The proceedings reported in this document provide an overview of the trends, needs, and issues in maternal and child nutrition services and present recommendations and action strategies to improve such services. An executive summary presents a total of 28 recommendations and associated strategies which address general areas, women's nutrition for optimal reproductive health, infant nutrition, child nutrition, adolescent nutrition, and nutrition for children with special health care needs. A glossary of acronyms is included. Speeches and panels presented at five plenary sessions by John D. Rockefeller IV, Frank Witter et al., Lori Cooper, David B. McCallum, and Nancy S. Wellman et al. are included in full. Fourteen background papers have the following titles and authors:"Nutrition Services in the Maternal and Child Health Program: A Historical Perspective" (Mary C. Egan et al.); "Societal Trends that Affect Nutrition Status and Services for the Maternal and Child Health Populations" (Milton Kotelchuck et al.); "Women's Nutrition for Optimal Reproductive Health" (Bonnie Worthington-Roberts and Roy M. Pitkin); "Infant Nutrition" (Cutberto Garza and Catherine Cowell); "Child Nutrition" (Johanna Dwyer and Jennifer Arent); "Adolescent Nutrition: Trends and Critical Issues for the 1990s" (Mary Story et al.); "Children with Special Health Care Needs" (Marion Taylor Baer et al.); "Needs Assessment for Nutrition Activities in Maternal and Child Health" (Betsy Haughton et al.); "Planning, Implementation, and Evaluation of Nutrition Programs" (Patricia L. Splett);"Components of Nutrition Services" (Ruth E. Brennan and Mary Nelle Traylor); "Quality Assurance" (Nancy H. Wooldridge and Gaye Joyner); "Personnel for Delivery of Nutrition Services" (Mildred Kaufman); "Financing Nutrition Programs" (Mariel Caldwell); "Economic Analysis of Nutrition Care Within Maternal and Child Health Services" (Doris D. Disbrow and Sharon Ernst). Appendices provide information on national health promotion, disease prevention, maternal and child health objectives, as well as the workshop program. (DB)