In Reply.—

I would certainly agree with Kilbridge and Elliot that obtaining outcome information from perinatal teams utilizing specified management approaches is the optimum. Attitudes of obstetricians and pediatricians about extremely low-birth-weight infants can influence both mortality and morbidity. Thus, the necessity for consistent cooperation and communication in the care of the extremely premature maternal-fetal unit is increasingly important both clinically and medicolegally. The surprisingly good early outcome of many extremely low-birth-weight survivors, as reported by us and others, mandates such an approach.

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