Background: Labour can start spontaneously or be induced for various maternal or fetal conditions.The benefit of labour induction must be weighed against the potential maternal or fetal risks associated with the procedure.Objective: To compare the mode of delivery and fetomaternal outcome between spontaneous versus induced labour.Material and Methods: It was a hospital based prospective comparative clinical study.Total 80 patients were recruited who met inclusive criteria.Forty patients were included in each spontaneous and induced labour group.This study compared mode of delivery, maternal complications and neonatal outcomes between both the groups.Conclusion: There was an increase in caesarean section rate from 27.5% in induced patients to 17.5% in spontaneous labour patients.