INTRODUCTION: Over 42,000 Australians live with a stoma, and this number increases annually. Pregnancy in stoma patients is a rare but complex condition and there is limited published literature regarding surgical and obstetric complications in pregnant stoma patients. AIMS: To review stoma outcomes, perinatal morbidity and mortality, and early postpartum period in pregnant stoma patients. METHODS: Data was retrospectively obtained on women of childbearing age, with a stoma, who had been pregnant and birthed in the last eight years at the Royal Brisbane and Women’s Hospital between January 2014 to December 2022. Data recorded included patient demographics, type of stoma, indication for stoma, need for additional abdominal surgeries, method of conception, pregnancy complications, length of stay, neonatal outcomes and post pregnancy stomal complications. RESULTS: In total, there were 16 births from 13 mothers with stomas. Of 10 births to IBD (inflammatory bowel disease) patients, 40% experienced serious stomal complications (Clavien Dindo 3/4). Caesarean section (CS) rate was 90% for IBD and 83% for non-IBD (p=0.75). IBD patients had higher rates of in-vitro fertilisation at 40% compared to 0% (p=0.23). Mean gestational age at delivery was 36 years in IBD vs 35 years in non-IBD. Neonates delivered to IBD mothers were more likely to have birth weight under 2500g (p=0.62). Of the sixteen births there were five complications (31.25%) associated with the stoma either during pregnancy or during the 60-day postpartum period. DISCUSSION: Pregnancy in stoma patients is a rare occurrence and appears to be associated with high rates of CS, preterm delivery, low birth weight and stomal complications.