الفهرس 
Introduction and rationaleOnly 14 pages are availabe for public view
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Abstract
Multiparity and advanced maternal age have been shown to increase the risk of adverse neonatal outcomes, such as intrauterine growth restriction (IUGR), prematurity, and mortality [ Gibbs et al,2012].
Advanced maternal age is associated with increased risk of adverse maternal perinatal outcomes, such as postpartum hemorrhage, eclampsia, and cephalopelvic disproportion, as well as adverse infant outcomes including congenital anomalies, preterm birth , low birth weight, and neonatal mortality [Utting and Bewley, 2011].
Adverse term pregnancy outcomes due to obesity are chronic hypretention, pre-eclampsia, gestational diabetes, increase incidence of cesarean section, large for gestational age newborns(LGA) as well as neonatal and fetal deaths [Tobias et al;2014]. In this work the aim was to improve obstetrical and neonatal outcomes, objectives were to determine the effect of maternal age on pregnancy outcomes, to evaluate maternal and neonatal outcomes in obese women, and to determine the effect of parity on pregnancy outcomes.
This study was a prospective cohort study and was performed on 800 women presented to Suez Canal University hospital for delivery from December2016 to June 2018. data was collected including personal history, obstetric history as parity , number of abortion, hyperemesis preeclampsia, gestational diabetes and bleeding with pregnancy, and history of repeated antenatal care visits.