Introduction-A nuchal cord (NC) refers to the umbilical cord being wrapped around the neck of the fetus at birth. Nuchal cord (NC) is identified as a significant factor contributing to fetal distress and perinatal mortality. The present study was done to assess the effect of nuchal cord on mode of delivery and APGAR score of newborn. Material and methods- The present prospective study was conducted at department of obstetrics and gynaecology of SMGS Hospital among 100 pregnant women with single pregnancy during the study period of one year. Association between mode of delivery and Apgar score of baby with nuchal cord was studied. Results were analyzed using SPSS version 25.0. Results –In the present study, nuchal cord was present in 14 patients named as group P and was absent in 86 patients named as group A . Among them 11 patients had one loop, 2 patients had two loops and 1patient had three loops. The existence of nuchal cord did not have an impact on the mode of delivery (p = 0.915). The statistical analysis did not find a significant association between an Apgar score below 7 at 1 and 5 minutes and admission to the Neonatal Intensive Care Unit (NICU) (P>0.05). Conclusion – Nuchal cord (NC) is frequently observed during childbirth. The current study indicates that there is no significant association between NC and mode of delivery as well as apgar score of new born.