Introduction: This study was done to find out the incidence of live births with meconium stained amniotic fluid, their mode of delivery, maternal risk factors and the neonatal outcome.

Materials & Methods: This hospital based prospective observational study was conducted in Krishna Institute of medical Sciences, Maharashtra over a period of 2 years. 348 live births with MSAF were included and their outcomes were noted in terms of morbidity and mortality.

Results: Overall incidence of MSAF was 7.13. Risk factors encountered were maternal age < 25 years, pre-eclampsia, PROM, and primi-gravida. LSCS was the most common delivery among thick-MSAF group. Meconium Aspiration Syndrome developed in 7 babies (2.01%). Overall neonatal mortality was 0.86%.

Conclusion: The presence of MSAF at delivery is a potential sign of fetal compromise. Alerting the paediatrician and proper resuscitation of babies born through MSAF reduces the overall morbidity and mortality.