Both maternal and obstetrician's concerns are
responsible for the undue intervention especially the
caesarean delivery in the elderly primigravidae. The
implication of this increased intervention is that it will lead
to increased medical demand on the scarce resources
particularly in a low resource setting like ours. Until a firm
evidence of the benefit of such intervention is
established, elderly primigravidae should have adequate
counseling and allowed to make informed choice on their
mode of delivery and also be supported to try vaginal
delivery where feasible.