We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Contempo 1997: Obstetrics and Gynecology-Reply

Alan H. DeCherney, MD; Brian J. Koos, MD, DPhil
JAMA. 1997;278(14):1147-1148. doi:10.1001/jama.1997.03550140039023.
Text Size: A A A
Published online


In Reply.  —We thank Dr Levine for his interest in our comments regarding calcium supplementation and pregnancy. It should be noted that our discussion was limited to articles published in 1996. Further, our cautious recommendation that calcium supplementation should be considered for pregnant women at high risk for developing preeclampsia was based on a meta-analysis of 14 randomized trials involving 2459 pregnant women.1In July 1997, Levine and colleagues2 published the results of a multicenter, randomized, placebo-controlled trial of calcium supplementation in 4589 nulliparous pregnant women. This large study failed to show the beneficial effects of calcium in reducing the incidence of preeclampsia or pregnancy-associated hypertension. It lends credence to our reservations concerning the application of results from small studies, many of which were performed in countries other than the United States to the general population in the United States.This discussion raises an important question: What accounts for the


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.