Preterm Delivery at 32 Weeks Gestation
General Preterm Delivery Data
- Neonatal survival at 32 weeks is excellent (95%) with low risk of neurological sequelae, making this a viable gestational age for delivery when indicated 1
Fetal Growth Restriction and Delivery Mode
- The American College of Obstetricians and Gynecologists recommends delivery at 33-34 weeks for fetal growth restriction with absent end-diastolic velocity, with strong consideration for cesarean delivery based on clinical scenario due to high rate of intrapartum fetal heart rate decelerations requiring emergency cesarean 2, 3, 4
- The American College of Obstetricians and Gynecologists recommends delivery at 30-32 weeks for fetal growth restriction with reversed end-diastolic velocity, with strong consideration for cesarean delivery 2, 3, 4
Essential Interventions Before Delivery
- The American College of Obstetricians and Gynecologists recommends administering antenatal corticosteroids if delivery is anticipated before 33 6/7 weeks (GRADE 1A recommendation) 5, 4
- The American College of Obstetricians and Gynecologists recommends administering magnesium sulfate for neuroprotection for pregnancies <32 weeks gestation (GRADE 1A recommendation) 5, 4
- Coordination of care with neonatology is recommended to optimize neonatal resuscitation and management 1