Early fetal immune development occurs independent of antigen exposure, wher
eas later development depends on exposure to specific antigens. Although ne
onates are immunocompetent at birth, they are clearly immunonaive and depen
dent on passively acquired maternal immunoglobulins, immune cells, and othe
r substances from colostrum for protection. Neonates that suffer failure of
passive transfer of maternal immunoglobulins may be at increased risk for
disease; however, many other factors interact in conjunction with the level
of passively acquired immunoglobulin to determine the occurrence of diseas
e.