Background:The Apgar score serves as a composite indicator of a newborn's vitality, incorporating assessments of heart rate, respiratory effort, skin color, muscle tone, and reflex irritability.Hence; the present study was conducted for assessing the role of Placental weight and placental weight to birth weight ratio in relation to APGAR score at birth. Materials & methods:Two hundred pregnant women who were sure of dates from the antenatal clinic at 32 weeks were recruited. All patients were followed up to 36 weeks and after delivery. Obstetric ultrasound was performed on all patients using a 3.5-MHz curvilinear transducer. The foetus was observed for viability and gross anatomical defects, and gestational age was estimated using various growth parameters. Placental weight was measured and ratio of placental weight with birth weight was correlated with APGAR score at birth. All the results were recorded in Microsoft excel sheet and was subjected to statistical analysis using SPSS software. Results:The age of the study group varied from below 20 years to 35 years. Out of 200 (100%) study subjects, study subjects were predominantly falls in the age group of 21 to 25 years, i.e., 130 (65%) followed by 37 (18.5%) study subjects were in the age group 26 to 35 years and 33 (16.5%) of the study subjects in the age below ≤ 20 yrs.An increase in mean placental weight was seen in correlation with increasing APGAR score. No association of birth weight with APGAR score was seen. A significant correlation of mean placental weight to birth weight ratio was seen with APGAR score.Conclusion:In pregnancies where the infant Apgar score was ≤7, both placental weight and the ratio of placental weight to birth weight were found to be greater than in those with lower Apgar scores.