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ABSTRACT

This is a two-year report of evening clinics for Hispanic and Black adolescents in the South Bronx, New York City. The majority of the article reports on the prenatal clinic, designed and administered by the midwives, for low-risk teen-agers. These sessions gave equal time to education and patient care management. Definite elements of success were good nutrition with liberal weight gains and continuity of care via midwifery caseloads. Highlights of data obtained from 204 delivered mothers were an average maternal weight gain increasing to 27.9 lb, the average newborn weight increasing to 7 lb 12 oz, low birth weights decreasing to 6.3%, and an average intrapartum hematocrit of 35.8%.

The problems and challenges of parenting and family planning are also discussed.