The article addresses clinical, neurodevelopmental, and psychological experiences of pregnant parents to build the case for shifting therapeutic approaches to promote the earliest possible connections between parents and their infant. The article emphasizes the rationale for therapeutic interface with families in pregnancy as it relates to stress…

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…

The Division for Early Childhood (DEC) of the Council for Exceptional Children (CEC) endorses the development of national guidelines for the identification and eligibility for Part C, states early intervention (EI) system for children born low birth weight (LBW) and/or preterm in the United States. Children born early typically spend their first…

The Community-Based Family Administered Neonatal Activities (C-B FANA; Cardone, Gilkerson, & Wechsler, 2005) offers home visitors and expectant parents a new way to be together during the unfolding months before birth. Adapted from the hospital-based Family Administered Neonatal Activities (FANA; Cardone & Gilkerson, 1990), the C-B FANA…

This paper explores the idea of possible proto-experiences of the prenatal child in the context of Bion's model of container/contained. The physical configuration of the embryo/foetus contained in the maternal uterus represents the starting point for an enquiry into the unborn child's possible experiences of its state of being contained in a…

The development of feeding and swallowing is the result of a complex interface between the developing nervous system, various physiological systems, and the environment. The purpose of this article is to review the neurobiology, development, and assessment of feeding and swallowing during early infancy. In recent years, there have been exciting…

There are two general categories (not necessarily mutually exclusive) of congenital defects: (1) abnormalities that have an hereditary basis, such as single and multiple genes, or chromosomal abberration; and (2) abnormalities that are caused by nonhereditary factors, such as malnutrition, maternal disease, radiation, infections, drugs, or…

Outlines the medical and social consequences of adolescent pregnancy, including maternal and infant mortality, and low birth weight. Discusses why pregnant adolescents do not seek prenatal care and implications for health providers. (FMW)

The Zero Exposure Project is a public awareness campaign in Hillsborough County, Florida, designed to educate the public on the dangers of combining substance use with pregnancy. The authors describe the process of building the campaign from its original conception and share the challenges and successes of their collaborations with community…

Statistics show that the improvement in the U.S. infant mortality rate began slowing down in 1981 and completely ended in 1985; this has been reflected in a significant increase in the percentage of infants born prematurely and with low birth weight. Increased attention is being given to the effects of maternal behavior during pregnancy, and…

Increase in number of children infected with human immunodeficiency virus (HIV), and consequential developmental disabilities of these children are discussed. Families caring for HIV-infected children express four recurrent themes: psychological stress, grief and mourning, guilt and self-blame, and isolation and fear of discrimination. Flexible…

The Amiel-Tison Neurological Assessment at Term (ATNAT) is part of a set of three different instruments based on a neuro-maturative framework. By sharing a same methodology and a similar scoring system, the use of these three assessments prevents any rupture in the course of high risk children follow-up from 32 weeks post-conception to 6 years of…

This report summarizes research and training activities between 1984 and 1987 of the Pregnancy and Perinatology Branch of the National Institute of Child Health and Human Development. Activities are reported for the following six maternal-infant emphasis areas: (1) high risk pregnancies; (2) fetal pathophysiology; (3) premature birth and labor;…

A child born in Japan, Finland, Hong Kong, Ireland, Australia, Canada, Singapore, or any of 12 other industrialized nations has a better chance of surviving his or her first year than does a child born in the United States. This is because too many babies are born too small, too many are born too soon, and too many mothers never get decent care…