Objectives : To assess the incidence, risk factors and outcomes of umbilical cord prolapse in our current obstetric practice. Methods : A retrospective study of the cases delivered over a period from January 2006 to July 2008 at Regional Institute of Medical Sciences (Tertiary Hospital) was done. The mean age, booking status, presentation, gestational age, sex, parity, mode of delivery and the neonatal outcome were analyzed. Results : During the study period there were 39 cord prolapse cases out of 24,856 deliveries giving an incidence of 0.16%. Majority of the cases were unbooked 27/39 (69%) with mean maternal age of 29.3 years.