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Douglas K. Richardson, MD, MBA, Discussant

JAMA. 2001;286:1498-1505.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

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.

Mrs C is otherwise healthy. Her only other surgery was a tonsillectomy as a child. Her medications are prenatal vitamins and occasional acetaminophen/butalbital/caffeine for migraine. She has no allergies to any medications. She has smoked intermittently since she was a teenager, quitting once for 13 years. During her pregnancy she reduced her smoking to about 1 cigarette a week. She . . . [Full Text of this Article]

MRS C, THE PATIENT: HER VIEWS

Interview at 25 Weeks' Gestation

Interview 4 Days After the Infant's Birth

AT THE CROSSROADS: QUESTIONS FOR DR RICHARDSON

The Parental Experience

Survival and Long-term Outcome

The Roller Coaster

Costs of Neonatal Intensive Care

Ethical Dilemmas

Future Developments in NICU Technology

Recommendations

QUESTIONS AND DISCUSSION

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.

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JAMA. 2002;287(1):41-43.
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