Letters to the Editor
The article entitled "Teenaged and Pre-teenaged Pregnancies: Consequences of the Fetal-Maternal Competition for Nutrients" (Pediatrics 67:146, 1981) is a timely and important contribution. One of the greatest strengths of the paper is that Dr Naeye considered factors other than maternal age that affect fetal growth: namely, maternal pregravid body weight for height, pregnancy weight gain, parity, and cigarette smoking. There are several comments that might be pertinent in considering these data as the debate still continues whether the very young adolescent (10 to 14 years of age) has a biologic predisposition to bear more low birth weight babies than older adolescents or adults or whether the increased incidence of low birth weight infants born to the very young adolescent reflects fewer prenatal visits and inadequate care and thus, with good care, might be eliminated.