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I am a neonatologist working in a low-income country in a hospital with 6000 + births a year. The hospital also functions as the only neonatal referral center for a region that has 17,000 births a year. Due to being a public institution the mothers of our newborns are mostly from extremely low-income households thus we have high rates of congenital malformations and premature births with the corresponding elevated rates of morbidity and mortality. We are interested in implementing Point of Care Echocardiagram for monitoring pulmonary pressure, cardiac function and PAD as well as implementing Point of Care Ultrasound for pleural effusions, line placement, and to perform transfontanellar ultrasound. On of the cheaper options I found was the Butterfly IQ Ultrasound which connects to iphones and Ipads. While i have talked to other medical practitioners in other countries about their positives experiences in pediatric patients using the Butterfly IQ, I have not come across someone with experience using the Butterfly IQ in neonatal patients. I would welcome any feedback pertaining to this topic and welcome other affordable solutions of POCUS that can be used in the neonatal population.