Nuchal cords have been invariably seen in pregnancies, sometimes discovered antenatally while more often as an incidental finding during birth. It sometimes can present as a complication to active labour, leading to unpredictable maternal and peri-natal morbidity and mortality. However, as often as nuchal cords are witnessed in clinical scenarios, only little is known in peer reviewed literature about their significance. There is an existing practical deficiency of guidelines and algorithmic measures to ensure maternal and neonatal wellbeing in a case of cord around neck. Diagnosis of nuchal cord is still a challenge during antenatal evaluation and not often taken in concern by obstetricians. In our study we study the incidence of nuchal cords with its overall aftermath with respect to maternal and neonatal parameters and attempt to probe the likely importance for its screening and developing guidelines.