ABSTRACT

Transforming Infant Wellbeing brings together science and policy to highlight the critical importance of the first 1001 days of infancy: the period from conception to the second birthday. Introduced and edited by Penelope Leach, who uniquely combines academic knowledge of infant development with the ability to write about it for wide audiences, the book has at its heart 25 original articles by acknowledged experts in different aspects of infant health and development. Brought together, they showcase innovative science and best practices to a wide range of readers: to scientific colleagues in different disciplines; to politicians and policy makers; to local authority commissioners and specialist advisors, statutory and voluntary organisations and parents.

This book has a two-fold purpose in science and in social policy. First, to collect new papers by leading scientists in a single volume, which ensures they reach a broad audience. Second, by introducing and commenting on the significance of these new findings, the book highlights both the benefits that accrue to society when it acts accordingly, and the costs, financial and social, of our failure to do so.

In the last 50 years, interest in infant development and especially maternal and infant mental health has burgeoned. A large number of issues at the forefront of child development research mirror those of yesterday, but the research brought to bear upon them has transformed. Thanks largely to technological and statistical advances, we now know a great deal that researchers of earlier generations could only surmise. However, increasing knowledge of infancy has not been matched by an increasing impact on parents and professionals, politicians and policy makers. Bringing contemporary studies involving pregnancy, birth, infancy and toddlerhood together, along with the undisputed evidential findings that flow from them, large gaps between what is known and what is done become apparent. By focusing on what can be done to fill those gaps, Transforming Infant Wellbeing renders inescapable the need to rethink current priorities. It represents essential reading for researchers, parents and policy makers of infancy.

part I|16 pages

Issues in infant wellbeing

part II|236 pages

Evidence

section A|49 pages

Early experiences and later outcomes

chapter 3|9 pages

Circuits and circumstances

Importance of earliest relationships and their context

chapter 4|9 pages

Attachment theory

Research and application to practice and policy

chapter 5|10 pages

Maternal representations in pregnancy

Importance of the mothers’ relationship with their unborn babies

chapter 6|9 pages

Keeping the baby in mind

New insights into the link between maternal childhood trauma, mental health problems in pregnancy and outcomes for the child

section B|50 pages

Perinatal risk factors with demonstrable long-term ill-effects

chapter 9|17 pages

Stacked odds

How social background can stifle early child potential

chapter 10|9 pages

Antenatal and postnatal mental health problems

Prevention and treatment

chapter 12|10 pages

Birth trauma

section C|58 pages

Policies with potential to reduce risks and improve outcomes

section D|78 pages

Specific programmes demonstrating improved outcomes

chapter 19|10 pages

Child protection in the community

Recognising and responding to signs of child neglect

chapter 21|10 pages

Fathers in the perinatal period

Taking their mental health into account

chapter 23|14 pages

Video interaction guidance

Promoting secure attachment and optimal development for children, parents and professionals

chapter 24|15 pages

‘Life is like a box of chocolates’

Interventions with special-needs babies

part III|26 pages

Action

chapter 25|6 pages

Themes arising

chapter 26|11 pages

Norfolk Parent-Infant Mental Health Attachment Project (PIMHAP)

Working towards integration in attachment, mental health and social care