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…

This article describes efforts of an Australian tertiary maternity hospital to translate infant mental health research into preventive perinatal and early parenting practice. Clinical practice confirms what is known in the literature: For expectant parents, there can be myriad obstacles to adapting successfully to parenthood and forming a…

Pregnancy is a time of heightened risk for domestic violence and of increased vulnerability to traumatic events. In this article, the authors explain how the experience of domestic violence during pregnancy threatens the newborn's healthy development as well as the parent-child relationship. San Francisco General Hospital's Perinatal Child-Parent…

The lack of agreement on the nature and extent of the problem of prenatal exposure to substances is discussed. Comprehensive coordination of services is called for. The 14 programs in the Los Angeles County Interagency Council on Child Abuse and Neglect (ICAN) are discussed. (GH)

Regression analysis and principal components analysis, which can be used to create perinatal risk profiles of neighborhoods within cities, were compared. Using census tract level low birthweight as the outcome variable, both methods identified factors identifying neighborhoods at risk. Both methods can be used to identify community characteristics…

Discusses legislation aimed at prevention, identification, and treatment of prenatal exposure to controlled substances and the consequences of such exposure. Coercive state intervention can include involuntary civil commitment, child protection; and criminal prosecution. Such intervention raises constitutional issues of privacy and…

Provided are summaries of conference presentations discussing aspects of birth, parent/child interaction, and attachment behavior. Material in part I explores perspectives on pregnancy and the perinatal period. Included are discussions of birth in nonindustrial societies, progress in the study of maternal behavior in animals, the physiological…