Total number of 410 deliveries were performed at Kathmandu Model Hospital (KMH)during 33 months (April 96 -Dec 98 ). Among 410 deliveries 107 (26.09%) cases weredone by Lower Segment Caesarean Section (LSCS), 54 cases (13.37%) by forcepsdelivery, 188 (45.85%) cases normal vaginal delivery with epigiotomy and 61 (14.87%)normal vaginal delivery with or without tear.During this period, 6 twin delivery cases were observed. There were 14 cases of perinataldeaths (still birth -10 and neonatal-death - 4). Hence, perinatal mortality rateduring this peroid in this hospital was 34.15.Perinatal mortality was mostly due to severe prematurity, birth asphyxia, ante-partumhaemorrhage (APH), intrauterine growth retardation (IUGR), congenital abnormalitiesand sepsis.KEY WORDS: Neonatal death, Still birth, Perinatal mortality, Antepartum haemorrhage (APH), Sepsis.