Background: Intrauterine growth restriction (IUGR) is a frequent complication of pregnancy with a complex etiology and limited management options. Many maternal and feotal risk factors are responsible for IUGR. Aim: This study was conducted to determine the prevalence of IUGR and to understand the maternal characteristics and risk factors of IUGR fetuses in our hospital. Methods: A cross-sectional study was carried out in the department of Obstetrics and gynecology, at Jehangir Hospital, Pune, Maharashtra, for a study period of one year. Women who presented with confirmed IUGR were enrolled in our study. A detailed history especially regarding nutrition, habits (alcohol intake, smoking and tobacco chewing), socioeconomic status and adequate weight gain were elicited carefully. On clinical examination Discrepancy of more than or equal to three weeks between the symphysiofundal height and gestational age was considered to suspect IUGR. Results: A total of 1462 maternity women were participating in this study out of which total no of diagnosed IUGR cases was 53. Prevalence of IUGR in our hospital was 3.6. Almost half of the cases were seen in the age group of 25-29 years (54.71%), slightly higher percentage of Multigravidae (50.9%), seventy percentage belonged to the upper middle and upper class. Majority of IUGR cases in this study were due to poor maternal weight gain (43%), and pregnancy induced hypertension cases (19%), Majority of the cases have an AFI between 5.1 to 10 (56%) and 60.37% showed deranged Doppler studies 58.49% of the cases with IUGR were induced and 58.49% of IUGR babies underwent Caesarean Section. Conclusions: IUGR is a common health issue in Obstetrics; several social, educational and nutritional factors play a role in causation of a IUGR. Nutritional deficiencies and insufficient growth environment which results in anemia and hypertensive disorders of pregnancy which are potent risk factors for IUGR