Background: Intrauterine growth restriction (IUGR) is a common diagnosis in obstetrics and carries an increased risk of perinatal mortality and morbidity. Identifying the factors responsible for the IUGR is crucial for early intervention to improve the perinatal outcome. Aim: The major objectives of this study are to analyze the impact of risk factors on IUGR and the perinatal outcome in our hospital. Methods: This cross-sectional study was done on 53 IUGR diagnosed cases, at Jehangir Hospital, Pune, Maharashtra, India. A detailed history especially regarding nutrition, habits (alcohol intake, smoking and tobacco chewing), socioeconomic status and adequate weight gain were elicited carefully. All patients were evaluated for risk factors under study. Perinatal outcomes were recorded for all pregnancies. Results: A total of 53 diagnosed cases of IUGR reported in our study. Majority of the cases were birth weight of 2.25 to 2.5 kg (41.5%), mean birth weight was 2.071 ± 0.371 kg. Neonatal outcome of IUGR babies was seen with respect to Cord pH >7.1 was (94.3%) and NICU admissions were 64.3%. Asymmetrical IUGR has worse perinatal and neonatal outcome as compared to symmetrical IUGR. Conclusions: Fetal growth restriction is the single most important contributor to perinatal and neonatal morbidity and mortality