Prematurity is a leading worldwide cause of neonatal mortality 1,2 and 80% of the 2.5 million neonatal deaths each year are in infants born weighing up to 2500 grams. 1 Birthweight has been inversely related to degrees of illness and mortality risks. A 2012 policy statement from the American Academy of Paediatrics recommended that very low birthweight (VLBW) infants, born weighing up to 1500 grams, should receive care in high-level healthcare facilities. The aim was to ensure that they had the medical personnel, medication and equipment available to provide critical life support. 3 The clinical outcomes of VLBW infants is a quality of care benchmark that is used in many centres and regional, national and international neonatal networks in high-income settings. [4][5][6][7][8][9][10][11]