Aims and objectives; To analyse the prevalence and perinatal mortality in cord prolapse. Study design: All cases of cord prolapse managed in gynae unit 3 at Sir Ganga Ram Hospital were identified. Period: From 20 March 2004 to 20 March 2005. Results: 23 patients of cord prolapse and presentation were identified During this time 5408 births took place giving a prevalence of I in 235 total births which comes upto 0.42%. There were 6 cases of cord presentation (0.11%) and 17 cases of cord prolapse (0.31%).19 cases were born alive(82.6%). There were 4 still births giving a still birth rate of 17.4% or 174/1000 births with cord prolapse and presentation. One neonatal death occurred among 19 live born babies giving a rate of 5.21% or 52.1/1000 live births . The uncorrected perinatal mortality was 217/1000 births or 21.7% with cord prolapse and presentation. Conclusion: : Cord prolapse and presentation occur with prevalence of 0.43% The perinatal mortality rate in this series was 21.7% of births with cord prolapse and presentation.