The analysis of obstetric cases in 2013 in a rural medical college proves that there is a significant difference in rural and urban obstetrics. Data of over 10000 deliveries in this hospital in one year shows that maternal mortality in rural area is not high as it was thought. Maternal morbidity is slightly more due to various reasons. Anaemia was common in rural women. Referrals are more but number of women coming to labour room is significantly higher than prelabour admissions. Antenatal care is good but women are reluctant for admission. C S rate is around 25% mostly due to lesser number of trials. Meconium stained liquor and previous scar are commonest indication for C S. There were 250 stillbirths and 256 neonatal deaths.