Obstetrical services are also organised like other department with policies and procedures peculiar to its requirement. Qualified staff should be available even off-time with availability of consultants for complicated cases. Deliveries conducted and births and deaths must be properly documented and records maintained. There should be a system to investigate all maternal and infant deaths. Maternal death rate (ratio of maternal deaths to obstetrical discharges) in good hospitals does not exceed 0.25 per cent. Some infant deaths are inevitable, but newborn infant deaths should not exceed 3 per cent of all births.