In this issue of Clinics in Perinatology, guest editor Dr. Lina Chalak brings her considerable expertise to the topic of Perinatal Asphyxia: Moving the Needle. Top experts discuss current clinical information on perinatal asphyxia, giving perinatologists they guidance they need to improve outcomes in newborns, while looking at results from clinical trials, neuroimaging biomarkers, and low-resource settings. Contains 15 practice-oriented topics including the role of a maternal-placental-fetal triad; treating seizures and improving newborn outcomes; advances in neuroimaging biomarkers and scoring; moving the needle in low-resource settings: is hypothermia a friend or foe?; ethical and medicolegal perspectives on cooling: where to draw the line?; and more. Provides in-depth clinical reviews of perinatal asphyxia, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.