We would like to thank Dr Meyer-Hamme et al for their interest in our recent article. We apologize if the data in that report were not made clearer. The calculations of risk were not based on any modeling or hypothetical calculation, but rather, as reported in Table 2, and represented by the histograms in Figure 3, the actual number of deaths are presented. As can be seen in that figure, >16,000 more fetal deaths occur ≥37 weeks’ gestations, compared to the number of neonatal deaths related to prematurity (as described in the original manuscript). Dr Meyer-Hamme et al submit a figure, whereby if accurate, and as they conclude, the number of deaths would be equivalent until >41 weeks’ gestation. Their interpretation and figure simply do not match with the data.

Decisions regarding obstetric management are complex and include consideration of maternal condition, fetal death risks for both high- and low-risk patients, obstetric conditions including parity, cervical status, prior cesarean, as well as neonatal outcomes and the results of, or need for fetal surveillance. All of these factors need to be evaluated when deciding a possible gestational age for delivery. As considerations continue regarding the best gestational age for delivery, we would hope that all the published analyses of the risks related to avoiding delivery in the early term period be included. Only then can proper evaluation of the risks of delivery compared to the risks of nondelivery be made.