11. James was a specialist in neonatal and perinatal medicine. 12. There are two schools of thought in the perinatal community, she says. 13. Failure to treat these diseases promptly can lead to maternal or perinatal mortality. 14. Perinatal asphyxia is the medical condition resulting from deprivation of oxygen ( ventilation.15. This differentiation occurs in both perinatal and postnatal periods. 16. Her medical thesis on perinatal candida infections led her permanent interest in mycology. 17. The average perinatal mortality rate has decreased since 2003. 18. Understanding prenatal-and perinatal factors relating to psychological problems was also emphasized. 19. Overall perinatal mortality rate is high : 41 % . to 77 %. 20. Graham is director of ambulatory services and perinatal addiction clinic at Maricopa Medical Center.