Pre-delivery care is provided in our modern Fuller Division - family-centered care unit providing multi-disciplinary attention to the medical, nursing, social service, and nutritional needs of each patient. Here, perinatologists recognized for their expertise in infectious diseases, genetics, diagnostic sonography, medical complications of pregnancy, emergency obstetric care, and abnormalties of labor provide in-patient care. A Perinatal Outreach Nurse serves as the liasion between the referring physician and the Brigham and Women's Hospital. She provides updates and information relevant to the patient's care; facilitates return of the patient to her original provider and offers education and support to the patient and her family. Central to the function of the high-risk pregnancy service are the fellows in Maternal-Fetal Medicine. Supervised by the faculty, the Fellow coordinates the care of hospitalized patients. The four Fellows in this program have been selected from among the best candidates in the United States. Exposure to a high volume, of complex pregnancy-related problems contributes to the next generation of subspecialists comfort and competence to treat all problems encountered in this field. The accumulated clinical information relevant to patient care and pregnancy outcome allows us to make significant contributions to the knowledge-base of obstetrics. To "track" pregnancy outcomes, the Maternal-Fetal Medicine Division has recently established a comprehensive databases for all obstetrical in-patients. Data abstractors will review the chart of each woman delivering at the hospital and will be collect data on demographic characteristics, obstetric history, pregnancy complications and the course of labor, including treatments and interventions and maternal and infant outcome. The information will be utilized by ongoing regional and national investigations.