This paper emphasizes the importance of testing infants for hearing loss in the newborn nursery and describes the screening program of the Nova Scotia Hearing and Speech Clinic as a model. In the program, high risk neonates are identified through screening programs by hospital personnel or by community health nurses. (JDD)

Newborn screening for fragile X syndrome (FXS) is technically possible, and in the relatively near future accurate and inexpensive screening technologies are likely to be available. When that happens, will America's public health system adopt newborn screening for fragile X syndrome? This article addresses this issue by first placing screening for…

The Assessment of Preterm Infants' Behavior (APIB) is a newborn neurobehavioral assessment appropriate for preterm, at risk, and full-term newborns, from birth to 1 month after expected due date. The APIB is based in ethological--evolutionary thought and focuses on the assessment of mutually interacting behavioral subsystems in simultaneous…

Researchers in many fields agree. The physical, social, and economic health and well-being of adults and society as a whole are strongly influenced by the early experiences of children, when the foundation for effective cognitive and social skills and abilities are developed. Children who have developmental delays or disabilities require and often…

The likelihood of benefit is fundamental to decision making about newborn screening. But benefit is construed in different ways by different stakeholders. This article begins with a review of benefit as considered historically by various expert panels and organizations. We then show how 78 conditions fared when experts recently rated them on…

This paper presents results of a preliminary study which evaluated medical birth data as potential predictors of developmental outcome, and developed and tested an instrument designed for this purpose. Forty low birthweight children, all of whom had experienced neonatal intraventricular hemorrhage, were evaluated at school age (66 months) on the…

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…

This proceedings document contains papers addressing trends, determinants, and interventions in preventing low birthweight. Papers have the following titles and authors: "Trends in Rates of Low Birthweight in the United States" (Mary McCormick); "Evolution of the Preterm Birth Rate in France" (Gerard Breart); "The Etiology…

It is generally recognized that early childhood experiences are extremely important for human development. The development of rational thinking, attention span, and ability to memorize in the first years of life are very much dependent upon motor experiences gained through exploring and comprehending. Early learning experiences should not be…

Developed by a multidisciplinary group (convened by Project Zero to Three) of 17 experts in the identification and evaluation of high risk infants and young children, this manual presents basic criteria for tracking at risk infants and toddlers. The first section answers such questions about the criteria as the following: What is a tracking system…

This field hearing in Berkeley, California examined: (1) the increasing incidence of babies born with, or at risk of contracting, Acquired Immune Deficiency Syndrome (AIDS); (2) the ability of health and social service systems to care for AIDS-infected infants and children and their families; and (3) prevention efforts to reduce the spread of…

Part of a health occupations program, these instructional units consist of materials for use by those who are studying to become practical nurses. Covered in the units are the following: the nursing care of mothers and newborns (obstetrics, prenatal care and complications, patient needs, care of the newborn, prematurity, medications, and cultural…

This paper discusses issues connected with the reliability of the Neonatal Behavioral Assessment Scale (NBAS) in terms of behavior prediction, neonatal behavioral organization and stability, and consequent implications for study of newborns. Discussion focuses on: (1) reliability, and (2) prediction and neonatal assessment. The NBAS is seen as a…

The purpose of this report is to enhance both individual and national perspectives on prevention of ill health and premature death through identification of priorities and specification of measureable goals. Health problems for every age group from infancy through old age are discussed with suggestions for prevention and improvement of…

This instructor's lesson plan guide on pediatrics and neonatal transport is one of fifteen modules designed for use in the training of emergency medical technicians (paramedics). Five units of study are presented: (1) approach to the pediatric patient including patient assessment; (2) pathophysiology and management of problems unique to the…