The primary goal of fetal monitoring is a healthy new born with a healthy mother.Cardiotocography as generally accepted, and is most widely used non–invasive method of monitoring fetal status.There is significant correlation between pathological CTG and the state of the newborn evaluated by Apgar score, the existence of acidosis, hypoxic–ischemic encephalopathy and subsequent neuromotor development. AIMS AND OBJECTIVES To evaluate the relationship between antenatal CTG and perinatal outcome, maternal comorbidities and mode of delivery. MATERIAL AND METHODS This prospective observational study in which 300 women with gestational age of 37–42 weeks with singleton pregnancy with or without any comorbidity were included after written consent.Women included in the study underwent CTG at the time of admission and during labour.The cardiotocogram was interpreted as per FIGO guidelines and were allocated the three categories.The need for neonatal intensive care unit (NICU) admission and maternal comorbidities were correlated with the type of CTG record. STATISTICAL ANALYSIS Relationship between antenatal CTG and APGAR score and perinatal outcome were analyzed using Kniskallwallis test. Two tailed p–values was reported and a p–value <0.05 was taken as statistically significant. RESULTS Majority of patients i.e. 197 (65.7%) belonged to the age group of 30–34 years. Patients were divided into three categories. 109 (36.3%) patients fall in category I, 107 (35.6%) in category II, and, 84 (28%) in category III. When correlated with CTG maternal comorbidity was seen in 39 (35.8%) patients in Category I, 50 (46.7%) patients in Category II and 45 (53.6%) in Category III. Neonatal intensive care unit (NICU) admission was needed in 67 (22.3%) patients. When CTG was correlated with NICU admission, 4 (3.7%), 15 (14%) and 48 (57.1%) in Category I, Category II and Category III needed NICU admission. Conclusion Cardiotocography (CTG) is a simple noninvasive test that can be used to detect fetal distress already present or likely to develop and prevent unnecessary delay in intervention. Thus it helps in preventing fetal morbidity and mortality. This test is simple, cost effective and can be utilized in heavy work load hospital/setups with limited resources. With the use of CTG in high risk cases timely intervention can be implied to reduce the perinatal mortality and morbidity