Introduction: There is an increasing prevalence of women who tend to delay child birth until a very advanced age. However, there is sparse data regarding advanced maternal age and fetal and maternal outcomes. Objective: To determine the frequency of maternal outcome, Gestational Diabetes Mellites and Pregnancy Induced Hypertension in advanced maternal age >35 years. Study design: Descriptive study. Setting: Gynaecology and Obstetrics department, BMC/SPH Hospital, Quetta. Duration of study: Six months. Sampling Technique: Non-probability consecutive sampling. Methodology: A total of 84 patients who fulfilled the inclusion and exclusion criteria were selected for this study informed consent was taken from the patients. Their details including age, parity, gravidity and Body Mass Index (BMI) were noted. They were followed up during pregnancy after every 4 weeks and we reassessed for maternal outcome during pregnancy. They were delivered as per obstetrical merits and mode of delivery was noted. All data was analyzed using SPSS version 24. Results: A total of 84 patients were included in the study. The mean age of the patients was found to be 39.34 ± 2.73 years. Patients were further categorized according to age groups into 2 groups and most were in the age range of 35-40 years. Also, most of the patients had gestational age ≤37 weeks. The mean gestational age was 37.44± 2.16 weeks. The mean parity of patients was found as 3.1 ± 1.56. The mean BMI was 29.59 ± 3.24 kg/m2. The main outcome of the study was maternal Pregnancy Induced Hypertension which was found in 17 patients (20.23%), followed by gestational Diabetes Mellitus 14 patients (16.66%). Conclusion: The frequency of maternal and fetal outcomes and complications i.e. Pregnancy Induced Hypertension which was found in 20.23%, followed by Gestational Diabetes Mellitus in 16.66% patients were quite higher among women with advanced age groups. Now we will be in a better position to educate and anticipate the outcomes of these patients