Introduction: The rate of cesarean sections is rising globally, with varying indications and outcomes. This study aims to analyze the indications and outcomes of emergency cesarean sections in a Bangladeshi context, focusing on maternal and neonatal health. Methods: This retrospective observational study was conducted at Netrokona Medical College, Bangladesh, from July 2021 to June 2022. It included 100 cases of emergency cesarean sections, excluding elective cases and those with incomplete records. Data on maternal age, gravidity, socioeconomic status, gestational age, BMI, indications for cesarean section, and maternal and neonatal outcomes were collected and analyzed. Result: The majority of cesarean sections were performed on women aged 21-30 (67%). The most common indication was a previous cesarean section (42%), followed by fetal distress (16%) and placenta previa (11%). Maternal outcomes showed 82% of women had no complications, with fever (12%) and excessive blood loss (8%) being the most common issues. Neonatal outcomes were generally positive, with 97% having APGAR scores ≥7. The gender distribution was 59% male and 41% female, and most neonates had normal or healthy birth weights. Conclusion: The study highlights a high prevalence of emergency cesarean sections among younger women, primarily due to previous cesarean sections. While maternal and neonatal outcomes were largely favorable, the presence of postoperative complications indicates the need for enhanced care. These findings underscore the importance of careful assessment in emergency cesarean sections and postoperative monitoring, particularly in resource-limited settings like Bangladesh.