PEDIATRICS Vol. 43 No. 2 February 1969, pp. 301-302
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Letter to the Editor

John C. Sinclair M.D.1, Knud Engel 1, and William A. Silverman M.D.2

1 Babies Hospital 3975 Broadway New York, New York 10032
2 Perinatal Health Center San Francisco Children's Hospital 3700 California Street San Francisco, California 94119

Like early feeding, early attempted correction of acidosis can have different meanings. Our babies (median postnatal age 5 hours) were treated as early as we could obtain the necessary observations. Some were born at other hospitals and were transported to us. Of course, we agree that, with different organization of perinatal care, earlier therapy is possible. It is the evaluation of our therapeutic efforts, however, which mainly concerns us. Dr. Aclin claims to have produced "a significant decrease in morbidity and a decrease in the occurrence of a subsequent respiratory distress syndrome" with immediate postnatal rapid infusion of sodium bicarbonate.