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Neonatology departments under economic pressure.

Preterm infants with birth weight below 1500 g, also referred to as very low birth weight infants, account for most infant mortality and disabilities caused by brain hemorrhages, for example, in neonates. The care of preterm infants is currently the subject of controversial debate in Germany, the intensity of which may be partly because financial pressures on pediatric hospitals have increased and the treatment of preterm infants is well remunerated. A preterm infant with a birth weight of 550 g and no complications requires approximately four months’ inpatient care, costing around €100 000. If surgery is required, complications such as infections arise, or costs (e.g. staff costs) are kept down, revenue or profits rise.