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Moderately premature infants at Kaiser Permanente Medical Care Program in California are discharged home earlier than their peers in Massachusetts and the United Kingdom
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  • Published on:
    Author reply
    • Jochen Profit, Physician
    • Other Contributors:
      • John A. Zupancic, Marie C McCormick, Gabriel J Escobar, Janet Tucker, William Tarnow-Mordi, and Gareth J Parry

    Dear Editor,

    The letters in response to our study1 raise interesting points. Dr. MacDonald suggests that breast-feeding rates at discharge may have accounted for the difference in gestational age at discharge between infants in California and the United Kingdom because of the association of lower socio-economic status and breast-feeding rates. Unfortunately, we do not have data from the United Kingdom Neonatal...

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    Conflict of Interest:
    None declared.
  • Published on:
    Early discharge of moderately premature infants

    Dear Editor,

    We read with interest the findings by Profit et al demonstrating that moderately premature infants (30–34+6 weeks gestation) in California are discharged earlier (35.9 weeks) than their UK counterparts (36.3 weeks).1 The authors question the factors responsible but do not specify changes which could be implemented within a UK system to reduce length of stay.

    In our level 3 unit from 2003-2005,...

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    Conflict of Interest:
    None declared.
  • Published on:
    Does feeding method explain earlier discharge of moderately premature infants?

    Dear Editor,

    The report of Profit et al [1] demonstrated earlier discharge in the Kaiser Permanente Medical Care Program (KPMC) than from two comparator groups. In an attempt to account for this a number of demographic factors were examined.

    Unfortunately there is no information provided on feeding method at discharge; yet the commonest issue that determines an infant's readiness for discharge is hi...

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    Conflict of Interest:
    None declared.