Prenatal care, though providing invaluable health education, including parenting instruction and contraceptive advice as well as medical supervision, is seriously limited for poor women. Suggests ways of surpassing barriers of ignorance, fear, lack of child care and transportation, and lack of skilled medical translators, and calls for more…

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…

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,…

The infant mortality rate in the District of Columbia is higher than that for any other state. This high rate stems from the great number of infants born seriously underweight and reflects the area's high percentage of births to impoverished black women. Efforts to reduce the mortality rate have centered around the medical treatment approach,…

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…