Introduction: Advanced maternal age which is defined as the age of the mother as 35 years or more at the time of delivery has become increasingly common in the last two to three decades. This study aimed to evaluate obstetric and perinatal outcomes in women with advanced maternal age in comparison to that of younger women. Methods: This cross-sectional study was conducted at the Department of Obstetrics and Gynaecology in Rangpur Medical College Hospital, Rangpur, from November 2015 to April 2016. A total of 100 patients were selected as study subjects by simple random sampling. Patients aged younger than 35 years primi/ multigravida and advanced maternal age 35 years and older primi/ multigravida were considered as group I and group II respectively. Data cleaning, validation, and analysis were performed using the SPSS software version 16.0. Different statistical methods were adopted for this study. Result: Concerning the obstetric outcomes, malpresentation was found in 05(10.0%) and 12(24.0%) in group I and group II respectively. PROM was 2(4.0%) in group I but not found in group II. Gestational hypertension was 2(4.0%) in group I and 1(2.0%) in group II. Abruptio placentae were 1(2.0%) in group I and 1(2.0%) in group II. PPH was not found in both groups. Regarding fetal outcomes, NICU admission patients were found 2 (4.0%) in group I and 16 (32%) in group II respectively. Meconium aspiration was 6(12.0%) and 7(14.0%) in group I and group II respectively. The congenital anomaly was 1(2.0%) in group I and 2(4.0%) in group II. The perinatal loss was 1(2.0%) and 2(2.0%) in group I and group II respectively. APGAR score at 1 minute <7 was found 2(4.0%) in group I and 19(38.0%) in group II respectively. Conclusion: Advancing maternal age appears to be associated with pre-eclampsia, cesarean section, gestational diabetes in primigravida and preterm labor, low birth weight, and placenta previa more common in multigravida women in this age group. NICU admission, malpresentation, APGAR score <7 compared to young age.