Background: Worldwide it is becoming common to conceive at or beyond 35 years. The tendency of delayed conception has effect on the mother. The objectives of this study were to review the antenatal & obstetric complications among elderly gravida and compared to the younger gravid mothers of age 21-34 years Material & methods: This prospective study was carried out in the department of Obstetrics and Gynecology at Kamla Nehru State Hospital for Mother and Child, Indira Gandhi Medical College, Shimla for one year period from 1st July 2018 to 30th June 2019. All participants were divided into two groupsGroup1 (Study Group) had consisted of all pregnant women with age 35 years or more while Group 2(Control Group ) consisted of Every pregnant woman with age ≥20 to ˂35 years, who gets enrolled in the labor room admission register next to a case, was taken as a control. Comparative data of the two groups was subjected to statistical analysis. Results: There were 6922 deliveries out of which 415 subjects were >35 years, the incidence was 6.00%. It the study group, 349(84.10%) were between 35-39 years and 66(15.90%) were 40 years and above. Out of 415 subjects in the control group, 117(42.65%) were of 20-24 years, 148(35.66%) were of 25- 29 years and 90 (21.69%) were of 30- 34 years. It was observed that the total number of medical complications in the study group were 270(65.06%) and in the control group were 126(30.36%). Gynecological complications in the study group were 11(2.65%) and in the control group were 9(2.17%). Fetal complications in the study group were 199(47.94%) and in the control group were 184(44.34%). Placental complications in the study group were 21(5.06%) and in the control group were 9(2.17%). Maternal complications in the study group were 21(5.06%) and none in control group. Conclusion: All medical, gynecological, fetal, placental & maternal complications were increased with advanced maternal age. Timely and accurately diagnosis of complications and their treatment leads to favorable outcome.