Polycystic Ovarian Syndrome (PCOS) is a common endocrine disorder affecting women of reproductive age, often leading to complications in pregnancy. This study evaluates the maternal and neonatal outcomes in women diagnosed with PCOS. The study was conducted at a tertiary care hospital, involving pregnant women with PCOS, tracking their pregnancy progress, complications, and neonatal outcomes. Findings suggest an increased prevalence of gestational diabetes, hypertensive disorders, preterm birth, and neonatal complications such as low birth weight and NICU admissions. Early diagnosis and proper antenatal care are crucial in improving both maternal and neonatal outcomes.