The late fetal and neonatal periods carry a high risk of morbidity and mortality. 1 Each year, we lose nearly 5 million 3 rd trimester fetuses and neonates. 2 And as we have mentioned in our previous issues, babies do not talk, 3 or vote, 4 and so, need help. 2 We also need to remind ourselves that since we still do not clearly understand the exact etiology of most neonatal disorders, these need to be viewed as multi-manifestation 'syndromes', not 'diseases'. Hence, to develop treatment strategies that will remain effective despite the clinical variability, we need cohorts from large geographic/climatic regions and with multiple races/ethnicities. A truly multinational group of care-providers drawn from all over the world can also help understand regional differences in clinical approach. The Global South, with its higher fertility rates and limited access to healthcare facilities, definitely needs to be represented. [5][6][7][8] These peri-equatorial/tropical regions could also have a greater proportion of cases with underlying/confounding infections, which need to be studied. 9 All these issues need consideration in healthcare planning. 10 The need for access to updated data about healthcare, outcomes, and changing economic status cannot be over-emphasized. 11 One possible solution for the multidimensional health problems of premature/critically ill infants could be in the application of healthcare "bundles", a concept introduced by the Institute of Health Care Improvement (IHI). These bundles refer to simultaneous application of 3-5 evidence-based or traditionally accepted interventions to prevent/treat specific clinical disorders in all eligible patients. [12][13][14][15] The concurrent use of multiple treatment modalities is attractive in premature/critically ill infants as they typically show the highest severity of illness during the early postnatal period and/or at specific corrected gestational/post-conceptional ages. 12,13,[16][17][18][19][20][21] Initial studies have shown an encouraging evidence for this approach. 22 Therefore, the leadership of the Global Newborn Society (GNS) has requested clinician experts from all over the world to develop and then evaluate this approach in various neonatal disorders. A short acronym was chosen to describe this evolving database: LAYA -Looking At Your practices in Application. 23 Our journal, the newborn aims to cover fetal/neonatal problems that begin during pregnancy, at the time of birth, or during the first 1000 days after birth. The movement is growing; since our last issue 3 months back, this journal has now been adopted by 13 more organizations as their official mouthpiece. These include the
