Aim: To document the feto-maternal outcome in HIV infected pregnant women delivering at a tertiary health care centre of South Gujarat. Methods:This study was a secondary data analysis of pregnant HIV infected women delivering between May 2017- April 2021 in the Department of Obstetrics and Gynecology, Tertiary Health Care Center of South Gujarat. Statistical Analysis Secondary data analysis was done using SPSS software version 23. Results: A total of 145 HIV infected pregnant women delivered at out institute during the study period. Thirteen (8.97%) participants had preterm delivery. 88(60.68%) of the 145 participants had vaginal delivery and 57(39.32%) underwent caesarean section. 143(98.62%) of our 145 participants had live births, while 2(1.38%) had stillbirths. Most of the new-borns i.e., 96(64.43%) had birth weight of between 2-3 kg, 25(16.77%) had a birth weight of less than 2kg. Out of 147 liveborn babies, 36 babies (24.48%) were admitted in NICU. Conclusion: Though the HIV positivity in our general population is less than 1%, it entails a slightly higher risk of preterm birth and still birth for the HIV positive pregnant women. Early registration and appropriate antenatal care are necessary for optimizing the fetomaternal outcome