• Rationale and Comments

    Delivery prior to 39 weeks 0 days has been shown to be associated with an increased risk of learning disabilities and a potential increase in morbidity and mortality. There are clear medical indications for delivery prior to 39 weeks and 0 days based on maternal and/or fetal conditions. A mature fetal lung test, in the absence of appropriate clinical criteria, is not an indication for delivery.

    Sponsoring Organizations

    • American Academy of Family Physicians
    • American College of Obstetricians and Gynecologists


    • California Department of Public Health


    • Obstetrical


    • Main E, et al. Elimination of nonmedically indicated (elective) deliveries before 39 weeks gestational age. California Maternal Quality Care Collaborative Toolkit to Transform Maternity Care. Developed under contract #08-85012 with the California Department of Public Health; Maternal, Child and Adolescent Health Division. First edition published by March of Dimes, July 2010.