Objective: In this study our main goal is to evaluate the predictive factors and maternal and foetal outcome of breech delivery in Rangpur medical college hospital. Method: This prospective observational study was carried out at Rangpur medical college hospital. From July 2019-Deccember 2019 where 51 singleton uncomplicated breech presentation admitted for delivery were included in the study. Results: During the study, mean umbilical cord length in LSCS and vaginal delivery group was 55.3±3.8 cm and 56.2±3.7 cm respectively. Mean placental weight in breech deliveries in LUCS and vaginal delivery group was 645±132 gram and 599±212 respectively. Cornu-fundus position of placental localization was the commonest in both the groups. Regarding the fetal outcome, 42.1% neonates suffered birth asphyxia in vaginal group while 37.5% suffered same problem in LUCS group. Higher (62.5%) percentage of children was born in LUCS group without any complications compared to 52.6% in vaginal group. Higher percentage (42.1%) of neonates needed admission in vaginal delivery group than LUCS group (37.5%) for different complications. 87.5% of LUCS group and 57.8% in vaginal group did not suffer from any maternal complications during delivery. No mortality was reported. Conclusion: From our study we can conclude that, short umbilical cord length and increased placental weight may be the important predictive factors for breech presentation.