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NOTE: This issue is no longer available for CME credit. The AMA's 3-year time limit from when the issue was published has expired. You will be given a score but no credit.

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Volume 39, Issue 8
Publication date: February 1, 2014
Expiration date: February 1, 2017

Pregnancy in Women Over 40
Andra H. James, MD, MPH (Moderator)
John M. Nokes Professor of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Virginia, Charlottesville, Virginia

Anuja Dokras, MD, PhD
Associate Professor of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania

Chad A. Grotegut, MD
Assistant Professor of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Duke University School of Medicine, Durham, North Carolina

Learning Objectives
After completing this activity, the physician should be better able to:
1. List factors contributing to the increase in the birth rate among women over age 40.
2. Describe medical complications that are more common among pregnant women over age 40.
3. Delineate the content of preconception care for women over age 40.
4. Discuss the role of assisted reproductive technologies in helping women over age 40 achieve pregnancy.
5. Review the options for prenatal diagnosis for women over age 40.
6. List the fetal risks of pregnancy in women over age 40.
7. Describe the rationale for increased fetal surveillance in women over age 40.

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