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  • Letter to the Editor
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Response to Dr Garg and Dr Gogia

Journal of Perinatology volume 29, page 75 (2009)Cite this article

Thanks to Dr Garg and Dr Gogia for their letter in regard to my Editorial in Journal of Perinatology of May 2008.1 They bring an important point of view in relation to priorities of developing world. We wish to clarify our views.

The data of Kamath et al.2 reflect the survival pattern of developed countries, USA and Western Europe. Our editorial commented on the influence of increased survival at threshold of viability in developed and developing countries that are striving to provide modern neonatal care and support thereby pushing the limits of viability. This is an evolutionary phenomenon experienced even in the developed countries during the last 30 years of developments in neonatology. Therefore, we projected that with time increasing numbers of babies in this category will be saved even in developing countries. We certainly agree with Garg and Gogia that not all countries are evolving at the same rate. We believe that each regional health system has to set their priorities according to their needs and conditions. I am also a fervent believer in low-cost interventions wherever possible, especially, those that improve outcomes.

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References

  1. Gadzinowski J . Neonatal mortality: the chance for improvement. J Perinatol 2008; 28: 317–318.

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  2. Kamath BD, Box TL, Simpson M, Hernández JA . Infants born at the threshold of viability in relation to neonatal mortality: Colorado 1991–2003. J Perinatol 2008; 28: 354–360.

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  1. Department of Neonatology, University of Medical Sciences in Poznań, Poland, Poznań

    J Gadzinowski

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Gadzinowski, J. Response to Dr Garg and Dr Gogia. J Perinatol 29, 75 (2009). https://doi.org/10.1038/jp.2008.126

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