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We thank Nolte for extending the scope of what was intended and feasible in the context of our article (1). We can only agree with his statement that medicine should not be seen from an economical perspective. This includes the comment that the increasing economization of medicine right up to the link between personal income and set economic targets that aim to increase patient turnover can harm the reputation of the medical profession within medicine overall and in society. We think it is all the more important, therefore, that in recent months there have been movements counteracting this trend, as has also been documented in this journal (2). In this sense, our article, in combination with another one on the risks of cesarean delivery (3), was intended to contribute to reversing the trend highlighted by Nolte and to make a plea for more vaginal deliveries at term and fewer early deliveries by cesarean section. Every doctor who advises pregnant women about choosing the optimum date for delivery and mode of birth is faced with the challenge of delivering on both these objectives, and pediatricians can, and should, contribute to this.

DOI: 10.3238/arztebl.2013.0193b

Prof. Dr. med. Christian F. Poets

Abteilung für Neonatologie,
Universitätsklinikum Tübingen
christian-f.poets@med.uni-tuebingen.de

Prof. Dr. med. Diethelm Wallwiener

Universitäts-Frauenklinik,
Universitätsklinikum Tübingen

Prof. Dr. med. Klaus Vetter

Berlin

Conflict of interest statement
Professor Poets declares that he has received honoraria for preparing scientific further educational events from Milupa. Furthermore, he has been reimbursed for data collection and has received funding for a research project he initiated from Chiesi.
Professors Vetter and Wallwiener declare that that no conflict of interest exists.

1.
Poets CF, Wallwiener D, Vetter K: Risks associated with delivering infants 2 to 6 weeks before term—a review of recent data. Dtsch Arztebl Int 2012; 109(43): 721–6. VOLLTEXT
2.
Maio G: Ärztliche Hilfe als Geschäftsmodell? Eine Kritik der ökonomischen Überformung der Medizin. Dtsch Arztebl 2012; 109(16): A 804–5 VOLLTEXT
3.
Poets CF, Abele H: Geburt per Kaiserschnitt oder Spontangeburt. Was ist sicherer für das Kind? Monatsschr Kinderheilkd 2012; 12: 1196–203. CrossRef
1.Poets CF, Wallwiener D, Vetter K: Risks associated with delivering infants 2 to 6 weeks before term—a review of recent data. Dtsch Arztebl Int 2012; 109(43): 721–6. VOLLTEXT
2.Maio G: Ärztliche Hilfe als Geschäftsmodell? Eine Kritik der ökonomischen Überformung der Medizin. Dtsch Arztebl 2012; 109(16): A 804–5 VOLLTEXT
3.Poets CF, Abele H: Geburt per Kaiserschnitt oder Spontangeburt. Was ist sicherer für das Kind? Monatsschr Kinderheilkd 2012; 12: 1196–203. CrossRef

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