The term, grand-multipara was introduced in 1934 by Solomon who called the grand-multipara the“dangerous multipara” (1). He concluded that maternal mortality increased steadily from the 5th to the 10th Pregnancy. “The International Federation of Gynaecology and Obstetrics (1993) defined grand-multiparity as delivery of the fifth to ninth viable pregnancies, whereas women who are undergoing their tenth (or more) delivery are considered to be great grand-multiparous or huge grand-multipara (3-6). Associated with pregnancy in a grand multipara, there is an increased risk of abortion, malnutrition, anaemia, multiple pregnancy, Rhesus isoimmunisation, antepartum, haemorrhage and preterm labour (7). Complications like diabetes, hypertension, malpresentations, cephalopelvic disproportions, uterine rupture, postpartum haemorrhage and puerperal complications are also more frequently encountered (8, 9, and 10).Grand multiparous women are also at a higher risk of low bone mineral density and osteoporosis as a result of aging and repeated extended lactation events, typically as a result of numerous pregnancies with short recovery intervals. Intrapartum complications commonly associated with grand multiparous women include uterine rupture, abruption placentae, placentae praevia, foetal malpresentation Rupture uterus is the gravest complication of high parity(11). Regarding postpartum complications postpartum haemorrhage is the leading cause of maternal deaths in countries of subSaharan Africa(12). Aims of study: To study the maternal outcome in grand multipara in terms of obstetric complications, medical complications and mortality.To study the immediate foetal outcome in grandmultipara in terms of morbidity and mortality and to find out the most common mode of delivery in grand multipara. Material and methodology: This study was a prospective time based observational study which was conducted in Government Lala Ded Maternity hospital Gmc Srinagar from time period of Aug 2017 to March 2019 after the approval from ethical committee. Relevant data was collected from medical record review and short interview and by conducting medical tests. The data was tabulated and analysed in a Microsoft Excel spread sheet. Results: Out of 120 patients 47.5% were in the age group of 35 -40 years ,32.5%in the age group of 30-35 and 20% in the age group of more than 40 years.61.7%were unbooked. 16.70% had malpresentation,12.5% had prematurity,12% had APH.6% had multiple pregnancy and 2.5% had abortion. Of all the medical complications 65% had anaemia,hypertension in 10% and diabetes in 5%.14.1% had CPD,9.1%had obstructed labour.In postpartum complications 13.3%had PPH followed by other complications.68.4% had vaginal delivery,5% had vacuum assisted delivery and 26.6% had LSCS. A total of 94.10% babies were born alive. 82% of these had an Apgar score of greater than 7. 17.6% of these had an Apgar score less than 7. 34.5% of the babies were reported to have Low Birth Weight and 35.3% were admitted in neonatal intensive care unit.