Abstract
Four decades have passed since Waters and Wager1 coined the term "elderly primigravida" to describe a woman who is 35 years of age or older and pregnant for the first time. Surely this definition has been no wellspring of joy for the increasing numbers of American women who wish to delay childbearing until well into their 30s. This is clearly the trend, presumably due to the expanded role of women in the workplace and professions, the need for dual incomes in the family, and the ease with which modern contraceptive technology has afforded women more choice in family planning. Recent . . .

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