Background: Pregnancy demands significant physiological and psychological adaptations. Antenatal exercises play a critical role in supporting these transitions, promoting maternal and fetal well-being, and facilitating smoother labour outcomes.

Objectives: This study aimed to evaluate the effect of routine antenatal exercises on the outcome of labour among primigravida mothers attending maternity services at CHC Katwara, Dahod District. Specific objectives included assessing labour outcomes among experimental and control groups, comparing outcomes between these groups, and determining associations between labour outcomes and selected demographic variables.

Materials and Methods: A quasi-experimental research design was employed with a quantitative approach. Sixty primigravida mothers were selected through probability sampling and randomly divided into experimental (n=30) and control (n=30) groups. Data were collected using structured post-delivery assessments, APGAR scores, and demographic questionnaires. Analysis involved descriptive and inferential statistics, including chi-square and Fisher’s exact tests.

Results: The findings demonstrated a significant difference in labour outcomes between groups. In the experimental group, 53% experienced normal vaginal deliveries, compared to only 13% in the control group. Caesarean sections were significantly higher in the control group (53%) compared to the experimental group (7%). Moreover, the experimental group had a shorter duration of labour, lower pain scores, fewer complications, more stable maternal conditions postpartum, earlier initiation of breastfeeding, and better neonatal outcomes reflected in higher APGAR scores. Statistically significant associations were observed between labour outcomes and selected demographic variables, particularly weight and gestational weeks.

Conclusion: Routine practice of selected antenatal exercises among primigravida mothers positively influences labour outcomes, promoting vaginal delivery, reducing complications, enhancing maternal recovery, and improving neonatal health. Incorporating antenatal exercise programs into routine prenatal care is highly recommended for better maternal and child health outcomes.