Background: Fibromyomas constitute the most common tumors in females of the reproductive age group. However, still, very few institutes have guidelines or protocols for managing fibromyomas in pregnant females. Aim: The present study aimed to assess the outcomes of singleton pregnancies with fibromyoma and factors and complications of adverse pregnancy outcomes. Methods: The present study assessed 200 females who had singleton pregnancies that visited the Institutes within the defined study period and had confirmed diagnosis of uterine fibromyoma. These subjects were assessed for different pregnancy outcomes. Results: The study results showed that 46% of subjects were aged 26-30 years and 62% of subjects were primigravida. LSCS and normal vaginal delivery was done in 56% and 36% subjects respectively. Submucous fibroma showed significant association with spontaneous abortion in 8% of subjects with p=0.0001. A significant association was seen for fibromyoma to PPROM, PROM, preterm delivery, and malpresentation with p=0.03, 0.005, 0.03, and 0.0001 respectively. PPH (postpartum hemorrhage) also showed a significant association with multiple fibromyomas with p=0.02. The perinatal mortality rate was 32.94 per 1000 live births. Conclusion: The present study concludes that subjects and healthcare providers must be aware of the association of fibromyoma with adverse pregnancy outcomes such as preterm labor, bleeding complications, and spontaneous abortion. Elective cesarean section is not compulsory unless in cases with clear obstetrical indications. The associated neonatal outcomes are also acceptable.