BACKGROUND The clinical uses of ultrasonographic parameters have varied and increased over time; however the ability of these measured parameters to accurately predict the outcomes of labour has eluded obstetric practice. The proper understanding of the association between these parameters, mode of delivery and adverse maternal and fetal outcomes will further improve patient counselling as well as the planning of intrapartum care including neonatal resuscitation. AIM The study explored the ultrasonographic measurement of head circumference (HC) and cheek to cheek diameter (CCD) at term (37 - 41weeks) as predictors of labour outcomes. METHODOLOGY The study population included booked pregnant women attending the antenatal clinic of LAUTECH Teaching Hospital, Ogbomoso in Oyo State. Eligible pregnant women were recruited in the antenatal clinic from gestational age of 37 weeks and had fetal ultrasound head circumference and cheek to cheek diameter measured. Maternal and fetal outcomes measured included suspected fetal distress, poor progress in labour, obstetric lacerations and mode of delivery. Data analysis was done with Statistical Package for Social Sciences (SPSS) version 20.