Background: Oligohydramnios is a condition characterized by a decreased amount of amniotic fluid, which can lead to adverse fetal outcomes. Objectives: To investigate the effects of oligohydramnios on perinatal outcome in terms of NICU admission, APGAR scores, and congenital malformations. Materials and Method: A hospital-based study was conducted among 100 clinically diagnosed cases of oligohydramnios in the third trimester (≥ 28 weeks of gestation) at the Department of Obstetrics & Gynecology, Sri Aurobindo Medical College and Postgraduate Institute, Indore.In patients with AFI <8cm, meticulous fetal scanning was performed to detect congenital anomalies. Patients were closely monitored during labor and post-delivery for fetal heart rate, meconium staining, APGAR scores, and perinatal outcomes. Results: The mean birth weight was 2347.2 ± 517.96 gm, and 61% of babies had low birth weight (≤2500 gm). Twenty percent of babies had low APGAR scores (<7 at 5 min), and 51% required NICU admission. Congenital anomalies were seen in 7% of cases. Conclusion: Oligohydramnios is associated with adverse perinatal outcomes, including low birth weight, low APGAR scores, and increased NICU admission. Proper antenatal care and close monitoring of women with oligohydramnios are essential to improve perinatal outcomes.