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Semin Perinatol. 2008 Aug;32(4):312-7. doi: 10.1053/j.semperi.2008.04.016.

New indications for antepartum testing: making the case for antepartum surveillance or timed delivery for women of advanced maternal age.

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  • 1Harvard Vanguard Medical Associates, Brigham and Women's Hospital and Newton Wellesley Hospital, Wellesley, MA 02481, USA. Rfretts@vmed.org


Maternal age is an independent risk factor for stillbirth; a moderate number of these occur in normally formed babies near term. For a woman 40 years of age or older giving birth, her risk of having a chromosomal anomaly is 1/66. What is not appreciated is that even without medical risk factors, her risk of having a stillbirth after 37 weeks of gestation is 1/116. This article reviews the risks and benefits of the strategy of antepartum testing and timed delivery and discusses the limitations of the available data in this field.

[PubMed - indexed for MEDLINE]
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