PEDIATRICS Vol. 95 No. 2 February 1995, pp. 272-274
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Disability and Perinatal Care

Ann Johnson MD, FRCP1

1 National Perinatal Epidemiology Unit, Radcliffe Infirmary, Oxford OX2 6HE, United Kingdom

The declining infant mortality is carefully documented year by year in the Annual Summary of Vital Statistics in this journal.1 Although socioeconomic factors play an important role in this decline, the falling death rate among neonates weighing <1500 g at birth is widely attributed to changing patterns of neonatal intensive care. For neonates weighing 1000 g at birth, this assumption is probably correct. Thirty years ago, almost all these neonates died; now, over half survive to leave the neonatal unit and this proportion is as high as 70% in large tertiary centers.2 In terms of "rescue from death," neonatal intensive care can be described as a remarkably successful medical technology.

Submitted on September 28, 1994
Accepted on October 13, 1994




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