Design: Original Article Objective: • To determine the perinatal outcomes of neonates born of AFLP mother. • To determine the mode of delivery which has least maternal and fetal complications Setting: Tertiary care hospital, South India. Sample Size: All women diagnosed with AFLP over a five year period. Methods: A record review of the past 5 years (January 1, 2014, to 30, December 2020). Presence of clinical signs, altered biochemical parameters and exclusion of other causes of icterus in pregnancy were considered. Results: A mean age of 25.74+3.7 years were noticed among the women diagnosed with AFLP. Majority of the women, 14 (73.68%) were below the age of 30 years and with a gestational age of more than 37 weeks (68.42%). An equal number of primigravidae (52.63%) and multiparous (47.3) women were found to present with AFLP. The mean blood loss at the time of delivery (LSCS or vaginal delivery) was 500.00+ 575.The most relied upon treatment during admission was with Fresh Frozen Plasma transfusion (Mean: 7.00+9), followed by platelet transfusion (Mean:2.37+3.515), PRBC transfusion (Mean:2.21+3.691), Cryo Precipitate transfusion (Mean:0.0+2). Nine (47.37%) were delivered through emergency LSCS. Conclusion: The study showed a higher maternal mortality rate of 21% in comparison to other studies. Showing the need for diagnosis of AFLP with multiple scoring systems and a refined guideline to improve the perinatal outcome with rapid diagnosis and treatment. Funding: No funding