Aims and objectives : The main aim of the study was to assess the maternal and perinatal outcome in women with severe anemia. ststMaterial and methods : This was a one year retrospective study from 1 January 2007 to 31 December 2007, conducted in the Christian Medical College and Hospital, Ludhiana. It included 118 women who presented with severe anemia at the time of delivery. Results : Out of a total of 1450 deliveries, 8.13% (n=118) were severely anemic at the time of delivery (hemoglobin<7gm%). A majority of patients were unbooked (83.05%) of which, 89.83% were mulitgravida. The most common type of anemia seen was iron deficiency anemia, in 47.46% patients.