Aim: To analyze whether postnatal umbilical cord coiling index measurement could predict adverse perinatal outcome. Materials & Methods: The study designed was a prospective observational study. Total 100 singleton pregnancies fulfilling inclusion criteria, attending regular Antenatal checkup and willing for institutional deliveries were enrolled. Each case was evaluated for umbilical coiling index at the time of delivery and then correlated with the perinatal outcome. Results: In the present study 76% had Normocoiling while 10% had hypocoiling and 14% had hypercoiling of cord. Among gravidas with hypercoiling of cord 8 out of 14 had Meconium stained liquor which was statistically significant (p=0.00001).Also in gravidas with abnormal coiling, 15% had LSCS which was statistically significant. Most common indication for caesarean section was Meconium stained liquor and Fetal distress. Also in our study, hypocoiling has association with 22% had IUGR out of which 6% had hypocoiling, indicating significant correlation (p=0.0006). Preterm labor also proved to have significant association with hypercoiling (p=0.07). Conclusion: Measuring Coiling index can help in predicting adverse perinatal outcomes resulting in closer fetal monitoring and improved fetal outcome.