ADDENDUM TO AN AGREEMENT BETWEEN
               ASPO/LAMAZE AND MEDICAL COMMUNICATIONS CORPORATION

         This Addendum is entered into between the AMERICAN SOCIETY FOR
PSYCHOPROPHYLAXIS IN OBSTETRICS, INC. ("ASPO/Lamaze") and LIFETIME INSTITUTE FOR
FAMILY EDUCATION, INC. ("Life"), a successor in interest to MEDICAL
COMMUNICATIONS CORPORATION ("MCC")

         WHEREAS, ASPO/Lamaze and MCC, a predecessor to Life, entered into an
October 14, 1989 Agreement between ASPO/Lamaze and Medical Communications
Corporation (the "Agreement"); and

         WHEREAS, Section 20(b) of such Agreement required payment to
ASPO/Lamaze of a royalty equal to three percent (3%) of Gross Revenue per
cassette and Section 20 (c) of such Agreement required payment to ASPO/Lamaze of
an Educational Consulting Fee equal to five percent (5%) of Gross Revenue per
cassette; and

         WHEREAS, throughout the Agreement ASPO/Lamaze has been paid a royalty
at a rate equal to two percent (2%) of Gross Revenue per cassette and an
Educational Consulting Fee at a rate of four percent (4%) of Gross Revenue per
cassette; it is agreed by both parties that this was a correct and complete
payment; and it is the intent of both parties that this level (i.e., 2% royalty
and 4% Educational Consulting Fee) continue in the future;

         NOW, THEREFORE, in consideration of the mutual promises contained
herein and other good and valuable consideration receipt of which is hereby
acknowledged, the parties hereto agree as follows:

1. Section 20(b) of the Agreement shall be revised by substituting for the words
"three percent (3%)" the words "two percent (2%)."

2. The example at Section 20(b) of the Agreement shall be revised by
substituting for the words "royalty of $.156 per cassette" the words "royalty of
$.104 per cassette" and by substituting for the words "$31,200 royalty" the
words "$20,800 royalty."

3. Section 20(c) of the Agreement shall be amended by substituting for the words
"five percent (5%)" the words "four percent (4%)."

4. The Agreement shall continue in full force and effect, as amended herein.
<PAGE>

         IN WITNESS WHEREOF, the undersigned have executed this Agreement
intending to be bound thereby effective October 14, 1989 forward.


                                       AMERICAN SOCIETY FOR PSYCHOPROPHYIAXIS
                                         IN OBSTETRICS, INC


Date:   12/9/92                        By:     /s/ Judith Lathian
      -------------------------              ---------------------------------
                                       Title:  President



                                       LIFETIME INSTITUTE FOR FAMILY EDUCATION,
                                       INC. (successor in interest to MEDICAL
                                       COMMUNICATIONS CORPORATION)

Date:   12/7/92                        By:     /s/ David Diamond
      -------------------------              ---------------------------------
                                       Title:  President

                                       2

Source: OneCLE Business Contracts.