Background: The detection of meconium-stained amniotic fluid during labour often causes anxiety in the delivery room because of its association with increased perinatal mortality and morbidity. The present study was conducted to assess clinical spectrum of immediate outcome of neonate born through meconium- stained amniotic fluid. Materials & Methods: 65 newborns who had meconium staining of the amniotic fluid of both genders were recruited. Parameters such as grading of meconium done either as thin or thick meconium and type of baby noted as either vigorous or non- vigorous baby etc. was noted. Results: Out of 65 patients, 30 were males and 35 were females.Meconium was thin in 45 and thick in 20 patients. Out the the 65 sample, 42 patients were vigorous and 23 were non vigorous. Regarding mother's age, 15,18 and 32 were in the age group of less than 20, 20-35, greater than 35 years of age respectively. Out of 65 patients, perinatal asphyxia was seen in 32 patients. Antenatal risks were PIH in 11, anemia in 9, no risk factor was found in in 20 and GDM in 14 cases. 6 patients needed only Bag & Mask ventilation whereas 6 patients needed Endotracheal intubation. Conclusion: Maximum babies had thin type of meconium. Perinatal asphyxia was seen in maximum babies.