Background: Preterm birth is a poorly understood domain so it is a one of the most serious problem encountered in case of pregnant women. Because of the incomplete knowledge of biochemical and molecular reasons for preterm birth, many authors have shown interest in various predicting risk factors of preterm birth. Aim: This study was undertaken to know risk factors for preterm delivery and to investigate the usefulness of the most widely used creasy scoring system in identifying the high risk group of women at the tertiary care center of India. In this study also included observation of perinatal mortality and morbidity associated with preterm deliveries. Material and Methods: In the present study of 175 women who gave birth to preterm babies, detail history was taken. Then all the Data were statistically analyzed based on percentage. Result: Preterm delivery is particularly affected by precipitating of some risk factors (Hb, weight, parity of mother etc.). Conclusion: so we can say that such risk factors acting as a precipitating factor for preterm deliveries. Awareness of such risk factors is essential to plan public education programs and to consider appropriate perinatal care options for women at potentially higher risk for preterm delivery.