Background: The use of ultrasound has asignificant role in assessment of placental grading during antenatal treatment. With the help of ultrasound one can know about the gestational age, riskevaluation and it also describes about placental maturity, grading, fetal health, andprognosis. Any abnormality in placental maturity can lead towards poor pregnancy outcomes and fetus intrauterine growth restriction (IUGR). Objective: The objective of this study is to determine the evaluation of placental grading in 2nd and 3rd trimester using gray scale ultrasound for prediction of fetal outcomes. Material and Method: This study was conducted atgynecology and obstetrics department of two Hospitals (Sajida Khalil Hospital and Robina Sajid Hospital Gujrat) respectively. The duration of study was 4 months i.e. 14 January 2022 to 14 May 2022. Total number of participants was 200 pregnant ladies. These all were coming for their regular antenatal follow up in gynecology and obstetrics department of both hospitals. Results: Total 200 pregnant females with gestational age of 13 weeks and onwardi.e. 2nd and 3rd trimester in order to see the placental grading in 2nd and 3rd trimester were taken as sample population for the present study.Out of the total 200, women 62 (31.0%) were of second trimester and 138 (69.0%) were of third trimester. The results for placental grading by statistical analysis showed out of 200, 74 (37.0%) showed Placenta with Grade-I, 75 (37.5%) showed placenta with Grade-II maturity and 51(25.5%) showed placental maturity of Grade-III. Conclusion: Sonographic appearance of placental Grading gives us information about the well being and the information about placental appearance (hypoechoic, hyperechoic or echogencity).