Background And Objective: Fetal growth restriction (FGR) is a common and complex obstetric problem. FGR is noted to affect approximately 10-15 % of pregnant women. It is more prevalent in developing countries and resource poor countries. Despite the improvement in healthcare in India, FGR cases have been observed. Therefore, the purpose of this study was to determine the incidence, associated maternal risk factors of FGR babies, and study the neonatal outcome among these babies. Method: This is a prospective observational study conducted in tertiary care hospital on 200 antenatal women diagnosed with FGR. Maternal risk factors for FGR such as anaemia, Pre-pregnancy weight, weight gain in pregnancy and medical disorders in pregnancy was studied. Outcomes of FGR babies- tachypnea of newborn, apgar score at 5 minutes, hyperbilirubinemia, hypoglycemia, sepsis, intraventricular haemorrhage, re-admission to intensive care was studied. Result: Anaemia is an important risk factor for FGR. In this study, the mean Hb was 9.82+/- 3.44 gm/dL. In 42% of the study population, we observed that the Hb was less than 9 gm/dL. This correlated well with presence of FGR, and was statistically significant. Similarly, there was a positive correlation between FGR and gestational hypertension, anaemia and pre-eclampsia There was a significant positive correlation of neonatal outcomes with APGAR, tachypnoea of newborn, sepsis and IVH. Conclusion: Anaemia and weight gain in pregnancy were significantly associated with FGR which needs to be addressed. Pre pregnancy counselling needs to be emphasised to achieve the same.