Background: The current policy of Government of India under N.R.H.M. and R.C.H. is to encourage an institutional delivery which is vital in lowering the maternal mortality. AIM: Toassess the percentage of home and hospital deliveries in urban slums of Nalgonda in the year April 2014 to March 2015.

Materials & Method: study setting: Women who delivered during April 2014 - March 2015 residing in field practice area of urban health Centre Nalgonda (Dist.) Telangana. Study design: Cross- sectional, descriptive study. A pretested & pre-structured semi-open-ended pro-forma was used. Study duration: April 2014 to March 2015. Selection of study subjects: All women who delivered during April 2014 to March 2015. Inclusion criteria: Mothers in age group of 18 – 35 years. Exclusion criteria: Who have not given consent, severely moribund patients. Not available in the study area during the study period.



Results: Out of total 153 deliveries 3(1.96%) were home deliveries, 147(96.07%) mothers were literate. 144(94.11%) belonged to S.E. class BPL. 55(35.94%) from joint families. 95(64.05%) deliveries were in multiparous women. 90 mothers were aware of monetary benefits from government and all 153 mothers had 3 ANC’s. 108 mothers stayed more than >3kms from hospital.



Conclusion: MCH services were well utilized. The leading factors associated as evident are low socio economic status, customs, spontaneous delivery, monetary problems, and homely atmosphere. Health education to mothers and dialogue with the health staff can be the remedial measures to encourage hospital deliveries.