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Back ground: Pregnancy at advanced maternal age is associated with adverse fetal outcomes & complicated by instrumental delivery or Caesarean section, prematurity, stillbirth and low birth weight compared to mothers aged 20 to 34 years. Aim: Assessment of maternal and fetal outcomes among elderly and younger primiparous women. Design: A case control retrospective design. Sample: Convenient sample of 829 women were recruited for this study divided into three groups on 3 different age levels. Group (I): “study group” all women delivering before the age of 20 years was 211. Group (II): “control group” all women delivering at age of 20 to 34 years was 539. Group (III): “study group” all women delivering at the age of 35 years and above was 79 from 1st. July 2017 to 31thDecember 2017 in women health hospital at Assiut University. Tool: Tool I: Sociodemographic and reproductive history structure interview sheet, including Personal data &Obstetrical data. Tool II: maternal and fetal outcome. Results: The complications during labour were (18.95%) had PROM in group “1”. Compared to (14.95%) in group “2”. And (10.12%) had preterm labour and PROM in group “3” with significance difference (P<0.05). Complication of post labour in study groups, there were (0.47%) in group “1” had post-partum hemorrhage and perineal tear in group “1” vs. no complication in both group control study with significance difference (P<0.05). Conclusion: maternal age, baseline, primiparity, educational level and residence with adverse pregnancy outcomes represented the need to control these modifiable risk factors from a public health perspective. Recommendation: awareness teaching programs about pregnancy outcomes on elderly primigravida. And orientation program through mass media regarding the benfits of early marriage.

Effect of women’s age on the maternal and fetal outcomes among primigravidae