Background: The national marriage project census data shows, maximum women are coming their active childbearing at an age older than in the past. Pregnancy and childbirth at advanced maternal age ≥ 30 years always associated with increased risk of adverse maternal and neonatal outcomes. Many women who wish to get pregnant on and after the age of 30 years are not fully aware of age-related decrease of fertility rate in female and the risk associated with this. Aim: The purpose of the study was to find out the risk associated with elderly primigravida motherage ≥ 30 and their pregnancy outcomes in a selected hospital of Bhubaneswar, Odisha. Materials & Methods- A non-experimental descriptive survey was conducted at IMS & SUM Hospital Bhubaneswar with 100 elderly primigravidae mothers with age ≥ 30 years. The study was conducted for 2 months.Through self-structured checklist and record analysis on pregnancy risk factors and pregnancy outcomes with convenient sampling technique, data were collected and analysis was done through item analysis and chi-square analysis. Result- Most of the women (88%) were in the age group of 30-34 years. It was observed that most occurring complications during pregnancywere anaemia (26%), then abnormal presentation (23%) and others like induced conception, previous spontaneous abortion, postterm pregnancy & gynaecological disorders in 19%. In their labour outcomes 60% of women delivered through caesarean section, 45% by instrumental delivery, PROM was developed in 21% & induced labour in 21% of women. In foetal outcomes 47% of women had LBW baby, 41% had birth asphyxia and 17% had Post-term baby.There was a significant association between age with pregnancy risk and pregnancy outcomes in induced conception,abnormal presentation,post-term pregnancy, pre-existing gynaecological disorder, PROM and caesarean delivery. Conclusion- Pregnancy beyond the age of 30 is not safe for maternal health and foetal outcomes.So they need special attention and efforts to reinforce for identifying the high-risk group and to take some active measures for minimising pregnancy-related complications to achieve the best outcome.