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October 1985

Nuchal Cord as a Cause of Neonatal Anemia-Reply

Author Affiliations

Department of Family Medicine
Department of Pediatrics University of Texas Medical Branch Galveston, TX 77550

Am J Dis Child. 1985;139(10):966. doi:10.1001/archpedi.1985.02140120012013

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In Reply.—In response to Dr Eidelman's letter, the following points of clarification may be useful.

Babies in the control group had blood samples drawn by venipuncture to determine their hemoglobin and hematocrit values and their white blood cell and differential cell counts. These infants, because of a history of maternal fever or prolonged membrane rupture, were judged to be at risk for infection and white blood cell and differential cell counts were obtained as part of their evaluation. None of these infants, in fact, were proven to be infected.

At the suggestion of the reviewers, certain comparative demographic data were omitted from the original manuscript. Birth weights and Apgar scores in the group with nuchal cords were no different than those of the controls.

The control group was not studied after 24 hours, and this is, admittedly, a weakness in our investigation. It is possible, though not probable, that

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