Maternal and Perinatal morbidities and mortalities remain unacceptably very high worldwide with a higher proportion occurring in the developing or low resource countries. Efforts to reduce these mortalities are among the top five millennium development goals, to be achieved by the year 2015.Limited empirical literature exist on the factors influencing birth outcomes in the Sub Saharan region. Some parts of the world have reported maternal factors, past obstetric history, antenatal and intrapartal care among the determinants of birth outcomes. The Author of this book reveals how maternal social-demographic characteristics, past obstetric history, prenatal and intra-patal care affect birth outcomes among women that delivered at Moi Teaching and Referral Hospital. The author recommends actions that can be taken by various stakeholders in improving maternal and neonatal birth outcomes.