Background: Perinatal mortality is closely related to the early and accurate recognition of foetal distress. Objective of the study was to find out neonatal outcome in suspected fetal distress cases. Methods: This was a cross sectional study done in ShSMCH. Purposively 38 samples were taken in three weeks time and clinical state related to fetal distress and neonatal outcome of them were observed. Results: Fetal movement were less in 36.8% cases. Abnormal fetal heart rate were present in 89.4% cases and in 47.4% cases amniotic fluid was meconium stained. First minute Apgar score was low in 36.8% cases and 47.4% were admitted in paediatric ward. The clinical profile for diagnosis of fetal distress was not significantly associated with low apgar scores. Conclusion: There was very little appreciation for assumption of fetal distress clinically. [J Shaheed Suhrawardy Med Coll 2016;8(1): 23-25]