The prevalence of cesarean delivery in Asia from 1990-2014 has increased by 19.2%. This study aims to determine the relationship between maternal and fetal factors with the action section cesarean at Permata Bunda Hospital, Purwodadi-Grobogan. Specifically: 1) describe the characteristics of respondents in cesarean section based on age, parity, maternal indications and fetal indications, 2) to describe the relationship between maternal parity to cesarean section, 3) to describe the relationship between mother's parity to cesarean section, 4) to describe the relationship between mother's relative-absolute indications of cesarean section, 5) describes the relationship between fetal relativeabsolute indications of cesarean section action. Methods: Research is correlational descriptive with cross-sectional time. The study population was 123 people in 2016. The samples were selected by simple random sampling of 55 respondents. Based on the inclusion criteria: minimum junior high school or equivalent, interval birth 2 to 5 years. Exclusion Criteria: repeated SC without indication CPD, SC own request. The study used secondary data from medical record of Permata Bunda Hospital, Purwodadi-Grobogan, ie age, parity, mother's indication, fetal indication and cesarean. Data Analysis used Chi-Square and continued with Odds Ratio.Conclusion: 1) There is a correlation between mother age variable to cesarean section, bivariate test of chi square of 95% confidence level, p value 0,02 <0,05. Odds Ratio 0.28, 95% CI and limit 0.078-0.746. 2) There is a correlation between parity of mother to cesarean section, chi square test confidence level 95%, p value 0,01 <0,05. Odds Ratio 0.24, 95% CI and limit 0.0093-0.874.3) There is a correlation between mother's relative-absolute indication to cesarean section, chi square test of 95% confidence level, p value 0,000 <0,05. Odds Ratio) 0.24, 95% CI and limit 0.1-0.256. 4) There is a correlation between fetal's relative-absolute indication to cesarean section, chi square test of