Pregnancy and childbirth are normal physiological processes and the maternal and neonatal outcomes of most of the pregnancies are good. In India, women of childbearing age consist of 19% of the population. Data suggests that approximately 40% of all women develop some kind of complication.1 One of the risk factors for such complication is elderly pregnancy, which leads to many complications during pregnancy, labor and also for the baby. Advanced maternal age is usually considered to signify age after 35 years at the time of delivery. It is the term which implies reduced fertility as well as raised risk.2 A significant number of women are choosing to postpone their pregnancy well late beyond the third decade of life, even into the fourth and fifth decades in few cases.3 The reason for delayed pregnancy could be classified in to those in urban regions and those in rural areas. Changes in the structure of family with more late marriages or remarriages, women’s chase of higher education, career advancement, and advances in assisted reproductive technique along with availability of effective and safe contraceptives are urban reasons, while the cultural reasons and illiteracy being the main causes in rural areas