American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Feb 2017
Perinatal regionalization: a geospatial view of perinatal critical care, United States, 2010-2013.
Perinatal services exist today as a dyad of maternal and neonatal care. When perinatal care is fragmented or unavailable, excess morbidity and mortality may occur in pregnant women and newborns. ⋯ Gaps in access and discordance between the availability of level III or higher obstetric and neonatal care may affect the delivery of risk-appropriate care for high-risk maternal fetal dyads. Further study is needed to understand the importance of these gaps and discordance on maternal and neonatal outcomes.