Mitchell EJ, Qureshi ZP, Were F, et al. - Premature births, before 37 weeks gestational age, are reported for 15 million babies globally, which are associated with 35% of all deaths in the first month of life. Low-income and middle-income countries (LMICs) exhibit the neonatal mortality rate eight times higher than Europe. A range of Early Warning Scores (EWS), which allow identification of adverse clinical signs and escalation of care appropriately, have been developed for neonates, though none in LMICs. Researchers aimed at reporting the findings of early work examining the feasibility of using EWS in LMICs. They conducted an observational study at a large national referral hospital in Nairobi, Kenya to understand current practices for monitoring of preterm infants. They analyzed data obtained over an 8-week period in 2019 on all live born infants born at < 37 weeks and/or < 2500 g (n = 294, 255 mothers) in the first week of life and identified variable recording of vital signs. Only 63% of infants had at least one temperature recorded and 53% had at least one heart rate and respiratory rate recorded. They suggest EWS as possibly valuable for standardizing documentation and identification of infants who are at greater risk of an adverse outcome. However, they suggest further exploring human and non-human resource issues before development of an EWS for LMICs.