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February 1962

EDITOR'S COMMENT: This letter was sent to Dr. Smith who replied as follows:

Author Affiliations

Department of Pediatrics, Harvard Medical School, and Boston Lying-In Hospital Boston

Am J Dis Child. 1962;103(2):196. doi:10.1001/archpedi.1962.02080020202018

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To the Editor:—Dr. Papper, Dr. Moya, and Dr. James may well be correct in stating that the ruggedness of the respiratory mechanism "in some infants... in no way constitutes evidence that resuscitation is unnecessary." The question we asked ourselves was: "How can one tell at once in which infants it is necessary?" Our results indicated to us that a single scoring of clinical status within minutes after birth is not a completely satisfactory indication. We attempted to make this problem and our willingness to "apply skillful and prompt resuscitation in some infants" clear in the second paragraph of the summary of our paper.

Dr. Papper and his colleagues suggest that in 22 infants in our series who died soon after birth "the role of hypoventilation from inadequate resuscitation cannot be lightly disregarded." Again, how could we have known at once that several of these infants should have been resuscitated? Two

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