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The population In the core of United States eitles contain many multiproblem famllies with an infant mortality rate so high, it approaches that of developing countries. Surviving infants of this population suffer a multitude of neurologic deficits, including epilepsy, cerebral palsy, mental retardation and paralysis. Studies, which have attempted to correlate this poor reproductive performance with the quality and/or quantity of maternal nutrition, generally have been negative. One study even proclaims that with the hist<bry of one poor pregnancy outcome, increased Ingestion of protein will negatively impact on a subsequent pregnancy. At the Deaconess Division of the Buffalo General Hospital9 we observed an unacceptable perinatal mortality of 4 0 . 6 per 1000 live births for 1976.

A Multiphasic Prenatal Program to Improve the Pregnancy Outcome in High Risk Patients in a United States City