More babies of very young mothers (under age 16) die, are medically at risk, and have developmental and educational difficulties than children of older, but still relatively young mothers. Because of the etiology of adolescent pregnancy, the young mother is unlikely to seek comprehensive prenatal care at the first realization of pregnancy. In…

Criticizes Lester, Als, and Brazelton's 1982 reanalysis of data presented by Scanlon, Nelson, Grylack, and Smith in 1979. Discusses (1) clinical interpretation of the ponderal index (a weight-for-length ratio); and (2) inaccurate measurement of crown-heel length; (3) Lester et al.'s suggested relationship between the ponderal index, maternal drug,…

Replies to Scanlon's criticism of Lester, Als, and Brazelton's 1982 reanalysis of Scanlon, Nelson, Grylack, and Smith's 1979 data. Discusses the accuracy and interpretation of the ponderal index, reiterating that Lester et al. suggested a hypothesis, not a proof, that low birth weight, combined with maternal obstetric drugs, negatively affects…

Although it once seemed simple to say that a single event such as birth trauma or asphyxia caused brain disorders like cerebral palsy, mental retardation, and epilepsy, a recent study showed that it is nearly impossible to pinpoint a single cause and its effects. Recommendations for further research are made. (BB)

Reviews the effects of malnutrition during pregnancy and before the age of three on children's brain development and subsequent mental development. Describes marasmus, kwashiorkor, and the incidence of malnutrition in South Africa. Discusses the relationship between the culture of poverty, malnutrition, and illegitimacy. Urges South Africans to…

This hearing was called to develop a better understanding of the damage to women and their babies resulting from substance abuse during pregnancy. The hearing transcript addresses prevalence and trends, impacts on mothers and children, impacts on health care costs, impacts on the child welfare system, legal and health policy issues, intervention…

Reviews significant recent research and information related to the beginning period of human life, and specifically discusses the developing fetus and infant, and the surrounding environment in which the infant is born and reared. Suggestions for prevention of mental-health problems are offered. (Author/DB)

This report describes effective approaches for enhancing maternal, infant, and family outcomes based on the scientific and systematic assessment of the content of prenatal care conducted by the Public Health Service's Expert Panel on the Content of Prenatal Care. The range of risks, both medical and psychosocial, that the prenatal care provider…

Addresses the causes for and implications of infant mortality. Besides the more immediate causes such as disease, nutrition, and lifestyle, there are the additional hurdles of government bureaucracy, lack of funds, and institutional attitudes that block access to prenatal care. Suggests structural solutions, including a consistent, individual,…

D.V. Cicchetti, A.S. Kaufman, and S.S. Sparrow (this issue) use six criteria to evaluate the published findings from seven different studies of PCB exposure and neuropsychological function. They point out a number of weaknesses or flaws in each study and conclude that these weaknesses make the overall conclusion that PCB exposure negatively…

Discusses appropriate care for children affected prenatally or after birth by parental chemical dependence. There is increasing evidence that environmental intervention by professionals and other caring adults can alleviate these children's distress. Maximizing their development also depends on implementation of child welfare protections and the…

This publication addresses the issue of low birthweight and what state legislatures can do to reduce its incidence, particularly in regard to ensuring prenatal care. Other than prevention of unwanted pregnancies, provison of good prenatal care is the most effective strategy for reducing the number of low birthweight babies. This text describes:…

Proceedings from the International Summit on Prevention of Mental Retardation from Biomedical Causes are provided. After a list of participants and summary of the highlights of the conference, the keynote address by H. Moser is presented. The following 13 papers are provided along with workshop recommendations and a list of main points elicited…

Trends during the 1980s are described including high infant mortality, no decline in low birthweight percentages, an increase in the black-white infant mortality gap, more high-risk pregnancies, and inadequate prenatal care. Inadequate progress in reducing infant mortality is attributed in part to the limited technological ability to save…

Noting that although the causes of violence are highly complex and multifaceted, this book argues that a growing body of scientific knowledge demonstrates that maltreatment during the 9 months of fetal growth and the first 24 months after birth often leads to violent older children and adults. Following an introduction, the book contains the…