Background: Parasitic infections affect a majority of pregnant women worldwide and can lead to adverse maternal. fetal or placental effects. A prospective observational study was carried out at a municipal hospital in East Ahmedabad, Gujarat over a period of 4 months in the indoor patients in the antenatal ward.Objective:The aim of this study is to determine the prevalence of parasitic infections in pregnancy and its maternal and fetal outcome along with its association with various factors.Materials and methods: Routine stool microscopy was carried out in antenatal patients to rule out parasitic infections and their outcomes were assessed.Result: Out of the 772 patients screened for intestinal parasites, the prevalence of the study was 9.1%. Protozoa (80.28%) were more prevalent than helminths (19.7%). The prevalence of parasites were more in women residing in the rural (84.51%) area. Women in the second trimester (49.3%) were affected more than women in the third (39.44%) and first (11.26%) trimester. The most common maternal manifestation was found to be diarrhoea (83.09%), followed by anemia (60.56%).Conclusion: Routine screening of stool samples for intestinal parasites, especially in anemic and malnourished women should be considered as a part of routine antenatal care. This study also necessitates the importance of sanitation, hygienic practices and nutrition in antenatal patients. Mass deworming in accordance to the National Deworming Guidelines would play a crucial role to curb the detrimental effects of a parasitic infection. Strict adherence to deworming of mothers before pregnancy and in the second and third trimester is recommended.