Background: The process of artificially stimulating the uterus to initiate labor is known as induction of labor.The present study was conducted to assess maternal and fetal outcome in vaginal misoprostol induced patient. Materials & Methods: 80 Primi gravida womenwere divided into 2 groups. Group I were those in which women induced with 25 g misoprostol for cervical ripening labour induction and group II with no induction and watch for spontaneous progress of labour. The cervix's suitability for inducing labor was evaluated using BISHOP's prelabor grading method. Results: Education status was illiterate in 18 and 11, primary in 12 and 10 and high in 10 and 19 subjects in group I and II respectively. Status was booked in 27 and 25 and unbooked in 13 and 15. Socioeconomic status was upper in 10 and 19, middle in 14 and 12 and lower in 16 and 9. Bishop score was 1 in 20 and 17, 2 in 12 and 11, 3 in 2 and 1, 4 in 2 and 5 and 5 in 3 and 6 in group I and II respectively. The difference was non- significant (P> 0.05).Apgar score<7 was present in 15 and 12 and >7 in 25 and 28 in group I and II respectively. NICU admission was seen in 10 and 6. Maternal complications were cervical tear in 3 and 7, PPH in 4 and 5, and perineal tear in 1 and 2. Perinatal morbidity was birth asphyxia in 3 and 8, MAS was 1 and 2, RDS in 4 and 1, and meconium stained liquor in 2 and 3 respectively. The difference was non- significant (P> 0.05). Conclusion: As gestational age increases, maternal morbidity such as postpartum hemorrhage, cervical and perineal tears, and perinatal outcomes like as birth hypoxia, RDS, MSL, and MAS are more common in the induction group than in the control group.