Breech is the most common abnormal presentation where podalic pole presents at the pelvic brim. The overall incidence of breech presentation is 3 – 4 %. Breech delivery is known as “PRASAV VIKAR “in the Vedas and it is challenging problem in obstetrics even today. Management of breech in labour is the most controversial and complicated part in developing countries like India because of different obstetrics and neonatal units compared to western parts. The aim of the study was to find out the incidence of maternal and fetal outcome in breech presentation in Sir T hospital Bhavnagar in past 1 year. The present retrospective study was carried out in Department of obstetrics and Gynecology from 1st May 2021 to 30th April 2022. Total 110 cases were included in this study. The demographic data like age, parity, antenatal care, period of gestation at the time of delivery, birthweight, presence of antenatal complications and mode of delivery were included. The incidence of breech was found to be 6.35% out of total deliveries. Majority of the cases were in between 20 – 30 years of age. Perinatal morbidity was seen to be higher in babies delivered vaginally as compared to caesarean delivery. Breech delivery is a high-risk pregnancy with adverse fetal outcome during pregnancy and labour, though cesarean is for breech presentation is not universally recommended, but it can reduce the perinatal morbidity and mortality. The mode of delivery in breech presentation should be specified based on the type of breech, stage of labour, fetal wellbeing and availability of skilled obstetrician