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Measuring growth
One might have thought that something as basic as charting the growth of preterm babies might have been a settled issue by now, but as we all know, this is far from the case. We carried an important paper on updated birth weight centiles by Norris et al 1 in November; now Pearson and Johnson in their Editorial revisit the difficulties inherent in constructing useful centile charts for preterm growth monitoring and make the case for the approach taken in constructing the INTERGROWTH 21st charts. This does not settle all controversies but should give readers some food for thought. Another aspect of “how” to chart growth is how often to weigh babies. Fenton et al make a compelling case for a routine interval of 5 to 7 days, which in practical terms might translate into ‘once or twice a week’; of course, when weight measurement is part of fluid balance monitoring a baby may need to be weighed much more often. See page F120 and F218.
Measuring heart rate
It is well known that relatively inexperienced staff managing neonatal resuscitation spend too much time staring at monitors and not enough looking at, and listening to, the baby. We have …
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