Comment & Response |

Term Pregnancy—Reply

Catherine Y. Spong, MD1
[+] Author Affiliations
1Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland
JAMA. 2013;310(18):1986-1987. doi:10.1001/jama.2013.277999.
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In Reply Dr Nicholson and colleagues raise concerns regarding the subcategorization of term gestation and recommend use of sophisticated computer technologies to optimally time deliveries.

As a point of clarification, the use of term pregnancy has not been abandoned and continues to be part of the recommended terminology throughout the gestational age period from 37 weeks 0 days through 41 weeks 6 days. The only change was to categorize that period into 3 subgroups: early term, full term, and late term. This terminology does not dictate management but should improve communication and understanding as has been shown with previous work subdividing the preterm period.1


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November 13, 2013
James M. Nicholson, MD, MSCE; Lisa C. Kellar, MD, MSCE; Serdar Ural, MD
1Department of Family and Community Medicine, Pennsylvania State College of Medicine, Hershey
2Department of Family Medicine, Wright State University, Dayton, Ohio
3Department of Obstetrics and Gynecology, Pennsylvania State College of Medicine, Hershey
JAMA. 2013;310(18):1985-1986. doi:10.1001/jama.2013.277993.
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