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Perinatology is the study of fetus in utero and various interventions related thereto. Today we know the fundamental basis
of many of childhood and adult diseases starts from the fetal life itself like obesity, DM, hypertension and metabolic
syndrome. Maternal fetal medicine lays stress on diagnosing cases of IUGR, placental insufficiency and DM in fetal life and
taking appropriate interventions as these can lead to later on development of childhood disorders. Besides this, diagnosis of
majority of fetal malformations can be made at an early gestation (as early as 11-14 weeks) with the help of serum screening
and genetic sonogram. This can prevent birth of a fetus with structural and chromosomal malformations. Interventions in
fetal life can correct some of anomalies. In cases of Rh iso-immunization intrauterine transfusion can prevent development of
hydrops and advancement of perinatology had led to improvement in outcome of twin pregnancies. So perinatology has a great
role to play in prevention of many of childhood illnesses.