Objective: To evaluate the maternal medical status, newborn and obstetric characteristics of the pregnancies over forty years with respect to parity for the possible risk factors. Materials and Methods: 9523 patients who delivered in five years period were investigated retrospectively and 97 cases who had been delivered over forty were reviewed. The patient and newborn outcomes were analyzed in two separate groups: primigravida and multipara. They were compared with respect to maternal medical status, newborn and obstetric characteristics for the possible risk factors. Results: The mean age of the patients was 41±1.6 (37-46) years; mean parity was 1.46z1.8 (0-8); mean abortus number was 0.9±1.2(0-6); mean gestational week was 37.2±5.5; mean newborn weight was 3078±765 (440-5000). Premature delivery and macrosomia was higher in primigravidas and low Apgar score was higher in multipara (p>0.05). Infertility history was found to be significantly higher in primigravidas (p=0.001). Myoma uteri and recurrent pregnancy loss rate was higher in primigravidas; cardiac disease incidence was higher in multiparous patients; however, the difference between them was found not to be significant statistically (p>0.05). Cesarean delivery was found to be significantly higher in primigravidas (p=0.016). Premature delivery, placenta previa, twin gestation, vacuum extraction was higher in primigravidas; ablatio plasenta and preeclampsia was higher in multipara (p>0.05). Conclusion: Pregnancies over forty years should be followed up closely for the possible complications concerning parity. Higher infertility rates in patients over forty years may be the reason of higher cesarean delivery rates.