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John L. Capps; Elizabeth Delzell, ScD; Claire C. Bourguet, PhD; Seymour Grufferman, MD, DPH
Duke University Medical Center Durham, NC

JAMA. 1984;252(14):1853-1854.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

A recent study by Goldenberg and co-workers¹ found that among infants born in Alabama with a birth weight of at least 2,500 g, 43% of neonatal mortality is caused by lethal congenital malformations. In a subsequent letter, Bader² noted a similar percentage of 54% in Oregon. Goldenberg et al suggested that this relatively high proportion of neonatal deaths from presumably untreatable malformations indicates a need for greater emphasis on the prevention of birth defects. They also concluded that the lower proportion (12% ) of neonatal deaths from congenital malformations among infants with low birth weights (<2,500 g) underscores the need for improvement in the medical care of this group. Neither Goldenberg nor Bader explored possible variation by race and maternal age in the rates and proportions of neonatal deaths caused by congenital malformations. To investigate such differences, we used the computerized records of births and infant . . . [Full Text PDF of this Article]

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