As survival rates increase with advances in perinatal intensive care, rates of neurological and other disabilities have remained largely unchanged in very preterm infants.1 No gestational age escapes morbidity,1 including those who are so-called late-preterm deliveries (32-36 weeks' gestation). Because neurological outcomes for survivors improve with increasing maturity, the notion that interventions to delay preterm delivery, if successful, would also improve neurological outcome seems intuitive. However, in some circumstances, early delivery might result in improved rates of survival free of major disability because too long a delay in an otherwise hostile intrauterine environment could be detrimental.
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