Introduction: The management of pregnant women with previous cesarean section is always a subject of debate, especially due to the risks and complications that an iterative surgical intervention entails, the management of attempting a vaginal delivery after cesarean section is recommended and convenient, however, it is important be on the lookout for complications. Objective: To determine maternal complications in childbirth and the puerperium in patients with previous cesarean section, attended at the Hospital Antonio Lorena Cusco 2018. Materials and Methods: Descriptive, cross-sectional study, with a quantitative, retrospective approach, the sample was of 372 pregnant women where 186 had Previous cesarean section and 186 no, between January and December 2018, being the document review technique of medical records in a data collection sheet validated by experts, the data were digitized ...