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.
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.
Richardson DK. A Woman With an Extremely Premature Newborn. JAMA. 2001;286(12):1498-1505. doi:10.1001/jama.286.12.1498