Aim: The study was conducted to determine the pregnancy and labour characteristics and new born outcomes in nulliparous women at age 30 and older. Methodology: It is a prospective longitudinal study conducted in the department of OBG in Yenepoya Medical College, Mangalore. Primigravidae 30 years and older (study group) in labour were compared with another group of women 25-29 years (control group) in labour. Intrapartum data collected were presentation, onset of labour spontaneous or induced, progress of labour, type of delivery vaginal or caesarean delivery and incidence of meconium staining were recorded. Chi square test was used for comparison of data. P=0.05 was considered statistically significant. Results: The rate of spontaneous vaginal delivery was 58% and casesarean section was 42% among the study group and among the control were 66% and 28%. Incidence of preterm birth among study group was 24% and in control group was 8%. Factors such as PIH, gestational diabetes, chronic hypertension, third trimester bleeding, caesarean section were higher in the study group. Conclusion: The study confirms that pregnancy and delivery at age 30 years and older poses increased risks of antepartum and intrapartum complications.

Keywords: Nulliparous Women; Pregnancy; Caesarean Birth.