Aim: The aim of this study is to determine the risk factors for uterine scar dehiscence among women undergoing repeat cesarean delivery. Methodology: This is a prospective observational study conducted at ESIC - Medical College & PGIMSR, Rajajinagar, Bangalore from January 2015 to June 2017. 100 women who underwent repeat LSCS and uterine scar dehiscence recorded by the operating surgeon were eligible. Data was collected regarding maternal age, obstetrical history, associated risk factors and outcome. Results: 100 women with Uterine Scar Dehiscence were studied and risk factors determined. Inter-delivery interval <24 months was observed in 23%, associated with pre-term delivery in 31%. Conclusion: Uterine scar dehiscence is not uncommon among women undergoing elective repeat cesarean delivery. It is a clinically occult benign condition identified incidentally at repeat caesarean delivery and is not associated with any adverse maternal or perinatal outcome compared to uterine rupture which is associated with significant morbidity. However, it was significantly associated with NICU admissions and neonatal low birth weight. This could be explained by the fact that more premature infants were found to belong to uterine scar dehiscence group. Therefore it is important to prevent risk factors like pre-term delivery, prevent anemia and treat infections like UTI in women with previous caesarean delivery to reduce the incidence of Uterine Scar Dehiscence.