“…In Germany, denmark, Great Britain and Japan, the effect of birth fluctuated between 5 and 10% for women over 40 years (12)(13)(14). The analysis of obstetrical outcome has revealed an important effect of maternal complications such as: gestational hypertension, gestational diabetes, antepartum bleeding and preterm birth, according to the literature (8,(15)(16)(17). The iteration of hypertensive disorders has been more important among primiparae women; whereas gestational diabetes has not presented significant mutations between two groups (14,18).…”