Throughout its prior six editions, Guidelines for Perinatal Care has focused on e improving the outcomes of pregnancies and reducing maternal and perinatal mortality and morbidity by suggesting sound paradigms for providing perinatal care. Its strong advocacy of regionalized perinatal systems, including effective risk identification, care in a risk-appropriate setting, and maternal or neonatal transport to tertiary care facilities when necessary, has had a demonstrable effect on perinatal outcomes. The current edition incorporates evidence-based data to further refine optimal regionalized care, including revised definitions of levels of neonatal care. This edition also includes evidence-based recommendations on the use of safe and effective diagnostic and therapeutic interventions in both maternal–fetal medicine and neonatology. The full spectrum of high-quality perinatal care is covered by this seventh edition of Guidelines for Perinatal Care, from the principles of preconception counseling and the provision of antepartum and intrapartum care in routine and complex settings to guidelines for routine and complex neonatal and postpartum care. The preconception and antepartum care chapter has been expanded to include new information on prenatal care of women with intellec- tual and developmental disabilities and updated guidelines on immunization, nutrition, diet, weight gain, and the prevention of perinatal group B strepto- coccal disease. Intrapartum and postpartum information includes coverage of f new topics, such as planned home birth and underwater birth, and provides revised postpartum contraception recommendations that are aligned with the U.S. Medical Eligibility Criteria for Contraception published by the Centers for Disease Control and Prevention. The chapter on obstetric and medical complications has been expanded with new information and evidence-based recommendations to guide clinical practice in these specialized areas. The chapters on care of healthy and high-risk infants include updated rec- ommendations on neonatal resuscitation, screening and management of hyper- bilirubinemia, and neonatal drug g withdrawal. The addition of information xiii Introduction
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