Potential Impact on Development: More Evidence for Risk-Appropriate Neonatal Care

Organization of regional perinatal services according to the capabilities of each facility and coordination among facilities has been considered optimal maternal and neonatal care since the publication of the first version of Toward Improving the Outcome of Pregnancy in 1976.1 The view that the outcome of preterm or ill newborns is better when their care is appropriate to their gestational age, complexity, or severity of illness is supported by the American Academy of Pediatrics through a policy statement defining levels of neonatal care; this is promoted jointly with the American College of Obstetricians and Gynecologists in Guidelines for Perinatal Care.

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