Background: In present scenario Acquired immunodeficiency syndrome is one of the worst global health concerns. HIV has a dramatic impact on the health of mother and children. Parent to child transmission of HIV is a major route of new infection in children Methods: A retrospective study was conducted in Jklon hospital, kota from May 2021 to April 2022. All HIV positive pregnant women who were on ART or not and delivered in our hospital were selected. Maternal and fetal outcome variables were analysed. Results: Total deliveries during the study period were 9046. Out Of these HIV positive pregnant women were 36, prevalence being 0.3%. Primigravida were found to be 41.66% during the study period from may 2021 to April 2022. 47.22% were diagnosed HIV positive during pregnancy, vaginal deliveries were 77.77%% and caesarean section was 22.22%. birth weight <2kg in 8.3% and IUFD were 8.3%. Nevirapine prophylaxis were given to 91.66% of neonate Conclusions: our result suggest that Early diagnosis and initiation of therapy will prevent transmission to their children and better fetomaternal outcome. In patients who are on ART education and counselling can alter maternal and neonatal outcome. Awareness and information is important to increase access to PPTCT services. Team approach involving an experienced obstetrician, neonatologist and physician gives hope of having a healthy uninfected baby for HIV infected mothers.