The determination of AKI using the pRIFLE and AKIN criteria yielded different results. pRIFLE appears to be more sensitive in VLBW infants. A high CRIB II score was recorded for AKI. Future studies are necessary to develop a uniform definition and identify the risk factors to improve the outcomes in this population.

In Reply In any approach to early-onset sepsis (EOS), clinicians must decide whether to start antibiotics in asymptom-Letters jamapediatrics.com (Reprinted) JAMA

Minority adolescents with greater gestational weight gain had infants with higher birth weight and greater risk of LGA; BMI was not associated with either outcome. Further studies are needed to examine the applicability of the 2009 BMI-specific IOM gestational weight gain recommendations to adolescents in minority populations.

Total number of 410 deliveries were performed at Kathmandu Model Hospital (KMH)during 33 months (April 96 -Dec 98 ). Among 410 deliveries 107 (26.09%) cases weredone by Lower Segment Caesarean Section (LSCS), 54 cases (13.37%) by forcepsdelivery, 188 (45.85%) cases normal vaginal delivery with epigiotomy and 61 (14.87%)normal vaginal delivery with or without tear.During this period, 6 twin delivery cases were observed. There were 14 cases of perinataldeaths (still birth -10 and neonatal-death - 4). Hence, perinatal mortality rateduring this peroid in this hospital was 34.15.Perinatal mortality was mostly due to severe prematurity, birth asphyxia, ante-partumhaemorrhage (APH), intrauterine growth retardation (IUGR), congenital abnormalitiesand sepsis.KEY WORDS: Neonatal death, Still birth, Perinatal mortality, Antepartum haemorrhage (APH), Sepsis.