To evaluate maternal and perinatal outcomes of instrumental vaginal delivery in tertiary care hospital Material and methods: The present study included patients who underwent instrumental vaginal delivery during the study period. Sample size for the present study included 100 subjects who underwent instrumental vaginal delivery. The present was a retrospective one in which data recorded were analysed. Following the delivery of the placenta, a mandatory per speculum examination was conducted at the labor table to detect cervicovaginal injuries. All patients received intravenous antibiotics for three days and were discharged on day four. A Performa was made. Details in relation to maternal and perinatal outcome were recorded separately. All these findings were recorded in a Microsoft Excel sheet and analysed using descriptive statistics. Results: Data of 100 patients was analysed. Out of 100 subjects, vacuum assisted delivery was carried out in 50 cases while forceps assisted delivery was carried out in the remaining 50 cases. While evaluating maternal complications, cervical laceration, vaginal laceration, PPH requiring blood transfusion and extension of episiotomy were commonly encountered. While analysing perinatal outcome, jaundice, facial marks and abrasions and scalp injuries were commonly encountered. Conclusion: Instrumental vaginal delivery remains useful procedure if applied judiciously by a trained obstetrician