The transition to parenting (Galinsky, 1987) can be a tumultuous time, particularly when parents have experienced traumatic and stressful life circumstances. Interventions to help these parents often focus on the first 2 years after birth because of the importance of this sensitive period for babies' developing brains. However, we describe…

The last decade has seen an exponential increase in the use of illicit and prescription opioids during pregnancy. Opioid dependency during pregnancy increases the risks of obstetric complications for mothers and potential dangers for newborns during infancy and later in life. The mother-child dyad faces specific hurdles when it comes to getting…

Substance use and alcohol abuse during pregnancy are significant public health concerns. Neonatal abstinence syndrome (NAS) is a withdrawal syndrome that infants exposed to opioids may experience in the first few days of life. For most infants with NAS, exposure to opioids occurs during pregnancy while they are fetuses. Similarly, prenatal alcohol…

Advocating for quality early care and education has been an Advocates for Children of New Jersey (ACNJ) priority for many years, starting with the commitment to ensure that children in disadvantaged communities have the opportunity for state-funded, full-day preschool. ACNJ firmly believes that the path to success in school and in life starts with…

There have been revolutionary advances in the last decade in researcher's understanding of the genesis of life course health from the critical formative experiences before birth. Even more striking are the factors in a mother's developmental and nutritional history and experience that shape her health, a healthy pregnancy and delivery, and the…

While the rates of teen childbearing have declined in the United States, adolescents who become pregnant and decide to bear and rear their babies are often from low-income, highly stressed families and communities. This article will describe the psychosocial problems of pregnant urban teens and how exposure to interpersonal trauma and current…

Autism is one of the most heritable neurodevelopmental conditions and has an early onset, with symptoms being required to be present in the first 3 years of life in order to meet criteria for the "core" disorder in the classification systems. As such, the focus on identifying a prodrome over the past 20 years has been on pre-clinical…

Project CHOICES developed an integrated behavioral intervention for prevention of prenatal alcohol exposure in women at high risk for alcohol-exposed pregnancies. Settings included primary care, university-hospital based obstetrical/gynecology practices, an urban jail, substance abuse treatment settings, and a media-recruited sample in three large…

Despite decades of research and prevention efforts, low birthweight (less than 2,500 grams, or 5 lbs., 8 ozs.) remains a major public health challenge. Preterm birth (before 37 weeks of gestation) is by far the most common reason for low birthweight (LBW), and trendlines for LBW tend to parallel those for preterm birth. Since 1990, the U.S.…

New scientific research shows that environmental influences can actually affect whether and how genes are expressed. Thus, the old ideas that genes are "set in stone" or that they alone determine development have been disproven. In fact, scientists have discovered that early experiences can determine how genes are turned on and off and even…

Prenatal exposure to alcohol is a leading preventable cause of birth defects and developmental disabilities. Individuals exposed to alcohol during fetal development can have physical, mental, behavioral, and learning disabilities, with lifelong implications. These conditions are known as fetal alcohol spectrum disorders (FASDs). Health care…

Educators have begun to recognize that the public school system is an ideal setting in which to introduce the topic of birth defects prevention. A highly structured two week curriculum was developed using March of Dimes materials to teach inner-city school children about birth defects prevention. (JN)

This paper explores incidence rates of Fetal Alcohol Syndrome (FAS) and describes physical and cognitive impairments exhibited by FAS children. It examines program strategies for prevention of FAS in the United States and reviews research undertaken at the Edinburgh University Medical School, Scotland, concerning alcohol effects on the ovum before…

Describes a program developed by the Area University Affiliated Health Education Center for Developmental Disabilities at the Ohio State University to (1) develop state-of-the-art materials on prevention for adults and teens and (2) establish an ongoing statewide mechanism for education in the prenatal prevention of developmental disabilities.…

Discusses the National Commission to Prevent Infant Mortality's research concerning infant mortality and low birth weight. Also discusses the Commission's public policy efforts regarding the health of children, infants, and pregnant women. (RJC)