Introduction:Gestational hypertension, Preeclampsia, Eclampsia are pregnancy specific syndrome characterised by reduced organ perfusion secondary to vasospasm and endothelial pathology.Hypertensive state of pregnancy affect maternal and fetal circulation leading to prematurity, IUGR, Fetal demise.So it is a major cause of maternal and perinatal morbidity and mortality worldwide.Identification of pregnancy at risk for preventing perinatal morbidity and mortality is a primary goal of obstetrics care. Material & methods:This is a comparative study. The study group comprised of HDP women who underwent bothcardiotocograph as well as Doppler(CEREBROPLACENTAL RATIO). Approval of institutional ethical board taken.The study was conducted in SCB MCH on patient attending O&G ANC OPD and TRIAGING ROOM for a period of 12 monthsafter satisfying inclusion and exclusion criteria. Results:Almost equal percentage of babies with normal and abnormal 5-minute APGAR score had abnormal CTG findings. This difference was not statistically significant (P value = 0.216). Still birth occurred in 13.8% having nonresponsive CTG compared to 3.8% in responsive CTG. This difference in proportion was also not statistically significant (P value = 0.118). Similarly, early neonatal death occurred in 18.2% having non-responsive CTG compared to 6.4% in responsive CTG. This difference in proportion was also not statistically significant (P value = 0.088). Conclusion:The results shows the CPR predicts better compared to CTG as Sensitivity, Specificity, Positive predictive value and negative Predictive value were higher CPR compared to CTG.