Background: Continuous intrapartum electronic fetal heart rate monitoring is essential for identifying fetuses at risk of fetal hypoxia and related complications. Fetal movements, uterine contraction patterns, and fetal heart rate are all recorded using cardiotocography. Aim: This study aimed to evaluate the ability of intrapartum pathological cardiotocography to predict unfavorable fetal outcomes in term pregnancies. Methods: This study was a cohort observational study conducted on 120 pregnant women admitted to Zagazig University emergency hospital during term pregnancy in labor. All women were subjected to full history-taking, clinical assessment, Obstetric Ultrasound to confirm the gestational age, and intrapartum CTG in low-risk pregnant women. The color of liquor studied perinatal outcomes, Apgar score at one minute and five minutes, and NICU admission. Results: In the Low-risk group 30(85.8%) of cases were Suspicious and 5(14.2%) were Pathological on admission CTG while in the high-risk group, 50 (59%) of cases were Suspicious and 35(41%) were Pathological on admission CTG. Meconium-stained liquor was present in 10 (30%) low-risk pregnancies and 72 (84.7%) high-risk pregnancies. All participants with pathological CTG tracing underwent an emergency cesarean section (100%) and the majority of participants in both groups with suspicious CTG had LSCS (88.7%). There were no perinatal deaths in our study up to one week. Conclusions: Getting in CTG is a non-invasive screening technique that can be very important in predicting the health of the fetus during labor and helps identify fetal distress that is already present at the time of admission.