Conclusion
In conclusion, induction of labour at 39 weeks of gestation compared to
expectant management in women of advanced maternal age results in
significantly better neonatal outcomes without increasing the caesarean
section rate. Hence, it is important that advanced maternal age pregnant
women be informed of the risks involved in delaying childbearing until
the fourth decade of life. Further studies on this topic are necessary
to develop new policies for clinical care in this group of pregnant
women.