Background: Nuchal cord compression is very common and causes common complications in newborns like meconium excretion, abnormal fetal heart rate pattern, low APGAR score, IUFD, IUGR, NICU admissions, cerebral palsy, hypoxic brain injury and HIE. Hence it needs to be studied. Materials & Methods: Prospective observational study conducted on women admitted in labor ward of SMGS hospital over a period of one year (w.e.f. 1st November 2021 to 31st October 2022). 2 groups of 150 patients each studied i.e. Group A with patients delivering baby with nuchal cord and Group B with patients delivering baby without nuchal cord . Objectives of the study were to compare umbilical cord blood gas analysis, APGAR scores (1 &5 min), duration of labour and fetal outcomes in the 2 groups. Females between 18 to 40 years of age with term cephalic singleton pregnancy with spontaneous onset of labour were included and those with predetermined fetal and maternal risk factors were excluded. Data analysis done using statistical methods. Results: Maternal age, gestational age, gravidity, number of loops of nuchal cord, birth weight donot show much importance in occurrence of nuchal cords. Umbilical cord arterial blood gas analysis shows lower pH, lower mean pO2 and raised pCO2 in patients with nuchal cord however no difference in mean HCO3- and base excess seen. Labour duration not prolonged and instrumental delivery not increased with nuchal cord. Fetal and Neonatal complications had similar occurrence in both the groups. Conclusion: Presence of nuchal cord may negatively affect the umbilical cord blood gases but not associated with adverse perinatal complications, however detailed studies are further needed to support this result.