Correspondence

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For more about the Kangaroo Mother Care steps see http:// www.kangaroomothercare.com/

For more about the Helping Babies Breathe resuscitation steps see http://www. helpingbabiesbreathe.org/

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Althabe F, Belizán JM, McClure EM, et al. A population-based multifaceted strategy to implement antenatal corticosteroid treatment versus standard care for the reduction of neonatal mortality due to preterm birth in low-income and middle-income countries: the ACT cluster-randomised trial. Lancet 2015; 385: 629–39. van Baaren GJ, Vis JY, Wilms FF, et al. Predictive value of cervical length measurement and fibronectin testing in threatened preterm labor. Obstet Gynecol 2014; 123: 1185–92. Thijsseling D, Wijnberger LD, Derks JB, et al. Effects of antenatal glucocorticoid therapy on hippocampal histology of preterm infants. PLoS One 2012; 7: e33369.

Fernando Althabe and colleagues’ study1 in low-income and middleincome countries compared antenatal corticosteroid treatment versus standard care, showing comparable 28-day neonatal mortality outcome in infants in the less than the 5th percentile for birthweight (a proxy for premature babies) between groups, but suspected maternal infection was more common in the intervention group. Principal causes of death in premature infants in resource-limited settings include birth asphyxia, moderate or severe hypothermia (axillary temperature

Antenatal corticosteroids for preterm births in resource-limited settings.

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