Background: Clinical audit is “a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change". Objectives: (1) Audit on the current postoperative nursing care provided to women who had Cesarean Section at woman's health hospital, Assuit. (2)Assess the hospital based rate of Cesarean Section patients and method: A criterion based audit research design was conducted at postpartum ward from February 2016 to July 2016, A total of 618 post cesarean women in preorientation period and 50 women in post orientation period were recruited. Interview questionnaire schedule for mothers and nurses(11) was carried out and observational checklist was used to collect the data. Results: there was significant improvement related to monitoring vital signs, palpating fundus and surgical site care.Conclusion: There was a big gap between the current and the ideal practices of care. The total number of all deliveries was 13115. The number of cesarean sections only was 6064 (46.2%). Recommendations: Increasing number of nursing staff, Nurses in post natal unit should have training courses, qualified staff should be recruited, further research studies are needed.