Abstract
Objective: To determine the frequency of Advance maternal age pregnancy, its associated risk factors and complications, and to evaluate the obstetric and fetal outcome.
 Methods: Cross-sectional study, carried out at a Tertiary Care Hospital of Nawabshah, with a total of 125 Advance age (> 35 years) mothers who gave birth during the study period. Questionnaire based data was collected, statistically analyzed and results were tabulated.
 Results: A total of 125 (17.85%) Advance age mothers (>35 years) were recruited for the study. Among this study group Cesarean Section (52%) remained the most observed mode of delivery. Pregnancy related complications included Postpartum hemorrhage (44%), Gestational diabetes (22.4%), and Pregnancy induced hypertension (16%). The neonatal complications mostly observed were, still birth (35%), Low birth weight (17.5%), Preterm birth (26.3%), and Neonatal death (14%).
 Conclusion: Advancing age exposes mother to have pregnancy related complications and adverse neonatal outcomes.
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