Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
To the Editor: Dr Gould and colleagues1 concluded that the higher neonatal mortality rates
on weekends might be decreased by shifting high-risk deliveries from weekends
to weekdays. We have 3 concerns about this conclusion. First, if this strategy
were to improve the prognosis of such births, this would also result in an
apparently higher mortality rate for weekend births.
Heller G, Schnell R, Misselwitz B, Schmidt S. Risk of Neonatal Death on Weekends vs WeekdaysRisk of Neonatal Death on Weekends vs Weekdays. JAMA. 2003;290(16):2124-2126. doi:10.1001/jama.290.16.2124-a