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Objective:  To assess outcomes for pregnancies progressing beyond 20 weeks’ gestation in women of very advanced maternal age.

Design:  Retrospective cohort study.

Setting:  Two tertiary level obstetric hospitals.

Population:  Women aged 45 years or more at the time of delivery over a 10‐year period from 1 January 1992 to 31 December 2001.

Methods:  Information regarding maternal, pregnancy and neonatal outcomes was obtained from the medical records. For comparison, routinely collected data from the obstetric database was obtained for women aged 20–29 years.

Results:  Seventy‐seven pregnancies in 76 women aged 45 years and over were registered in the 10‐year period. There were 74 liveborn singletons, two sets of liveborn twins and one set of twins stillborn at 20 weeks’ gestation. Sixteen women were primiparous. Eighty‐four percent of pregnancies were conceived naturally and 53 …