[The Surgeon General’s Workshop on:

Maternal
an
Infant
Health

 

 

 

 

 

US. DEPARTMENT OF HEALTH AND HUMAN SERVICES « Public Health Service » Office of the Assistant Secretary for Health
“Fyery woman should have quality prenatal care during the
first three months of pregnancy.”’

Julius B. Richmond
Surgeon General of the United States

ii
Preface

The Surgeon General’s Workshop on Maternal and Infant Health was
held because of our abiding interest in improving the health of this Nation’s
children. We can take great satisfaction with the recent decline in infant
mortality which has been substantial; however, we may once again reach a
plateau similar to that which occurred between 1955 and 1965, if we do not
target our resources effectively. In addition, several population groups in
the United States continue to have a significantly higher infant mortality
and morbidity. These disparaties require very careful attention if we, as a
Nation, can reduce and eliminate them.

The participants at this Surgeon General’s Workshop were called on to
develop recommendations for a social strategy to insure that all of our
knowledge is being applied fully in the service of better health for parents
and their infants and to help target our efforts, especially for those who re-
main vulnerable—the unserved and the underserved.

B ke
Julius B. Richmond, M.D.
Surgeon General

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Planning Committee

Planning Commitee for the Surgeon General’s Workshop On Maternal and

Infant Health
CHAIRMAN
COMMITTEE MEMBERS

STEERING COMMITTEE

Ezra C. Davidson, Jr., M.D.

Kathryn Barnard, Ph.D.
Alfred Brann, M.D.
Stanley C. Graven, M.D.
Ruby Hearn, Ph.D.
Arthur Salisbury, M.D.

Federal Representives

Charlotte Catz, M.D.
Stanley Greenspan, M.D.
Don Hopkins, M.D.
Mary Grace Kovar

Vince Hutchins, M.D. Workshop Director

Woodie Kessel, M.D. Workshop
Co-Director

Carol Galaty, Executive Director

Florence Foelak, Assistant to the
Executive Director

Morton Lebow, Director of Public Affairs
Contents

Julius B. Richmond — Opening Remarks.........................
Patricia Roberts Harris — Address ..........0.0.cccccecececceee.

An International Perspective ........0.. 00.00 cece ccccecccccecee
Norman Kretchmer
Robert E. Greenberg

A Domestic View: Federal Maternal and Infant Health .............
Services Programs
Gilbert S. Ommen

PANEL PRESENTATION SUMMARIES AND EXCERPTS.........

Review and Assessment of the Current Status of
Knowledge, Services and Deficiencies .................0.0-005-.
Obstetrical Perspective (Ryan)
Pediatric Perspective (Avery)
Psychosocial Perspective (Barnard)
Dimensions of the Problem .............0 000.0 ce cecccccceccceee
Who are the Underserved? (Davis)
The Multi-Risk Family: Clinical Perspectives (Greenspan)
The Promise of Regional Perinatal Care (Johnson)
Social Strategy Influences... 0.0.0.0... ccc cece cee ccceccecccee.
The Epidemiology of Adverse Outcomes (Oakley)
Statewide Strategies for Developing Effective
Perinatal Care Systems (Graven)
Data Systems and Information as Tools for Making the
System Operate More Effectively (Brann)

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The Needed Resources... 0... ccc ccc cece cee ee eee t eee ee eenees 40
Public/Private Financing of Maternal and
Child Health Care (Jones)
Highlights from the Report of the Select Panel
for the Promotion of Child Health (Schorr)
Human Resources for Delivering Needed Maternal and
Child Health Services (Green)
Appendix A - Participants 0.0.0.0... 266 e eee e ee eee renee eee 45
Appendix B - Needed Services .......... 05s cece cere cette ee eees 50
(from Report of Select Panel for The Promotion
of Child Health)

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