Background & Aim: • To evaluate the outcome of births in last one year. • To evaluate the occurrence, indications, complications, interventions and outcomes of obstetric patients admitted in the Labor room. • To gather baseline data for expansion of the Obstetrics High Dependency Unit. Methods and Materials: A retrospective record based study was done for one year from 1st January 2018 to 31st December 2018 in a tertiary care referral hospital attached to a teaching medical institute. Institutional ethics committee approval was obtained for this observational study. The labor room record log was used to study the selected parameters. Results: There were total 1658 births in the study period of 1 year in 2018. 52 (3.1%) women were unregistered during their antenatal period and 298 (17.9%) women were referred for deliveries from other hospital. There were total 639 caesarean section performed and the section rate was 38.5% of all deliveries. The incidence of instrumental deliveries was 5.9%. Labor was induced in 97 (35.8%) women and post-dated pregnancy was the commonest indication for induction of labor. There were total 47 (2.8%) vaginal births after caesarean section. The incidence of still births was 103 (6.2%). Conclusion: The study depicts a summary of the births and deliveries occurring in a teaching hospital based on selected parameters. These findings can be utilized for refining the current quality of care, to help formulate the logistics of high risk pregnancy workload and provide a framework for establishment of Obstetrics High Dependency Unit.