Introduction . There has been an increase in the number of older women who are pregnant, and advanced maternal age (AMA) has been increasing yearly worldwide1 , 2 , 3 , 4 , 5. With increasing age of pregnancy, there is an increase in various maternal complications5 , 6 , 7. A study done in Japan reported that AMA increases the need for cesarean section and the risk for preeclampsia, placenta previa, and preterm delivery6. It has also been reported that AMA i...