Noting prenatal and early childhood home visitation by nurses has had positive effects on birth outcomes in several at-risk populations, this study examined the impact of weekly home visits by systematically trained visitors on birth outcomes of high-risk pregnant women within the context of a Florida Healthy Start project. Participating were…

Assesses the complex problem of infant deaths in America and reviews the policy options before the nation. High infant mortality rates have been attributed to population heterogeneity, poverty, or differences in the way health services are organized. Links health policy issues to the larger issue of social and economic equity. (AF)

A sample of 25 children exposed prenatally to cocaine was compared with a control group of 18 children not exposed to any drugs prenatally. Using the AGS (American Guidance Service) Screening Profile, results indicated that the control group was significantly superior on all subtests except for the Motor Coordination and Speech Articulation…

Reports on the assessment of 636 children who were identified in a 1984 Scottish low birth weight study. Discusses adaptations of standardized tests that made it possible to test 27 children who had been judged as impossible to test because of developmental disabilities. (CFR)

This paper presents a schema for measuring the effects of prevention programs in mental retardation, using 43 items that are quantifiable, accessible, and pertinent to disability outcomes. The items relate to service indicators, risk indicators, and incidence/prevalence information in the prenatal, perinatal, and childhood periods. (Author/JDD)

A project developed to increase public and professional awareness of fragile X syndrome in New Jersey resulted in increased efforts at diagnostic screening, provision of client and family support services, and prevention. The program proved to be a cost-effective method for increasing community awareness of a genetic disease on a statewide level.…

Fetal alcohol syndrome (FAS), the leading cause of mental retardation, often goes unrecognized because of social and emotional taboos about alcohol and alcoholism. This article describes medical and behavioral characteristics of FAS children and describes guiding principles for educators, based on early intervention, teaching communication and…

Discusses the use of pretend play as a cognitive assessment tool. Examines the failure of developmental progression of play in preterm, drug-exposed, malnourished, Down's syndrome, mentally retarded, and autistic children. Examines individual differences in play, and the relationship between language and play, in these groups. (AC)

Investigated taboos and beliefs about the nutritional value of foods among pregnant women from Nigeria's Hausa and Yoruba tribes. Found that Hausa women had greater nutritional anemia than Yoruba women; their babies had greater incidence of low birth weights and smaller chest and head measurements. Hausa women learned food-related beliefs from…

The relationship between prenatal drug exposure, emotional and behavioral disorder (E/BD) identification in Head Start, and subsequent special education kindergarten placement in 145 Head Start children (ages 3-4) was examined. Results showed that 47% of the drug-exposed group versus 35% of the non-drug-exposed group met classification criteria…

A study of 458 6-year olds (204 prenatally exposed to cocaine), found low language children (n=57) were more likely to be cocaine exposed (63.1 percent), with cocaine-exposed children 2.4 times more likely to be in the low language groups compared with control children after adjustment for covariates. (Contains references.) (Author/CR)

This article reports on data collected as part of a four-phase study initiated to strengthen practice in the field of smoking cessation during pregnancy. It focuses on the perceived support pregnant smokers would receive for quitting smoking and how this support could be effectively used by incorporating the education of partners/family in smoking…

The seven cohort studies of the relation between prenatal and postnatal exposure to polychlorinated biphenyls (PCBs) to cognitive, neuropsychological and behavioral development have suggested that exposure to PCBs can cause persistent changes in cognitive functioning. D.V. Cicchetti, A.S. Kaufman, and S.S. Sparrow (this issue) apply six scientific…

In this paper we address the points raised by groups of scientists who were invited to respond to our initial critique of polychlorinated biphenyl (PCB) research in this special issue. In that article, we applied six objective criteria to more than two decades of published PCB research and concluded that much of the research was badly flawed. The…

Maternal prenatal smoking, birth weight and sociodemographic factors were investigated in relation to cognitive abilities of 1544 children (aged 3.5 years) participating in the Quebec Longitudinal Study of Children's Development. The Peabody Picture Vocabulary Test (PPVT) was used to assess verbal ability, the Wechsler Preschool and Primary Scale…