Background: Labor induction is a common obstetric intervention. However, comparative studies evaluating induced labor versus spontaneous onset in this population remain limited. Aim and Objective: This prospective comparative study assessed feto-maternal outcomes and labor progression among undergoing induced labor versus spontaneous labor. Materials and Methods: The study was conducted at the Department of Obstetrics and Gynecology,Civil Hospital Jetpur, over six months. A total of 200 women were included, with 100 undergoing induced labor and 100 experiencing spontaneous labor. Data on demographic characteristics, labor progression, and mode of delivery, maternal complications, and neonatal outcomes were collected and analyzed. Results: women undergoing induced labor had a higher requirement for oxytocin augmentation compared to those experiencing spontaneous labor (48% vs. 20%, p = 0.003). Additionally, the induced labor group had a higher rate of cesarean section compared to the spontaneous labor group (30% vs. 16%, p = 0.041). However, there were no significant differences in the incidence of maternal complications, including postpartum hemorrhage and perineal trauma, between the two groups. Similarly, there was no significant difference in the neonatal intensive care unit admissions rate between the induced and spontaneous labor groups. Conclusion: While induced labor may be associated with increased rates of oxytocin augmentation and cesarean delivery, it does not appear to confer a significantly higher risk of maternal or neonatal complications compared to spontaneous labor. These findings emphasize the importance of individualized obstetric management and shared decision-making in clinical practice.