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The aim of this study was to compare Indian scenario with Western scenario in the context of general anaesthesia (GA) given to obstetric patients and to emphasize the lack of resident experience in providing GA for caesarean delivery in anaesthesiology training programs in Western countries. Materials and methods Data about caesarean sections, type of anaesthesia used and resident training were collected retrospectively in JIPMER over a period of 12 months, April 2009 to March 2010. Data collected in JIPMER were compared with the western data obtained from published literature. Results The proportion of caesarean section carried out in Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER) during the period 2009–2010 stood at 15.95%. Regional anaesthesia is the anaesthetic technique of choice, which is supported by the evidence that 85% of caesareans were done under regional anaesthesia. A total of 393 cases were done under GA. Average number of GA for caesarean section per finalyear anaesthesia resident in our institute was 65 (range: 50–80). A recent survey reported that in the United States the mean number of general anaesthetics for caesarean delivery per graduating CA III resident is less than 5, and 13% had never provided GA during caesarean delivery. Conclusion GA is indicated in high-risk parturients who are already in a compromised state. Providing GA to a high-risk parturient is much more challenging and requires specialized training. The risk to the mother and the foetus increases when GA is undertaken on emergency basis. Lack of training to deal with such situations can become a major contributing factor in maternal and foetal morbidity and mortality.

General endotracheal anaesthesia for lower-segment caesarean section: a vanishing art?