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A Woman With an Extremely Premature Newborn

Douglas K. Richardson, MD, MBA, Discussant
JAMA. 2001;286(12):1498-1505. doi:10.1001/jama.286.12.1498.
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DR SHIP: Mrs C is a 42-year-old teacher who was admitted to the hospital with preterm labor at 24 weeks' gestation. She lives with her husband outside Boston and has managed care insurance.

Mrs C has a history of 4 pregnancies. In her late 30s she became pregnant 3 times, miscarrying each time before 7 weeks and undergoing 3 dilatation and curettage procedures. About a year after her last miscarriage, at age 41, she became pregnant again, without the use of assisted reproductive technology.

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Figure. Rates of Infant Birth Weight and Mortality
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Data from the National Center for Health Statistics, Centers for Disease Control and Prevention. An infant is defined as a child younger than 1 year of age, neonate as younger than 28 days. Preterm is defined as <37 weeks' gestation; low birth weight, <2500 g; and very low birth weight, <1500 g.



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