Maryland Perinatal System Standards

The Maryland Perinatal System Standards were originally developed in the mid-1990s by a Department of Health and Mental Hygiene  advisory committee as a set of voluntary standards for Maryland hospitals providing obstetrical and neonatal services. The Standards have been incorporated into the regulations for designation of perinatal referral centers (Level III and Level IV hospitals) by the Maryland Institute for Emergency Medical Services Systems (MIEMSS) , as well as the Maryland Health Care Commission’s State Plan regulations for obstetrical units and neonatal intensive care units.
The Department of Health and Mental Hygiene reconvened its Perinatal Clinical Advisory Committee (a multidisciplinary committee representing Maryland State agencies, professional organizations, and delivery hospitals) to fully review and update the Standards in 1997, 2004, and 2008.  These updates were in response to the publication of guidelines and policies by national professional organizations.  The Standards were further revised in June 2012 by the addition of Standard 13.7.  Most recently, the Perinatal Clinical Advisory Committee was reconvened in 2013 to revise the Standards in order to be consistent with the 7th edition of the Guidelines for Perinatal Care, issued in 2012 jointly by the American Academy of Pediatrics(AAP) Committee on Fetus and Newborn and the American College of Obstetricians and Gynecologists (ACOG) Committee on Obstetric Practice, as well as the AAP 2012 Policy Statement on Levels of Neonatal Care. In June, 2014, Standards 5.10, 5.11 and 5.12 were further updated and a definition of telemedicine was added. The current full Standards are available at the link below.
The 2014 Standards include a new Standard requiring delivery hospitals of all levels to have a written protocol to respond to massive obstetric hemorrhage. Click here for information and resources on obstetric hemorrhage.

Comparison of major differences between Maryland Perinatal System Standards 2008 and 2014 

For questions regarding the Maryland Perinatal System Standards, please contact:

S. Lee Woods, MD, PhD
updated 9/2014