Background:The prevalence of anemia among pregnant women averages 56%, ranging between 35% and 100% among different regions of the world. It is now one of the most frequently observed nutritional diseases in the world. It is especially prevalent in women of reproductive age, particularly during pregnancy. The present study was planned to study the prevalence of anemia in pregnant females admitted to the tertiary care center for delivery and its impacts on perinatal outcome. Objective: The objective of this study is to estimate the prevalence of maternal anemia in a rural community and to assess its impact on neonatal outcome. Materials and Methods: A hospital record-based study was conducted in the tertiary health-care center after taking required permissions and ethics clearance from the institution. The data were collected from record and analyzed in SPSS Trial Version 18. Results: In this study, a total of 992 pregnant mothers were included, out of which 599 (60.38%) were anemic. Among 992 delivery, 83 mothers delivered low birth weight (LBW) baby, out of which 42 (50.60%) mothers were moderate anemic. The prevalence of stillbirth/intrauterine death (IUD) was 55 (5.54%) and found to be higher among mothers who were having moderate anemia (60%). Conclusion: The prevalence of maternal anemia in this study was 60.38%, which was still a major public health problem. Low maternal hemoglobin levels are associated with increased risk of stillbirth and IUD, and LBW babies.