Background: The presence of meconium-stained amniotic fluid (MSAF) is believed to be one of the surest signs of fetal distress in utero due to fetal hypoxia. The objective of the study is to determine the maternal factors and perinatal outcome in meconium stained liquor in a tertiary care hospital. Materials and method: A prospective, observational and analytical study was conducted among 500 women in the Department of Obstetrics and Gynecology, SMGS Hospital, GMC Jammu from July 2023 to December 2023. Women with singleton pregnancy, cephalic presentation admitted in labour room and MSAF was detected after spontaneous or artificial rupture of membranes were taken into study. Women having multiple pregnancy, non-cephalic presentation, fetal congenital malformation, intrauterine fetal death were excluded from study. Results: A total of 10,453 deliveries occurred during the study duration, meconium stained liquor was seen in 1150 patients. This shows a prevalence of 11%. After considering the inclusion and exclusion criteria, a total of 500 cases of MSAF were taken. These were compared with 500 randomly selected control group with clear liquor. Majority of the patients in MSAF group were in the age group 26-30 years accounting for 45%. Conclusion: Incidence of meconium stained liquor varies greatly with maternal risk factors. Cases of postdatism, IUGR, IHCP should be dealt with efficient and continuous monitoring of fetal wellbeing during labor and timely managing them in case any meconium stained liquor appears in them. Since meconium stained liquor has multiple adverse effects in the perinatal period , so timely management is important to improve fetal outcome. Early detection of high risk maternal factors and careful watch during labor for meconium in early stage can help avoid adverse perinatal outcome by prompt and early obstetrical intervention and effective postnatal care.