I am Dr. Joong-Shin Park, the 16th President of the Korean Society of Maternal Fetal Medicine. Our society is facing a severe decline in birthrate and a concerning inadequacy in our delivery infrastructure. In this challenging time, I would like to express my sincere gratitude and respect to our members who are tirelessly working to protect the health of pregnant women and their unborn children. Maternal-fetal medicine is a distinct and demanding field that focuses on safeguarding both mother and fetus during pregnancy. The declining birthrate in Korea has led to a rise in high-risk pregnancies, necessitating specialized and intensive care. Unfortunately, access to this critical care is not always guaranteed, placing a significant burden on expectant mothers and their families. The Korean Society of Maternal-Fetal Medicine is committed to addressing this issue by advocating for expanded medical services, enhanced education for healthcare providers, and increased national support to establish a safer birth environment. We are dedicated to creating a better pregnancy and childbirth experience through research and evidence-based policy proposals. We are currently facing a complex set of challenges arising from the declining birthrate. This decline not only signifies a reduction in the number of births but also contributes to a higher maternal age at delivery and a significant increase in the proportion of high-risk pregnancies. These factors necessitate a greater demand for specialized and intensive medical care for both pregnant women and fetuses. In high-risk pregnancies, the absence of prompt, specialized intervention can have severe adverse consequences. Unfortunately, access to such critical care remains limited, placing a substantial burden on expectant mothers and their families. Addressing this urgent and multifaceted issue is a top priority for healthcare professionals in the field of maternal-fetal medicine. The Korean Society of Maternal-Fetal Medicine aims to play a key role in addressing these challenges. We will actively advocate for the expansion of specialized medical services for high-risk pregnant women, enhanced education and training for medical staff, and increased national support to provide a safer birth environment. We will strive to create a healthier environment for pregnancy and childbirth through research and policy proposals that prioritize the safety and well-being of pregnant women and their fetuses. We deeply value the expertise and dedication of our members, and we will continue to provide a platform for collaborative research, knowledge exchange, and professional development. Sincerely, Dr. Joong-Shin Park President, Korean Society of Maternal-Fetal Medicine