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Clinical Crossroads
September 26, 2001

A Woman With an Extremely Premature Newborn

Author Affiliations

Author Affiliations: Dr Richardson is Associate Chief for Academic Affairs, Department of Neonatology, Beth Israel Deaconess Medical Center; Associate Professor of Pediatrics, Harvard Medical School, Harvard Newborn Medicine (Children's Hospital, Beth Israel Deaconess Medical Center, Brigham and Women's Hospital, and Massachusetts General Hospital); and Associate Professor of Maternal and Child Health, Harvard School of Public Health, Boston, Mass.


Clinical Crossroads Section Editor: Margaret A. Winker, MD, Deputy Editor.

JAMA. 2001;286(12):1498-1505. doi:10.1001/jama.286.12.1498

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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