Introduction: Several technical advances have been made for the health of the foetus in utero. Amongst these .modified biophysical profile as an antenatal testing tool needs relatively less expertise ,is less time consuming and is a simple and a practical method of foetal surveillance. AIMS: l) To evaluate efficacy of MBPP as a practical method for antenatal foetal surveillance. 2) To correlate MBPP scoring in high risk pregnancies to perinatal outcome in terms of: Apgar score at 5 minutes; Meconium staining of amniotic fluid; Perinatal morbidity!admission to NICU) Perinatal mortality.