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Perinatal intensive care is discussed as one component broad program on maternal and child health of the State Health Planning Advisory Council in Michigan. The problem of maternal and infant mortality and morbidity is discussed, and supporting data are provided on the Michigan population betwen 1970 and 1972. Factors associated with perinatal problems are detailed. These factors include the relationship of maternal and infant mortality and morbidity to socioeconomic status, parity of the mother, maternal age and marital status, prenatal care, physician distribution, hospital size, and low birth weight. A high risk mother is defined as one who has or may have conditions or complications associated with childbearing which increase the hazards to the health of the mother or the infant. Conditions or complications constituting high risk mothers and infants are examined. A high risk infant is defined as one who has or is likely to develop a physical, intellectual, personality, or social handicap. A description of perinatal intensive care centers in Michigan is provided. Twenty-two recommendations are made in regard to the improvement of perinatal intensive care services in the State. A list of references is provided.