The Tug of War Between Stillbirths and Elective Early Births

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The Tug of War Between Stillbirths and Elective Early Births Lucky Jain, MD, MBA  Clinics in Perinatology  Volume 40, Issue 4, Pages xv-xviii (December 2013) DOI: 10.1016/j.clp.2013.08.002 Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 1 Trends in late preterm birth, stillbirth, and infant mortality, United States, 1990–2004. The left axis shows trends in stillbirth and infant mortality rates; the right axis shows trends in late preterm births (34–36 wk). Late preterm birth rates are shown per 100 live births; stillbirth rates, per 1000 total births; and infant death rates, per 1000 live births. (Source: Linked birth and infant death data, National Center for Health Statistics.) (From Ananth C, Gyamfi C, Jain L. Characterizing risk profiles of infants who are delivered at late preterm gestations: does it matter? Am J Obstet Gynecol 2008;199:329–31; with permission.) Clinics in Perinatology 2013 40, xv-xviiiDOI: (10.1016/j.clp.2013.08.002) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 2 Scheduled elective singleton early term deliveries by delivery type (%). For each delivery type, the number is the number of scheduled elective singleton early term deliveries and the denominator is the number of all scheduled singleton early term deliveries. (From Oshiro B, Kowalewski L, Sappenfield W, et al. A multistate quality improvement program to decrease elective deliveries before 39 weeks of gestation. Obstet Gynecol 2013;121:1025–31; with permission.) Clinics in Perinatology 2013 40, xv-xviiiDOI: (10.1016/j.clp.2013.08.002) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 3 The rise in late preterm obstetric intervention: has it done more good than harm? (Adapted from Kramer MS, Zhang X, Iams J. The rise in late preterm obstetric intervention: has it done more good than harm? Paediatr Perinat Epidemiol 2013;27:7–10; with permission.) Clinics in Perinatology 2013 40, xv-xviiiDOI: (10.1016/j.clp.2013.08.002) Copyright © 2013 Elsevier Inc. Terms and Conditions

Lucky Jain, MD, MBA, Consulting Editor Clinics in Perinatology 2013 40, xv-xviiiDOI: (10.1016/j.clp.2013.08.002) Copyright © 2013 Elsevier Inc. Terms and Conditions