Aim: To determine the association between uterine leiomyomas and various maternal and fetal complications occurring during pregnancy, delivery and puerperium. Material and methods: Antenatal women visiting S.M.G.S Hospital with singleton pregnancy and USG documented fibroid was selected for the study, after an informed consent from the patient, specific demographic and clinical information was collected which includes: maternal age, obstetric history, menstrual history, period of gestation, details regarding fibroid and fetal presentation etc. Results: Majority of patients in our study were multigravida i.e., 56% and remaining 44% were primigravida. Majority of patients in our study had a solitary fibroid i.e., 60% the remaining 40% had more than 1 fibroid. 36% of the cases in our study had premature rupture of membranes. Antepartum hemorrhage in the form of placenta previa or abruptio placenta was seen in 16% of the cases in our study. Cephalic presentation of the fetus was most common and was seen in 60% of the cases, 24% presented hadbreech presentation, 12% had a variable lie whereas 4% of the patients had a transverse lie of the fetus. Cholestasis of pregnancy was the most common co morbidity found in 20% of patients, followed by gestational hypertension seen in 18% patients, next was hypothyroidism seen in 16% of patients and least common being gestationaldiabetes mellitus seen in 2% of patients. Conclusion: Pregnant individuals diagnosed with uterine leiomyomas an elevated likelihood of undergoing cesarean delivery, experiencing breech presentation, and encountering postpartum hemorrhage. The various characteristics of uterine leiomyomas have distinct impacts on maternal and fetal outcomes via diverse mechanisms.