Background: OBJECTIVE The present study was aimed at evaluating the maternofetal outcome of pregnancies with nuchal cord. Material and Methods: A retrospective case control study, conducted over a period of 1year, 1000 ANC patient were enrolled, STUDYGROUP comprised of 200 ANC patients in which nuchal cord was found incidentally at the time of delivery (NVD /LSCS).CONTROL -800 matched controls were selected in which nuchal cord was not found at delivery. Data was analyzed for-Presenting complaints at admission, association with other complicating factors ,progress of labor, intrapartum events, fetal heart rate variation by electrocardiotocography, clinical peripartum management, mode of delivery, and neonatal outcom