Background: Pregnancies with reproductive tract anomalies are well known to have higher incidence of maternal and fetal complications. These complications may be major or minor depending on the reproductive tract anomalies. The present study aimed to evaluate the maternal and fetal outcome in pregnant women with reproductive tract anomalies. Methods: The study was conducted in the department of OBG, at Travancore Medical College, Kollam, Kerala. A total of 30 pregnant women were included in the study based on inclusion and exclusion criteria. All the subjects were explained the study procedure and informed consent was obtained from them. Demographic, clinical and radiological data was recorded and analyzed. Statistical Package for Social Sciences (20.0) version was used for analysis. Result: A total of 30 subjects were analyzed in this study.19 patients had history of infertility. Maximum number of subjects were Primi gravidas. 21 pregnancies attained viability and 13 were carried till term. Maximum deliveries were done as LSCS.9 (30 %) had biconuate uterine anomaly. IUGR is the major obstetric complication. Conclusion: The study result concluded that there is a significant association between Obstetric complications with uterine anomalies.