ABSTRACT: This study was conducted to analyze the outcome of deliveries in Jimma Hospital between 1985 and 1989. There were a total of 4251 deliveries, 769 of which were abnormal. The maternal morbidity and mortality rates were 84.8 and 11.5 per 1000 live births respectively. The major causes of morbidity were postoperative surgical wounds in 91.8% and postpartum haemorrhage in 4% of cases. The leading causes of death were ruptured uterus (47.7%), puerperal sepsis (27.3%) and postpartum haemorrhage (13.6%). A significant proportion of deaths and illness occur in patients who were referred and among those unable to pay their hospital fees. There were a total of 371 perinatal deaths with a stillbirth to neonatal death ratio of 3.09:1. The perinatal morbidity and mortality rates were 53.5 and 95.9 per 1000 live births respectively. The commonest causes of perinatal death were obstructed labor (22.8%) and ruptured uterus (18.2%). The major reported morbidity were low birth weight 58.9% and low Apgar Score 35.7%. Perinatal mortality is higher in referred mothers and in those who do not pay their hospital fees. Finally the type of intervention received during deliveries are described. The association of maternal characteristics with maternal and perinatal mortality and morbidity are analyzed and recommendations given