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Aim: evaluating obstetric complications and perinatal outcomes in pregnant women with morbid obesity (BMI ≥40.0 kg/m²) compared to pregnant women with normal weight (BMI 18.5-24.9 kg/m²). Methods:It is a retrospective case-control study undertaken by the Results: 50 patients were enrolled in each study group. Morbidly obese pregnant patients had a higher rate of nulliparity (P=0.03), chronic hypertension (P=0.008), preeclampsia (P=0.03), gestational diabetes (P=0.013) and delivery by caesarean section (P=0.04) compared to control patients with normal weight. Conclusion:Closer monitoring of morbidly obese pregnant women is recommended to prevent, reduce and properly handle the complications that may arise during pregnancy, both for the mother and the fetus.