of Obstetrics and Gynecology, and the March of Dimes". Maternal and neonatal care In 1976, the March of Dimes published a report titled Toward Improving the Outcome of Pregnancy (TIOP), and in 1993 they published Toward Improving the Outcome of Pregnancy: The 90s and Beyond (TIOP II). TIOP "stratified maternal and neonatal care into 3 levels of complexity and recommended referral of high-risk patients to centers with the personnel and resources needed for their degree of risk and severity of illness." TIOP was published when "resources for the most complex care were relatively scarce and concentrated in academic medical centers." TIOP II updated care complexity designations from levels I, II and III to basic, specialty and subspecialty, and the criteria were expanded. In 2001, the March of Dimes introduced a family support program for those with babies in a neonatal intensive care unit (NICU). The program seeks to educate NICU staff to communicate effectively with patients' families. The March of Dimes hosted the Symposium on Quality Improvement to Prevent Prematurity in October 2009. In December 2010, the March of Dimes released TIOP III, subtitled Enhancing Perinatal Health Through Quality, Safety, and Performance Initiatives. Fetal alcohol syndrome Fetal alcohol syndrome (FAS) is categorized as a group of birth defects ranging from mental retardation to various growth and behavioral problems. The March of Dimes has provided grant funding for FAS research,<ref>K Kyndely, et al. "Fetal Alcohol Spectrum Disorders Prevention: An Exploratory Study Of Women's Use Of, Attitudes Toward, And Knowledge About Alcohol." Journal of the American Academy of Nurse Practitioners 17.5 (May 2005): 187–193. CINAHL with Full Text. Web. 21 Dec. 2011.</ref> and they supported the National Council on Alcoholism in its push for legislation to bring public attention to the dangers of alcohol use by pregnant women. This led to a 1989 law mandating a warning label about the risk of birth defects that alcoholic beverages still carry today. Folic acid The March of Dimes has campaigned for public education on folic acid, a vitamin which can prevent neural tube defects such as spina bifida and anencephaly if mothers have enough of it in their body. The March of Dimes has funded polls on folic acid from The Gallup Organization. Analysis of some of the results, said that women aged 18–24 years had the least awareness regarding folic acid consumption or knowledge about when it should be taken. On the issue,