Background: Maternal obesity can result in negative outcomes for both mother and fetuses and also has health implications later in life for both mother and child. The present study was conducted to evaluate the association between sonographic maternal adiposity and pregnancy outcomes. Materials & Methods: 120 subjects were examined sonographically for maternal subcutaneous fat thickness (SFT) during routine scan at 11-14 weeks (SFT1) and again at 18-22 weeks (SFT2) after a thorough general physical, systemic and per abdomen examination. Results: Only 2 (1.66%) neonates had APGARscore less than 7/10. No neonate needed resuscitation.102/120 (85%) neonates had normal birth weight(2.5-4kg),16/120 (13.3%) neonates were with low birth weight (LBW) and 2/120 (1.66%) were macrosomic(>4kg). 17(14.2%) neonates required admission to NICU. A logistic regression analysis was not applied to predict APGAR below normal and need for resuscitation as the number of participants in each group was less. Conclusion: The sonologically assessed adiposity correlates well with the adverse pregnancy outcome and maternal subcutaneous fat thickness is the best marker of maternal adiposity. Therefore, the scans for measuring MSFT1 and MSFT2 can be combined with the routine obstetric scan at 11-14 weeks and 18-22 weeks.