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The purpose of this paper is to update the evidence for the long‐term effects of the fetal environment on the later antisocial behaviour of the child, and possible interventions.

The authors present a literature review of recent research on the topic.

Recent research confirms and extends previous conclusions. The emotional state, alcohol use, smoking and drug consumption of the mother during pregnancy all increase the risk of the child developing antisocial behaviour. Prenatal anxiety may contribute 10‐15 per cent of the attributable load to behavioural outcomes. The Nurse Family Partnership programme remains the only intervention to start in pregnancy and show a long‐term reduction in the child's antisocial behaviour. However, several other interventions are likely to be helpful.

Stress, anxiety and depression during pregnancy are frequently undetected by health professionals and left untreated. Programmes to help with this, together with the reduction of smoking and alcohol consumption, should help reduce later criminal behaviour.

This paper aims to update the chapter by Sutton and Murray in Support from the Start by providing an overview of: research linking the development and experiences of infants and toddlers with the risks of later antisocial behaviour; and evidence on effective interventions for children aged 0‐2 and their families.

The authors give a narrative review on the effects on mothers and their babies of postnatal depression.

The review examines the effects on mothers and their babies of postnatal depression, impaired bonding, insecure attachment as well as the impact of maltreatment in childhood. It considers a number of evidence‐based preventive interventions implemented in the UK to help children aged 0‐2 and their parents.

The paper provides an overview of recent evidence for the factors contributing to difficulties for parents of young children and identifies interventions demonstrated in high‐quality studies to prevent or address these problems.

Foetal programming is one of the key mechanisms by which physical and social adversity is biologically embedded during pregnancy. While early interest in such programming focused on the long-term impact of the mother's nutritional state on the child's later physical health, more recent research has identified an increased risk of psychopathology in children of women who have experienced stress, anxiety and depression during pregnancy. The purpose of this paper is to examine the literature addressing the impact of stress in pregnancy and the implications for practice.

An overview of the literature has been provided.

Both anxiety and depression in pregnancy are common, with a prevalence in the region of 20 per cent. Exposure in pregnancy to anxiety, depression and stress from a range of sources (e.g. bereavement, relationship problems, external disasters and war), is associated with a range of physical (e.g. congenital malformations, reduced birthweight and gestational age), neurodevelopmental, cognitive, and emotional and behavioural (e.g. ADHD, conduct disorder) problems. The magnitude is significant, with the attributable risk of childhood behaviour problems due to prenatal stress being between 10 and 15 per cent, and the variance in cognitive development due to prenatal stress being around 17 per cent. A range of methods of intervening are effective in improving both maternal anxiety and depression, and in the longer term should improve outcomes for the infant and child.

This research highlights the importance of intervening to support the psychological wellbeing of pregnant women to improve outcomes for infants and children, and points to the need for further research into innovative ways of working, particularly with high-risk groups of pregnant women.

The paper provides an update of earlier overviews.

THE article which we publish from the pen of Mr. L. Stanley Jast is the first of many which we hope will come from his pen, now that he has release from regular library duties. Anything that Mr. Jast has to say is said with originality even if the subject is not original; his quality has always been to give an independent and novel twist to almost everything he touches. We think our readers will find this to be so when he touches the important question of “The Library and Leisure.”