Aims and objectives: To study and quantify the fetomaternal outcomes of intracytoplasmic sperm injection (ICSI) conceptions. Methodology: Descriptive study of the fetomaternal outcomes was done in 60 ICSI conceived patients and percentage of each outcome was calculated and the major outcome was identified. Results: Out of 60 ICSI conceived subjects (n = 60), 8.3% of patients had biochemical pregnancies, 1.7% had anembryonic pregnancies and 18.3% of patients had missed abortions. About 3.3% had cervical insufficiency and preterm premature rupture of membranes (PPROM). About 8.3% had gestational diabetes mellitus. And 3.3% had placenta previa, 20% of women experienced preterm birth, 21.7% experienced multiple pregnancies,1.7% experienced intrauterine death. About 56.7% had cesarean delivery; 21.7% had NICU admissions due to prematurity followed by sepsis, low birth weight, and jaundice. About 1.7% of babies had congenital anomalies, 67% of mothers experienced live births and 3.33% had neonatal deaths; 80% of the babies weighed between 2.5 and 4 kg. We did not have cases of ectopic pregnancy which can be due to proper technique of embryo transfer. No cases of placental abruption, intrauterine growth restriction (IUGR), stillbirth, and eclampsia due to the use of antenatal aspirin. The major outcomes from this study were cesarean delivery (56.7%), followed by miscarriages (28.3%) and multiple pregnancy (17%). Conclusion: The major outcomes of ICSI pregnancies were cesarean delivery (56.7%), followed by miscarriages (28.3%) and multiple pregnancy (17%). Clinical significance: This review summarizes the data available on the fetomaternal outcomes after ICSI and also the follow-up of assisted reproductive techniques pregnancies.