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Comment & Response
November 13, 2013

Term Pregnancy—Reply

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

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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