any parturient admitted directly or after evacuation of other emergency caesarean section sanitary facilities and excluded those received for any indication other than emergency caesarean section. The variables studied were epidemiological data, caesarean section indication, ASA class, anesthetic technique, admission - fetal extraction time, operating time, fetal-maternal complications, maternal prognosis. The data collection was made from the patient record, the operating room register and a questionnaire sent to the patient at admission. Fifty-five (55) files were selected and the average age of the parturients was 28 years with extremes of 15 years and 40 years. The 26 to 30 year olds were the most affected (27.27%). Most were of class ASA I (65.45%). Primigests accounted for 20% of cases, 2nd and 3rd gestures constituted 40% and multipares 20% of cases. Spinal anesthesia was the most practiced anesthetic technique 70.90% versus 18.18% for general anesthesia. Fetal suffering was the most common operating indication with 14.54% of cases followed by vicious presentation (siege, feto-pelvic disproportion) in 10.90% and 09.09% of cases, respectively. The average time induction anesthetic fetal extraction was three (3) minutes and that of the procedure was forty (40) minutes. The surgical suites were simple both maternal and for the sixty newborns.