Background: Caesarean section has increased in India in the last few decades and Robson's group 1 includes nulliparous women with a singleton pregnancy, cephalic presentation, and gestational age more than or equal to 37 weeks who go into spontaneous labor. Existing literature data is scarce concerning indications and outcomes of Robsons group 1 cases undergoing caesarean section. Aim: The present study was aimed to evaluate the feto-maternal outcomes and indications of Robsons group 1 cases undergoing caesarean section. Methods: The present study assessed 14048 neonates born by caesarean section where 3272 were from Robinson Group I. The study assessed nulliparous females that were in gestation age of 37 weeks or more with the singleton pregnancy and cephalic presentation that had spontaneous labor onset allotted to Robson Group 1 and underwent caesarean section. The data gathered were analysed statistically. Results: Within the defined study period, 31718 deliveries were done where 14048 neonates were born from caesarean section and 3273 were from Robson's group 1. The most common indication of caesarean section in study subjects was meconium-stained liquor in 24.7% of subjects and the least common was precious pregnancy in 2.1% of subjects. The intraoperatively, most common, and least common maternal complication was atonic postpartum haemorrhage and fetal scalp injury seen in 10.3% and 0.5% of subjects respectively. The most common and least common immediate maternal complication was spinal headache and thromboembolic event seen in 12.9% and 1.5% of subjects each. The most common and least common early maternal complications were surgical site infection and lower respiratory tract infection in 11.3% and 4.1% of subjects respectively. For fetal complications, hyperbilirubinemia and stillbirths were seen in 19.1% and 2.6% of subjects respectively. Conclusion: The present study concludes that subjects who are in spontaneous labor must undergo caesarean section for only absolute indications for better recovery of the fetus and mother. It is vital to undergo intervention and reduce the rate of caesarean section particularly in Robson group 1 which will lead to reduced primary and further subsequent rates of caesarean section.