Cesarean Birth (CB) has been consistently rising worldwide especially among women of advanced maternal age (AMA) group. The Robson 10-Group Classification System (TGCS) facilitates assessment and comparison of CB rates among groups of women with similar obstetrical characteristics. The purpose of this work is to increase our understanding of the antecedent events and/or indicators that result in CB in women of AMA in nurse-midwifery care, specifically focusing on any differences in women of AMA compared to their younger counterparts.