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Abstract Background: The increased occurrence of births at older maternal ages is due to the increased population of women aged 35 to 45, as well as later marriage, second marriage, the availability of better contraceptive options, and wider opportunities for further education and career advancement. Objective: The aim of the current work is to compare perinatal and maternal outcome among pregnant women aged 35 years or above undergoing induction of labour at 39 weeks and 41 weeks. Methodology: The current study is a clinical trial controlled trial that was done at Ain Shams University Maternity Hospital. To compare perinatal and maternal outcome among pregnant women aged 35 years or above undergoing induction of labour at 39 weeks and 41 weeks. Mean age in group 1 was 37.5 year in group 11 was 37.7 years mean BMI in group 1 was 26.9 , while in group 11 was 27.2, as regard parity there also insignificant difference between both groups . Results: There was no statistically significant difference between both studied groups regarding age, BMI and parity. There was a statistically significant difference between the two groups as regard delivery by cesarean section. The number of cases that were delivered by cesarean section in group 1 was (6/50) 12%, while the number of cases that were deliver by cesarean section in group 2 was (20/50) 40%. Conclusion: Both maternal and fetal complications are comparable in pregnant women more than 35 years old delivered by induction and those delivered expectantly, however number of women delivered by cesarean section was more in expectant management of delivery |