PEDIATRICS Vol. 49 No. 2 February 1972, pp. 287-290
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Follow-Up of Low Birth Weight Infants—The Predictive Value of Maternal Visiting Patterns

Avroy A. Fanaroff M.B. (RAND), M.R.C.P.E.1, John H. Kennell M.D.1, and Marshall H. Klaus M.D.1

1 Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106

Present hospital regulations and the facilities for the care of high-risk infants often result in prolonged mother-infant separation, with restricted visiting and minimal physical contact. Reports of cases of child abuse and of infants who fail to thrive in the absence of organic disease reveal a disproportionately high incidence of prematurity. In the failure-to-thrive syndrome, 25 to 41% of the reported infants have been premature. Prematurity or serious illness in the newborn period resulting in maternal-infant separation was a feature in 23 to 31% of the battered infants. With such a high incidence of "mothering disorders" it is important to evaluate the mothers of high-risk infants carefully before discharge.

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