We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

Not All “Term” Infants Are Created Equal

William Oh, MD1; Tonse N. K. Raju, MD, DCH2
[+] Author Affiliations
1Department of Pediatrics, Women and Infants’ Hospital, Providence, Rhode Island
2Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland
JAMA Pediatr. 2013;167(11):1001-1002. doi:10.1001/jamapediatrics.2013.2593.
Text Size: A A A
Published online


During the 1980s, an ill-defined group of infants was being labeled as “near term,” implying that they were “almost term” and, hence, one had no reasons for concern. However, an expert panel convened by the Eunice Kennedy Shriver National Institute of Child Health and Human Development in 2005 reviewed the then available literature and concluded that a simple, if convenient, dichotomous division at any gestational age is fraught with risk because maturation is a continuum.1 The gestational age breakdown, although convenient for epidemiological classification, is not always appropriate for clinical management. The panel suggested that the phrase near term should be replaced with late preterm to convey that infants born between 34 and 36 weeks of gestation are immature and vulnerable, needing close monitoring, evaluation, and follow-up examination. Since then, more than 200 publications on late-preterm births have confirmed that late-preterm infants indeed have higher rates of readmissions, postneonatal mortality, sudden infant death syndrome, white matter injury, and neurodevelopmental problems well into school age.2,3



Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

1 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles