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Correspondence
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Volume 332:684-685 March 9, 1995 Number 10
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Children with Very Low Birth Weights

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 by Hack, M.
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To the Editor: Hack et al. (Sept. 22 issue)1 recently reported adverse outcomes in extremely-low-birth-weight children at school age, using a population-based sample from the presurfactant era. Their article and McCormick's editorial2 both express the critical need to prevent extreme prematurity. Although we concur with the general conclusions, we wish to point out that the sample studied is not necessarily representative of other regions of North America.

Population-based outcome data have been reported3,4 for preterm infants from the Canadian province of Alberta, where there are well-developed regional programs of perinatal and neonatal care that emphasize the antepartum identification of high-risk . . . [Full Text of this Article]

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