Introduction: The journey of the foetus through the maternal pelvis is considered most difficult. The art of obstetrics is based on balancing the risks encountered during this journey. Aims and Objectives: To evaluate the relation between the result of the non-stress test and mode of delivery. To evaluate the relation between the result of the non stress test and perinatal outcome. This prospective study was carried out in the Department of Obstetrics and Gynecology at Krishna Institute of Medical Sciences, Karad. All high-risk patients admitted for induction of labour or in the latent phase of One hundred and fifty patients with highrisk pregnancies like pregnancy-induced hypertension, intrauterine growth retardation, overdue pregnancy, oligohydramnios, gestational diabetes and heart disease. Results- Patients with the gestational age of more than 34 weeks were subjected to the non-stress test. Out of 150 patients, 85 patients (56.67%) had normal, 44 patients (29.33%) had suspicious and 21 patients (14%) had abnormal non-stress test results. 80% of patients with normal non-stress test deliver vaginally as against 50% in suspicious group and 28.57% in abnormal group. Caesarean section rate in the normal group was 20% while that in the suspicious group was 50% and 71.43% in abnormal group. In the abnormal group, caesarean section was done in 73.33% for cause related to the result of a non stress test. Conclusion: Non-stress test is a simple, non-invasive, inexpensive test for antepartum foetal surveillance. It is easy to perform and causes no inconvenience or complications to the patient. The non-stress test should be performed for diagnostic purpose in the light of clinical circumstances.