BACKGROUND Caesarean section in full dilatation (CSFD) is fraught with both maternal and foetal complications. We wanted to compare the maternal and foetal outcomes of two methods namely Reversed Breech Extraction and use of Foetal Pillow in cases of Caesarean Section in full dilatation. METHODS This is a hospital based comparative prospective study undertaken in North Bengal Medical College from 2016 to 2017. 25 cases of Reversed Breech Extraction and 25 cases of use of Foetal Pillow were compared with respect to demographic variables, maternal and foetal outcomes. RESULTS In this comparative study, a total of 50 patients were studied in the Department of Gynaecology and Obstetrics, NBMCH. Among 50 patients, 25 of them were studied by applying Foetal Pillow and rest by Reversed Breech Extraction Technique. CONCLUSIONS Foetal Pillow is a useful tool to reduce maternal and foetal morbidity in cases of obstructed labour in comparison to Reversed Breech Extraction technique.