This report contains selected presentations from the 1993 Urban Maternal and Child Health Leadership Conference. Following welcoming remarks by Carolyn Slack, two presentations discuss improving urban maternal and child health (MCH) linkages. "Pittsburgh's Alliance for Infants," by Virginia Bowman, describes a comprehensive in-home follow-up program serving very low birthweight babies and their families. "The Case of Orange County, California's 'Child Health Network,' A Public/Private Partnership," by Len Foster, Anthony R. Edmonds and David Ward, discusses the Child Health and Disability Prevention Program. It describes the treatment unit of the program and also includes comments by one of the health care providers participating in the program. The next two presentations focus on the role of urban health departments in Medicaid managed care. "Publicly Funded Managed Care and Children's Health, An Urban Perspective," by Magda G. Peck addresses some of the issues and concerns associated with managed care programs. "Lessons from Boston, Massachusetts," by Lillian Shirley relates experience with Medicaid managed care in Boston, Massachusetts. Conference closing remarks are by Kathy Carson. The second section of the report presents profiles of successful urban MCH programs. It includes profiles of urban health department initiatives from over 90 cities in the United States. This section also includes conference profiles in the following categories: (1) improving outcomes of pregnancy; (2) improving access to health care; (3) improving primary and preventive care for children; (4) improving primary and preventive care for adolescents; (5) reducing and treating substance abuse; and (6) improving urban public health systems. More specific conference information is covered in 4 appendices: the planning committee, the program, participating Urban MCH leaders, and participating co-sponsors, speakers and guests. (TJQ)