Table of Contents

Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ix

Maternal and Child Health Bureau Completed Research Projects,
1992-96: Products and Project Highlights . . . . . . . . . . . . . . . . . . . . . xi

Selected Project Highlights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xvi

Project Classification Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xviii

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Completed Projects Abstracts 1994-96

Adolescent Mothering and Preschool Behavior Problems . . . . . . . . . . . . . 3
Susan Spieker, Ph.D.
University of Washington

Collaborative Study of the Effects of HIV on Development of
Hemophilic Children . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Edward D. Gomperts, M.D., M.Sc.
Children's Hospital of Los Angeles

Definition and Prevention of Infant Macrosomia . . . . . . . . . . . . . . . . . . .15
Norman Kretchmer, M.D., Ph.D.
University of California at San Francisco

Physiologic Risk Assessments to Predict Preterm Birth . . . . . . . . . . . . . 18
Denise Main, M.D.
California Pacific Medical Center

Risk Taking Behavior in Adolescents: Impact of Puberty . . . . . . . . . . . . 21
Charles E. Irwin, Jr., M.D.
University of California at San Francisco

Spouse Abuse and Pregnancy Outcomes: A Prediction Study . . . . . . . . .28
Gabriel Smilkstein, M.D.
University of California Research Foundation

Reducing the Nation's Pediatric Intensive Care Mortality . . . . . . . . . . . . .32
Murray M. Pollack, M.D.
Children's National Medical Center

Unintended Pregnancy and the Well-Being of Children and Families . . .36
Sarah S. Brown, M.P.H.
National Academy of Sciences

An Educational Behavioral Program for PKU . . . . . . . . . . . . . . . . . . . . . 41
Kimberlee Michals, R.D., Ph.D.
University of Illinois at Chicago

Transition to Parenthood: Gender Roles and Distress . . . . . . . . . . . . . . . 45
Michele A. Kelley, Sc.D.
University of Illinois at Chicago

Effect of Breast Pumps on the Duration of Breastfeeding . . . . . . . . . . . . 50
Claibourne I. Dungy, M.D., M.P.H.
University of Iowa

Iron Absorption in Infants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Samuel J. Fomon, M.D.
University of Iowa

Breastfeeding Promotion Strategies for Urban WIC Women . . . . . . . . . 60
David M. Paige, M.D., M.P.H.
Johns Hopkins University

Evaluation of the Guidelines for Maternal Transport . . . . . . . . . . . . . . . . 67
Donna M. Strobino, Ph.D.
Johns Hopkins University

Young Adult Users of Services for Children with Special Health Care Needs:
Service Utilization, Psychological Status, and Developmental Tasks . . . . 72
Henry T. Ireys, Ph.D.
Johns Hopkins University

Behavioral Intervention with IUGR Infants . . . . . . . . . . . . . . . . . . . . . . . 77
Cynthia Garcia Coll, Ph.D.
Women and Infants Hospital of Rhode Island

Computerized Screening of Pregnant Women for Nutrition Risk . . . . . . 81
Jane Dianne Gardner, D.Sc.
Harvard School of Public Health

Parent-Focused Intervention to Reduce Pain During Procedures . . . . . . .85
Howard C. Bauchner, M.D.
Trustees of Health and Hospitals of the City of Boston

Preconceptional Vitamin Use and Neural Tube Defects . . . . . . . . . . . . . .91
Allen A. Mitchell, M.D.
Boston University School of Medicine

Study of Psychosocial Factors in Maternal Phenylketonuria . . . . . . . . . .96
Susan E. Waisbren, Ph.D.
Boston Children's Hospital

Predicting Teenage Pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .103
Joel Ager, Ph.D. Wayne
State University

Use of High Calcium Infant Formula to Prevent Plubism . . . . . . . . . . . 106
James D. Sargent, M.D.
Dartmouth College

Predicting Preschool Function from Contingency Intervention . . . . . . . 111
Michael Lewis, Ph.D.; Margaret Wolan Sullivan, Ph.D.
University of Medicine and Dentistry-Robert Wood Johnson Medical School

A Telephone Educational Intervention for Rural Children with Asthma . 116
Shirley Murphy, M.D.
University of New Mexico School of Medicine

Body Composition in Pregnant Women . . . . . . . . . . . . . . . . . . . . . . . . 120
Sally Ann Lederman, Ph.D.
Columbia University

Relationship Between Infant Feeding and Infections . . . . . . . . . . . . . . . 125
David H. Rubin, M.D.
Albert Einstein College of Medicine

Otitis Media in Children and Later Language and Learning . . . . . . . . . .131
Joanne Erwick Roberts, Ph.D.
University of North Carolina at Chapel Hill

Infant Mortality and Socioeconomic Status . . . . . . . . . . . . . . . . . . . . . . 138
Edward G. Stockwell, Ph.D
Bowling Green State University

Early Cortisol Deficiency and Bronchopulmonary Dysplasia . . . . . . . . 142
Kristi Watterberg, M.D.
Pennsylvania State University

Reduction of Risk for Hypertension in Urban Adolescents . . . . . . . . . .146
Bonita Falkner, M.D.
Medical College of Pennsylvania

Single Parents and Early Intervention Programs:
Participation and Goodness of Fit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151
C. Wayne Jones, Ph.D.; Donald G. Unger, Ph.D. (University of Delaware)
Philadelphia Child Guidance Clinic

Familial Adaptation to Developmentally Delayed Children . . . . . . . . . . 156
Mark T. Greenberg, Ph.D.
University of Washington

Prevention of Drowning of Young Children . . . . . . . . . . . . . . . . . . . . . .160
Frederick P. Rivara, M.D., M.P.H.
University of Washington

Infant Temperament: Stability and Change in Rural Appalachia . . . . . . .165
Margaret Fish, Ph.D.
Marshall University School of Medicine

Appendixes

Cumulative List of Publications
from Completed Projects, 1987-96 . . . . . . . . . . . . . . . . . . . . . . . . . . .171

Final Reports Available through the National Technical
Information Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .257

Healthy People 2000 Objectives Addressed by Completed
Projects 1994-96 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .291

Indexes

Project Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .301

Subject Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 303

Pages 169 through 256 - 702k

Pages 257 through 289 - 702k

Pages 290 through 297 - 671k

Pages 299 through 304
and Index- 92k