JNMA, October-December, 2000, 39 INTRODUCTION : Perinatal mortality is a big problem in developing countries. Every year about 140 million live ba- bies born worldwide. Out of 10 babies, 9 born in developing countries. Eight million babies, mostly PERINATAL MORTALITY AT KATHMANDU MODEL HOSPITAL ABSTRACT: Shrestha S. R. 1 Rajbhandari S. 2 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 were done by Lower Segment Caesarean Section (LSCS), 54 cases (13.37%) by forceps delivery, 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 peri- natal deaths (still birth -10 and neonatal-death - 4). Hence, perinatal mortality rate during this peroid in this hospital was 34.15. Perinatal mortality was mostly due to severe prematurity, birth asphyxia, ante-partum haemorrhage (APH), intrauterine growth retardation (IUGR), congenital abnormali- ties and sepsis. KEY WORDS: Neonatal death, Still birth, Perinatal mortality, Antepartum haemorrhage (APH), Sepsis. 1. MD, DCH, Department of Paediatrics, Patan Hospital 2. MBBS, MCPS, MPH, Address for correspondence : Dr. Sita Ram Shrestha, MD, DCH, Department of Paediatrics Patan Hospital, GPO Box: 252, Kathmandu, Nepal. Tel.: 522266 (Off.), Fax: 977-1-225559, email: patan@hospital.wlink.com.np in developing countries die within first year of life and 50 %of them die within first month life. 1 In Asia PNMR is 53/1000 births. 1 In nation wide, PNMR of Sri-Lanka is 25/1000 births, Pakistan is 70/1000 births, Thailand is 20/1000 births, Bang ORIGINAL ARTICLE J. Nep Med Assoc. 2000:39:342-347