AbstractContext: Fetal Growth Restriction (FGR) is the single largest contributing factor to perinatal morbidity in nonanomalous foetuses. This research was conducted in the Department of Obstetrics and Gynaecology in a tertiary care teaching Hospital which included 100 singleton pregnant women with FGR. Aims: 1. To evaluate the maternal risk factors as possible contributors to FGR and related perinatal mortality. 2. To establish the decision-to-delivery time interval in growth restricted fetuses in correlation to gestational age and doppler examination. Methods and Material: Socio-demographic, maternal risk, Diagnosis- delivery interval in FGR and neonatal morbidities were studied. Serial deciding doppler were considered for evaluation of the perinatal outcome and mode of delivery. Statistical Analysis used: The association between doppler category and maternal risk factors was assessed by Chi-square test. The continuous variables were presented as mean ± standard deviation (SD) and the difference between the means was calculated by student’s ‘t’ test. Results: 76% women suffered concomitant comorbidities which could possibly contribute to the genesis of fetal growth restriction. 38% women had hypertensive disorders of pregnancy. Majority of women with FGR