There's such a high rate of confidence
in the likelihood of survival of mother and child that it's common for women to have baby showers
at some
point in the third trimester of
pregnancy instead of waiting for the infant to be born.
You say «it is the midwife's job and responsibility to KNOW when to transfer if necessary, or to transfer care to an OB if
there is need
at some
point in the
pregnancy,» and that is exactly right.
O'Leary and colleagues identified that
there was a significantly increased risk of birth defects and intellectual disability
in children whose mother received an alcohol - related diagnosis during
pregnancy, compared with children whose mothers received a diagnosis
at other time
points.23 28 However, the results of the current study suggest that the relationship between exposure and attendance may not be driven by the biological effects of
in utero alcohol exposure alone.