This study examined the cognitive functioning in 236 infants at 8 and 18 months of age. Thirty-seven infants were heavily exposed to cocaine in-utero, 30 were lightly exposed, and 169 were not exposed to cocaine. Cognitive functioning was evaluated with the Bayley Scales of Infant Development (2nd ed.; N. Bayley, 1993) at both ages. Infant information processing was also assessed with an infantcontrolled habituation procedure. Results indicated that (a) infants of cocaine-abusing women had higher neonatal medical and environmental risk scores; (b) at 8 months, exposure groups did not differ in Psychomotor Development Index, Mental Development Index (MDI) scores, or recovery to a novel stimulus; and (c) infants heavily exposed to cocaine or high environmental risk had a decrease in MDI scores from 8 to 18 months. These results were obtained when neonatal medical and environmental risk, as well as polydrug exposure, were controlled.In examining whether prenatal exposure to cocaine impairs later cognitive functioning, research on humans continues to provide equivocal results. The ambiguous nature of outcome findings is due to methodological problems typically associated with behavioral toxicology research. In studies in which researchers are attempting to find relations between prenatal cocaine and some aspect of postnatal development, researchers must contend with a host of methodological problems, including (a) the potential confounding effects of other substances of abuse and poor maternal health and nutrition, (b) sensitive and valid measurement of infant outcome behaviors, and (c) differential effects of the postnatal child-rearing environment (e.g.,