To compare the complications. Delivery mode and fetal outcome between elderly primigravidae and young primigravidae. A comparative study conducted at Department of Obstetrics and Gynaecology, POFs Hospital, Wah Cantt, from January 2001 to December 2002. One hundred and fifty six elderly primigravidae were compared with a matched pair group of younger primigravidae regarding antenatal, intrapartum and postpartum complications. Perinatal mortality was also compared. Specially designed proforma was used to record the information. Data analysis was performed using SPSS package for windows version 10.0 Results were compared using Chi-square test by keeping the p-value of