Introduction: ”Successful motherhood is the unique achievement in woman’s life” Advanced maternal age is defined as age 35 years or more for the mother at the time of delivery. Across the world, there is a rising trend among women towards delaying pregnancy and child birth. In obstetric practice, maternal age is an important determinant of the outcome of pregnancy. Pregnancy after the age of 35 years can present a challenge because it is associated with the maternal and fetal risk factors. Aims & Objectives: To evaluate the Maternal outcome of labour & perinatal outcome with advanced maternal age. To study age and parity distribution. Material & Methods: Total 100 Patients of Pregnancy with advanced maternal age who met all the parameters in inclusion and exclusion criteria were taken. This is Hospital based retrospective study in ACPM Medical College over a period of 2 years from June 2014 to May 2016. Data collected from the patient’s medical records and hospital database. Results: The mean age of the patients was 37.4yrs, in which 58% were multigravida. 42% were primigravida. The rate of LSCS was 41% which was significantly higher. There was increased incidence of hypertensive disorder, gestational diabetes mallitus, preeclampsia & malpresentations. Conclusions: Advanced maternal age is high risk pregnancy with adverse maternal & perinatal outcomes. It is a vital time to screen for congenital and chromosomal abnormalities. There was significantly increased rate of instrumental delivery and caesarean section. There is a need for individualising antenatal obstetric care based on age group in older to attempt to improve maternal and perinatal outcomes.

Keywords: Advanced Maternal Age; PreEclampsia; Multiple Pregnancy; Caesarean Section; Antepartum Haemorrhage.