Focusing on the complex interplay between maternal and fetal health, perinatology bridges obstetrics and neonatology to optimize outcomes in high-risk pregnancies. Specialists manage complications such as fetal growth restriction, preeclampsia, congenital anomalies, and preterm labor using advanced imaging, prenatal diagnostics, and maternal-fetal interventions. Perinatology supports early decision-making and delivery planning, coordinating with neonatologists to ensure seamless transitions to postnatal care. Fetal surgery, corticosteroid administration, and in-utero therapies are among the evolving tools that have improved survival and reduced complications. Research in perinatology continues to expand our understanding of placental function, genetic influences, and inflammatory pathways. Its role remains critical in reducing perinatal morbidity and mortality through timely, targeted interventions.