In 1963, Lubchenco proposed a system to characterize intrauterine growth by gestational age, which highlighted the differences between preterm and growth-restricted term infants.1 More than 50 years later, there is limited capacity to distinguish preterm from small but mature infants in low- and middle-income countries where these conditions, together with asphyxia and infection, are leading causes of neonatal death. Lee et al sought to determine if community health workers could use physical/neuromuscular signs and anthropometrics to estimate the maturity of infants born in rural communities in Bangladesh with the ultimate goal of facilitating early identification and referral of preterm infants.2 The study used community surveillance for early diagnosis of pregnancy and successfully accomplished ultrasound dating of pregnancy before 20 weeks. Twenty-five physical, neuromuscular, and anthropometric observations were assessed and then analyzed individually and in combination for their diagnostic accuracy. All fell short of acceptable utility for estimation of...
What Matters Most for the Survival of Small Newborns in Resource-Limited Settings?
POTENTIAL CONFLICT OF INTEREST: The author has indicated she has no potential conflicts of interest to disclose.
FINANCIAL DISCLOSURE: The author has indicated she has no financial relationships relevant to this article to disclose.
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Susan Niermeyer; What Matters Most for the Survival of Small Newborns in Resource-Limited Settings?. Pediatrics July 2016; 138 (1): e20160734. 10.1542/peds.2016-0734
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