Background: Induction of labour is artificial initiation of uterine contractions prior to spontaneous onset leading to progressive dilatation and effacement of cervix with the aim of achieving vaginal delivery. It is indicated when benefits to mother or foetus outweighs the benefits of continuing the pregnancy Aims and objectives: The main objective of this study is to determine the influence of induction of labour on mode of delivery and other associated pregnancy outcome and complications in patients with spontaneous and induced labour at term in primigravida Materials and methods: A randomized comparative study conducted in 200 patients at the Department of Obstetrics and Gynaecology at ESIC MC PGIMSR. Of which 100 patients are taken who goes into spontaneous labour and another 100 patients who are induced with Cervi prime gel (PGE2) or misoprostol (PGE1). Data collected including maternal age, foetal weight, bishops score, period of gestation, foetal Apgar score, rate of caesarean delivery, rate of instrumental delivery and its complications are compared in both the groups Results: Of all the induced patients, 44 patients were delivered vaginally, 9 patients delivered with instrumentation and 47 by caesarean delivery and the indication for induction being post datism (59%) and IUGR with fetoplacental insufficiency (10%). Out of the 47 LSCS, the indication for caesarean delivery is foetal distress 20(42%) and failed induction 17(36%). In the spontaneous labour group 49 patients delivered vaginally, 13 patients needed instrumental delivery and LSCS done in 38 patients. Indication for LSCS is fetal distress is 18(47%) and cephalopelvic disproportion 11(28%). Conclusion: We conclude form the study that the need for induction of labour is more in high risk pregnancies and caesarean section is indicated in high risk cases which can be decreased by proper labour monitoring with partogram but it does not adversely affect the neonatal outcome and maternal complications in labour.