There is an international trend of primipara of advanced maternal age. Norway is no exception. The average maternal age for primipara in the early 1980’s was 24, 7 years, and increased to 29, 8 years in 2010. It is known that advanced maternal age, defined as above 35 years, gives rise to complications. The aim of this study is to identify what are the most common maternal complications and neonatal outcomes among primipara of advanced age.A non-systematic search for literature in PubMed/Medline, Cochrane Library and UpToDate were performed using the words ”nulliparous”,” primipara”, ”advanced maternal age”, ”pregnancy outcome”, ”obstetric complications”, ”obstetric outcome”. 40 articles were included.The results are very diverse. Age alone has a strong effect on the complicationrate, but there is also an effect of parity and socioeconomic factors that are not enough revealed. There was a tendency of primipara of advanced age having higher rates of preeklampsia, cesarean section, premature birth before week 37, and that their children tend to be small for gestational age. This compared to multipara of advanced age. Most of the studies conclude that though pregnancy in advanced maternal age have increased complications, the rates are still small and a pregnancy for the individual primiparous woment of advanced age is still considered safe, set aside the increase of chromosomal abnormalities of the fetus.The conclusion of this review is that there is still a need for further research that compares the effect of age, parity and potential confunders. The public also needs information about the disadvantages of delaying motherhood, though the complicationrates are still considered small and pregnancy for a healthy primiparous woman of advanced age is still considered to be safe.