Background: In mullerian anomalies uterine anomalies are most common.They areassociated with normal as well as adverse reproductive outcomes.This study aims to evaluate different types of uterine congenital anomalies and its impact on maternal and fetal outcome. Setting & Design: The present study is carried out in the Dept of OBGY in tertiary care hospital and medical college. It is a retrospective observational study done among patients who have various types of mullerian anomalies with pregnancies. Methods: The study was conducted from April 2008 to March 2015. Universal sampling done. Data of 21 patients collected and analysed using MS Excel software. Statistical Analysis: Frequency analysis done for study variables using MS Excel 10.0. Results: During this period 21 patients with various uterine anomalies with pregnancy were studied. 19.4% patients had bicornuate uterus, 23.8% had septate uterus & 14.28% had unicornuate uterus, 9.52% had uterus didelphus, 23.80% patients had arcuate uterus and 4.76% patient of transverse vaginal septum and longitudinal vaginal septum each. Malpresentation was found in bicornuate, unicornuate, didelphys, arcuate uterus. Bad pregnancy outcome was seen in bicornuate, septate and unicornuate uterus. Conciusion: Mullerian anomalies have a significant adverse impact on obstetric outcomes. High suspicion index should be kept with all patients coming with infertility,recurrent pregnancy loss, preterm labor, malposions and malpresentations and bad obstetric history. Favorable outcome can be achieved by early diagnosis with the help of advanced modality and possible surgical interventions.

Keywords: Maternal and Fetal Outcome; Mullerian Anomalies; Malpresentation; Recurrent Pregnancy Loss.