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Objective . The aim of this study was to evaluate the effect of maternal age on prenatal and obstetric outcome in multiparaous women.  Materials and Methods . A retrospective case control study was conducted, including women aged 40 years and over (study group,  n  = 97) who delivered at 20 week's gestation or beyond and women aged 20–29 years (control group,  n  = 97).  Results . The mean age of women in the study group was 41.2 ± 1.7 years versus 25.4 ± 2.3 years in the control group. Advanced maternal age was associated with a significantly higher rate of hypertension, diabetes mellitus, fetal complication, and 5-minute Apgar scores &lt;7 ( P  &lt; 0.05). Caeserean section rate, incidence of placental abruption, preterm delivery, and neonatal intensive care unit admission were more common in the older group, but the differences were not statistically significant.  Conclusions . Advanced maternal age is related to maternal and neonatal complications.

Pregnancy Outcome of Multiparous Women Aged over 40 Years