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The gestation age threshold doesn't really matter across Europe, but a birthweight threshold does somewhat. [1,2] The US doesn't look as bad for infant mortality when only comparing only births at 28 weeks or later, 2nd to last to Denmark in this [3] comparison of Canada, US and the Nordic countries rather than being almost twice as high as the rest if using 22wks as a threshold. However, my understanding is the US has higher pre-term birth rates which is certainly a confounding factor so the difference might not only be due to birth registration differences.

[1] https://obgyn.onlinelibrary.wiley.com/doi/epdf/10.1111/1471-...

[2] https://journals.plos.org/plosone/article?id=10.1371/journal...

[3] https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887...



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