RÉSUMÉ
Background: Maternal age affects risk, varying with mother's parity. This study aimed to investigate advanced maternal age (35-39 and ?40) and its impact on fetomaternal outcomes in Lebanese women.Methods: A retrospective review of 300 charts from Lebanese women who had vaginal/cesarean deliveries between 1999-2019. Categorization: under 35 (61%), 35-39 (25%), ?40 (14%). Analysis via SPSS v23.Results: Age range 17-50, average 32.31±6.72 years. Normal conception highest in under 35 (96.7%); highest IVF rate in ?40 (26.2%). Multiparity frequent in ?40. Fetal complications most common in ?40 (50%). Maternal complications peak in ?40 (57.1%).Conclusions: Advanced maternal age significantly impacts mother and fetus, requiring comprehensive care throughout pregnancy.