The association between age of the woman and reduced fecundability has been well documented. This decline in fecundability beginning in the early thirties and accelerates in the late thirties and early forties. The age related decline in fertility appears to be attributable to cocyte depletion. Another factor which contributes to reduced female fecundability. Is agerelated decline in male fertility? A retrospective comparative study was done at Tertiary Institute. There were 85 Primigravida above 35 years of age (Group III) admitted during this period in the obstetric units of tertiary hospitals. These women were compared with two control groups comprising of 85 Primigravida in each groups aged between 20 to 25 years (Group I) and 30 to 34 years (Group II) of age by a random selection of consecutive Primigravida admitted during the same period. Rate of caesarean section was high (47.06%) in Group III and 37.65% in Group II and 15.29% in Group I. The difference is statistically significant (p<0.01). New born admission to intensive care unit was highest (28.24%) among babies born to group II mother, (17.65%) babies in group III and (9.41%) babies in group I required NICU admission.