Objective：This study aims to compare the adverse pregnancy outcomes of advanced maternal age women in different age groups and explore the association between age and adverse pregnancy outcomes. Methods：A total of 1 342 women of advanced maternal age from January 2019 to July 2019 in Women’s Hospital of Nanjing Medical University were enrolled in this study. All the women were divided into four groups according to different age using quartiles，the 35~＜36 years group，36~＜37 years group，37~＜39 years group and ≥39 years group. The 35~＜36 years group was taken as the reference group. Comparisons of adverse pregnancy outcomes incidence between another three groups and the reference group were performed. Results：The comparsions of gravidity，parity and conception ways showed no significances among four groups. The incidence of gestational diabetes，placenta previa and cesarean delivery increased with age（P < 0.05）. Conclusion：The incidence of multiple adverse pregnancy outcomes generally increased with age，which is more significant in wowen with ≥39 years old