The incidence and prevalence of elderly parturient women in our country increase with the two-child policy and development of assisted reproductive technology.However，advanced pregnancy is likely to cause a variety of internal and surgical diseases，complicated by fetal intrauterine abnormalities，fetal chromosomal disease and fetal death，etc，leading to adverse pregnancy outcome.Clinically，there is a critical need for the supervision of elderly patients with pregnancy，standarding prenatal examination，focusing on screening，and having early diagnosis，timely treatment and timely termination of pregnancy，in order to reduce the incidence of adverse pregnancy outcomes.This article discusses the relationship between the elderly and stillbirth，the mechanism of stillbirth and how to prevent stillbirth and improve the outcome of the pregnancy.