Women with a history of infertility are associated with a higher incidence of adverse pregnancy outcome. This retrospective study reviewed 105 women with a known history of infertility; of these 105 women, 77 (73%) conceived spontaneously and 28 (27%) had assisted conception. Our finding confirms higher perinatal complications; relative ratios (RR) for pre-eclampsia was 4.6 (95% CI = 2.1 - 9.9), intrauterine growth restriction 4.8 (95% CI = 1.9 - 12.0), gestational diabetes 1.8 (95% CI = 0.5 - 5.8), pre-term premature rupture of membrane 2.3 (95% CI = 0.6 - 8.8) and pre-term labour 2.6 (95% CI = 1.1 - 5.9). We postulate that women with a history of infertility are at high risk of such obstetric complications and may benefit from intensified antenatal care.