Objective: The objective of this study was to assess the frequency of maternal complications in grand multipara. Study Design: Cross Sectional Study Setting: Department of Gynecology & Obstetrics at Liquate University of Medical & Health Science Hyderabad, Period: October 2011 to September 2012. Methodology: 159 patients were scrutinized having history of present pregnancy with particular emphasis on complications such as anaemia, PIH, APH, malpresentation and pre-term labour, admitted through the outpatient department.  Detailed Clinical examination of the patient was done. Systemic review was also done to see any co-morbidity. Inclusion criteria were that all patients having history of parity 5 or more, gestational age 28 weeks or greater on ultrasound and age 25 to 45 years. Exclusion criteria were history of parity <5, gestational age less than 28 weeks on ultrasound and H/O trial of labour. Data was analyzed by SPSS version- 16 software. Results: Total 159 patients were enrolled in this study. The age range was 25 to 45 years. The mean age was 38+ 3.1 years. Mostly patients were para 5 in 42.76 % cases followed by para 6 in 33.33% cases, 19.4% cases in para 7 and 4.4% cases in para 8. Most of the women 55.34% belonged to lower socioeconomic class, 38.36% women belonged to middle class and 6.28% women belonged to upper class. It was observed 28.30% and 50.94% were more in the illiterate and primary educated mothers respectively, while it was 20.75% in higher educated mothers. Maternal complications of grand multiparity were Anemia 23.27% patients, Hypertension in 5.03%, Anameia + Hypertension in 2.51%, Hypertension + Operative Delivery in 6.28%, Anemia + Placenta Abruption in 3.14%, Anemia + Operative Delievery in 6.28% and Anemia + Placental Praevia + Operative Delievery in 6.28%. Conclusion:  It was concluded that effects of these complications were minimized by good antenatal care