This databook describes the status of maternal and child health in America; the nation's progress in reducing infant mortality, low birthweight babies, and the percentage of pregnant women who receive late or no prenatal care; patterns of teenage and out-of-wedlock childbearing; and the extent to which certain safety net programs, such as Aid to Families with Dependent Children, Medicaid, and the Women, Infants, and Children Supplemental Food Program, are meeting the needs of the poorest women and children. Data for the years 1978-1983 are based on published and unpublished statistics from the National Center for Health Statistics. All 1984 data are based on published and unpublished data from 40 state vital statistics offices. After an overview of findings, Part 1 focuses on national findings and Part 2 reports highlights of state findings. Included in Part 2 are tables ranking states on their problems and programmatic responses, as well as the Surgeon General's 1990 Objectives Maps which indicate states' progress toward meeting established goals. Approximately half of the databook consists of state fact sheets. Related tables and technical notes are appended. (RH)