Background:An essential part of obstetric care is instrumental vaginal delivery, which might involve vacuum extraction or forceps extraction for fetal head delivery. The present study was conducted to assess fetal and maternal outcomes in instrumental vaginal delivery patients. Materials & Methods:82 women undergoing instrumental vaginal delivery were divided into 2 groups of 41 each. Group I underwent vacuum deliveries and group II forcep deliveries. Parameters such asfetal and maternal outcomes were recorded. Results: Indications for instrumental vaginal delivery was medical disorders in 18 and 23, fetal distress in 12 and 10, severe pre-eclampsia/eclampsia in 5 and 1, preterm delivery in 3 and 2, twin gestation in 1 and 4 and cord prolapse in 2 and 1 patients in group I and II respectively. The difference was non-significant (P> 0.05). Birth weight <2kgs was seen in 5 and 3, 2-2.5kgs in 6and 5, 2.5-3 kgs in 12 and 20 and >3 kgs in 16 and 13 patients in group I and II respectively. APGAR at 1 minute was <3seen in 7 and 10, 4-7 in 10 and 12 and 7-10 in 23 and 19 patients respectively. APGAR at 5 minutes was <3 in 5 and 8, 4-7 in 11 and 13 and 7-10 in 25 and 20 patients in group I and II respectively. The difference was significant (P< 0.05).Fetal complications was neonatal convulsions in 2 and 1, jaundice in 5 and 6, scalp injuries in 2 and 3. Maternal complications was perineal injuries in 3 and 4, cervical lacerations in 1 and 2 and PPH in 5 and 3 in group I and group II respectively. The difference was non-significant (P> 0.05). Conclusion: When used carefully by a qualified obstetrician, instrumental vaginal delivery is still a valuable procedure. It contributes to better mother and newborn outcomes as well as a decrease in the frequency of cesarean deliveries.