Sir.—For neonatologists and those involved in developmental surveillance of low-birth-weight survivors, the possibility that infants may graduate from intensive care units only to experience abuse in the home, or that outcome measures may be contaminated by consequences of abuse, ranging from emotionally determined behavior disorders to acquired cerebral palsy, remain constant concerns. The past impression that low-birth-weight infants formed a grossly excessive proportion of the total population of abused children, some studies suggesting rates up to 25%, has been shown to stem from methodologic inadequacies.1 Employing a rigorous case-control technique, Leventhal et al2 reported in the November 1984 issue of AJDC a study of 117 case-control pairs in which no relationship was found between either prematurity or low birth weight and child abuse.
Our facility, St Joseph's Hospital, London, Ontario, is a regional tertiary perinatal center that provides care for all infants born weighing less than 1500
Fox AM, Chance G, Myles J. Reduced Prevalence of Abuse in Low-Birth-Weight Survivors. Am J Dis Child. 1987;141(8):832–833. doi:10.1001/archpedi.1987.04460080018013
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