PEDIATRICS Vol. 92 No. 4 October 1993, pp. 611-612
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Toward Improving the Outcome of Pregnancy, 1993: Perinatal Regionalization Revisited

GEORGE A. LITTLE MD1 and GERALD B. MERENSTEIN MD2

1 Depts of Pediatrics and Obstetrics & Gynecology, Dartmouth-Hitchcock Medical Center, Lebanon, NH
2 Dept of Pediatrics, University of Colorado Health Sciences Center, The Children's Hospital, Denver, CO

Toward Improving the Outcome of Pregnancy: The 90s and Beyond (TIOP II) was released by The March of Dimes Birth Defects Foundation (MOD) in May of this year. A predecessor, TIOP I, released in 1976 by the MOD, is considered to be the cornerstone document for the structure of the regional perinatal care system present in the United States today.

Revisitation of our approach to perinatal care took place because we know we have a persistent problem with perinatal outcomes in the United States. Our perinatal statistics lag behind those reported by many other nations. We know we should do better and are becoming frustrated with relative lack of progress. Infant mortality is an indicator that has attracted professional concern and national initiatives. It has been placed on local political agendas and discussed frequently in the media of cities such as Boston and Washington.


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