Disclosed herein are a method of adaptively delivering media based on reception status information from a media client and an apparatus using the same. A media transmission method by a media transmission apparatus may include sending a message, including configuration information for media requested by a terminal, to the terminal, sending a media packet forming the media to the terminal, selecting a media packet having a transport characteristic corresponding to reception quality information for the media packet received from the terminal based on the reception quality information, and sending the selected media packet to the terminal.