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Day by day there is a definite increase in the number of woman bearing children in their older age. So, elder maternal age has become an important topic in the world wide. But yet it has not received adequate attention in our country. This study has done with an objective to find out problems associated with pregnancy and perinatal outcome in woman 35 years of age and above. It is a comparative study. This study was done in BSMMU from August 2008 to January 2009. A total 1130 obstetric patient were admitted during this study period. From this admitted patient consecutive 35 patients were selected for this study, whose ages were above 35 years. At the same time 35 patients were selected as a control, whose age was below 35 years. Among 35 elderly patients caesarian section was significantly high both in elderly patients (Group A)88.5% & control group(Group B) 63%, followed by vaginal delivery(11.5% Vs 37%). Pregnancy complications were found significantly high in A group (57%) compared to B group(20%). Most common complications observed in group A were APH 14.2%, preeclampsia 11.4%, malpresentation 11.4%, obstructed labour 8.5% oigohydramnions 5.7%. Post delivery maternal complications were more in A group (40%) compared to B group (23%). Failure of lactation was found more in A group(11%) compared to B group(5.7%), PPH was found 8.5% in A group and 5.8% in B group, wound infection 5.8% in A group and 2.8% in B group, emergency peripartum hysterectomy 5.7% in A group and 2.8% in B group. The rate of alive baby in group A was 86% and group B was 94%, still born rate in Group A and Group B was respectively 8.5% & 2.8% and early neonatal death was respectively 5.7% & 2.8%. Such clinical observation has led to the belief that pregnancy in older woman are at special risk. It is expected that result of the study will make attention of the national policy maker. Therefore there may be significant improvement of taking care of these patients. Also social awareness should be created about complication that may arise in the elderly pregnancy.

Feto-Maternal Out-Come Of Advanced Maternal Age-A Clinical Study In BSMMU.