Background: Ultrasound imaging is an important tool for tracking fetal development and detecting pregnancy complications. It provides important information about the fetal growth rate, amniotic fluid levels, and the mother's health. This is important for ensuring a healthy pregnancy. Early identification of complications such as gestational diabetes preeclampsia intrauterine growth restriction (IUGR) and abnormal placental structure it can improve the health of mothers and fetuses.

Objective: The aim of this study was to evaluate the utility of ultrasound imaging in monitoring pregnancy complications and fetal development among pregnant women.

Methodology: 350 pregnant women aged 18 to 39 years participated in this study. These subjects were between weeks 6 and 40 of their gestation and had visited the hospital for routine prenatal care during the designated study period. Maternal clinical parameters (weight, BMI, blood pressure, and blood sugar levels) were recorded, and ultrasound measurements were performed to assess fetal size. (Head circumference Abdominal circumference thigh length), amniotic fluid levels, and incidence of pregnancy complications. Sensitivity values were also calculated to detect pregnancy complications. Pearson correlation was used to assess the relationship between the mother's health level and the child's development.

Results: This study showed that growth rates were within the normal range for the majority of the sample. Intrauterine growth restriction (IUGR) was seen in 12%, with a detection rate of 82%. Ultrasound evaluation has proven to be sensitive in detecting complications including gestational diabetes (85%), pre-eclampsia (79%) and abnormal uterine structure (79%). A positive correlation was found between maternal BMI and fetal circumference (r = 0.38, p<0.01), while maternal blood sugar levels were related to fetal circumference (r = 0.45, p<0.01) -

Conclusion: Ultrasound imaging is a exceedingly powerful tool for monitoring pregnancy headaches and fetal improvement. It presents essential records for early detection of headaches which includes IUGR, gestational diabetes, and preeclampsia, that could extensively improve maternal and fetal fitness effects. This study supports the ongoing use and enhancement of ultrasound imaging in antenatal care.