Introduction- Meconium-stained amniotic fluid (MSAF) is considered a reliable indicator of foetal distress in the womb caused by inadequate oxygen supply to the foetus. The aim of present study was to assess the maternal factors and perinatal outcome in meconium stained liquor in full term pregnancies. Material and methods- The present hospital based prospective observational study was conducted at department of obstetrics and gynecology of a tertiary care hospital among 100 pregnant women admitted for delivery with meconium stained liquor during the duration period of one year. The study patients were categorised into 2 groups based on the clinical grading of meconium- Group A (thin) and Group B (thick) . Clinical and demographic history was taken. Results were analyzed using SPSS version 25.0. Results – 60 patients had thin meconium stain and 40 had thick meconium stain.(Figure 1) Maximum patients belong to age group of 21 to 25 years (55) and least were in the age group of above 30 years (5). Postdatism in 28 cases was the prevailing maternal factor linked to MSAF, 25 patients does not have any risk factor. The most common cause of still birth was meconium aspiration syndrome (15). The results of our investigation confirm these conclusions, as the infant mortality rate in our study was 7%. Conclusion- The presence of meconium in the amniotic fluid greatly elevated the risk of health problems and death in newborns. The viscosity of meconium directly influenced the outcome of the neonate.