Introduction: Preterm labor is the leading cause of neonatal morbidity all over the world. Over the past two decades despite major preventive efforts, the incidence of preterm birth has remained constant at about 5-10% of live births. The etiology is often multifactorial and poorly understood. Neonatal complications which arise from preterm births are birth asphyxia, respiratory distress, low birth weight, infective neonatal hypoglycemia and neonatal death. With this background the present study was done to find out perinatal outcome in women presenting with preterm labour. Material and methods: The present study was a descriptive study conducted in the Department of Obstetrics and Gynaecology. 100 consecutive women presented with preterm labour between 28 to <37 weeks were included in the study after obtaining written informed consent. Mode of delivery and neonatal outcome were noted. Data were compiled and analyzed. Results: Majority of the women were between 20 to 35 years of age, Hindu, Literate, belonging to rural area, low socio-economic status, and had normal BMI. 60% women were primigravida. 65% women had gestational age ≥34 weeks. Mean weight of the babies in our study was 1.7 ± 0.4 Kg and mean APGAR score at 5 min was 7.02 ±1.03. 46% babies were admitted in NICU for various reasons and 12% babies had perinatal death. Most common reason for NICU admission was birth asphyxia (42%) followed by extreme prematurity (16%), septicemia (12%) and jaundice (11%). Conclusion: Appropriate and innovative preventive intervention, customized individuals need may prevent preterm births and improve neonatal outcomes.