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In addition, because of the close association between poverty and low birthweight, surviving premature infants are at increased risk for the new morbidities such as violence, homelessness, child abuse and neglect, and addictive drug use. A goal should be to reduce the risk of being born with a low birthweight, rather than having to treat the consequences of premature gestation. Despite the marvelous advances that permit us to treat respiratory distress syndrome, the continuing high low-birthweight rate places a significant strain on our health care system. The goal should be redirected to identifying large population-based efforts to reduce the number of low-birthweight infants. <\/jats:p>","DOI":"10.2105\/ajph.85.7.909","type":"journal-article","created":{"date-parts":[[2008,11,29]],"date-time":"2008-11-29T13:18:52Z","timestamp":1227964732000},"page":"909-913","source":"Crossref","is-referenced-by-count":40,"title":["Neonatal technology, perinatal survival, social consequences, and the perinatal paradox."],"prefix":"10.2105","volume":"85","author":[{"given":"R M","family":"Kliegman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"key":"p_1","doi-asserted-by":"crossref","unstructured":"Jobe AH. Pulmonary surfactant therapy. 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