Professional Documents
Culture Documents
Prenatal Development and Birth
Prenatal Development and Birth
Prenatal Development and Birth
Chapter 4
Prenatal Development
Conception
Prenatal Stages
Teratogens
Mother’s State
Father State
Perinatal Environment
Possible Hazards
Neonatal Environment
Breast or Bottle
PRENATAL STAGES
Germinal Stage (Fertilization to 2 weeks): zygote division, zygote becomes more complex and
implanted on the uterus wall
STAGES OF PRENATAL DEVELOPMENT: EMBRYONIC STAGE
2 to 8 weeks
Organs and major body systems (respiratory, digestive, and nervous) develop rapidly:
Organogenesis
8 weeks to birth
Exposure to teratogen (environmental agent, virus, drug, or radiation that can interfere with
normal prenatal development)
Birth complications
Strenuous working conditions, occupational fatigue, and long working hours may be associated
with greater risk of premature birth
DRUG INTAKE
NICOTINE
Increased risk of miscarriage, growth retardation, stillbirth, small head circumference, sudden
infant death, colic, long term respiratory, neurological, cognitive, attentional, and behavioral
problems
CAFFEINE
Four or more cups of coffee a day during pregnancy may increase the risk of sudden death in
infancy
Sparse studies on pregnant women smoking marijuana: birth defects, low birth weight,
withdrawal-like symptoms at birth
Cocaine: associated with spontaneous abortion, delayed growth, premature labor, low birth
weight, small head size, birth defects, and impaired neurological development
METHAMPHETAMINE
Methamphetamine-exposed infants were more likely to have low birth weight and small for
their gestational age
Implicated in fetal brain damage to areas of the brain involved in learning, memory, and control
MATERNAL ILLNESSES
Aids: disease caused by human immunodeficiency virus (HIV); may cross over to the fetus’s
bloodstream through placenta during pregnancy, labor, or delivery, or, after birth, through
breast milk
MATERNAL ILLNESS
Rubella: if contracted by 11th week, almost certain to cause deafness and heart defects in her
baby
Toxoplasmosis: caused by parasite harbored in the bodies of cattle, sheep, and pigs and in
intestinal tracts of cats; symptoms similar to the common cold
Levels of positive and negative stress showed signs of accelerated neurological development
MATERNAL AGE
Women 30 to 35: more likely to suffer complications from diabetes, high blood pressure, or
severe bleeding
MATERNAL AGE
Birth defects
Air pollution
Chemicals
Radiation
PATERNAL FACTORS
Exposure to lead, marijuana or tobacco smoke, large amounts of alcohol or radiation, DES,
pesticides, or high ozone levels may result in abnormal, poor-quality sperm
PRECONCEPTION CARE
Counseling: women to avoid smoking and alcohol, maintain body weight, and take folic acid
supplements
60 million women deliver at home each year without benefit of skilled care
More than 500,000 women and 4 Million newborns died in or shortly after birth
BIRTH PROCESS
Uterine contractions that expel the fetus: begin 266 days after conception as a tightening of the
uterus
STAGES OF CHILDBIRTH
Dilation of cervix
Vaginal Delivery: delivery through the vagina. Also known as natural birth
Cesarean Delivery: can be used to surgically remove the baby rom the uterus through an incision
in the mother’s abdomen
NATURAL CHILDBIRTH
Natural Childbirth: method of childbirth that seeks to preven pain by eliminating the mother’s
fear through education about the physiology of reproduction and training in breathing and
relaxation during delivery
PREPARED CHILDBIRTH
Method of childbirth that uses instruction, breathing exercises, and social support to induce
controlled physical responses to induce controlled physical responses to uterine contractions
and reduce fear and pain
LAMAZE METHOD
Teaches expectant mothers to work actively with their bodies through controlled breathing
ANESTHESIA
Pudendal Block: vaginal anesthesia given usually during the 2 nd stage of labor or if forceps are
used
Analgesic: reduces perception of pain by depressing activity of the central nervous system
Epidural/Spinal Injection: regional anesthesia is injected into a space in the spinal cord between
the vertebrae in the lumbar (lower region), blocks the nerve pathways that carry the sensation
of pain to the brain
DOULA
Can furnish emotional support and information and can stay at a woman’s bedside throughout
labor
First few days: lose as much as 10% body weight from loss of fluids
Begin to gain weight on 5th day and generally back to birth weight by 10 th to 14th day
Fontanels: where bones of skull do not meet; soft spots; covered by tough membrane that
allows for flexibility in shape (easier to go through vaginal canal)
First 18 months, plates of skull gradually fuse together
Pinkish cast: skin is thin it barely covers capillaries through which blood flows
Vernix caseosa: cheesy varnish; oily protection against infection that dries quickly within days
Most of the work for transition from mother to baby occurs during first 4 to 6 hours of birth
During pregnancy:
Fetus gets oxygen through umbilical cord: carries used blood and returns a fresh supply
Blood pressure does not stabilize until about 10 days after birth
BREATHING
If neonate does not breathe within 5 minutes, baby may suffer permanent brain injury
Anoxia/Hypoxia
May happen as a result of repeated compression of the placenta and umbilical cord with
each contraction
Form of birth trauma can leave permanent brain damage, causing mental retardation, behavior
problems, or even death
When bowels and bladder are full, sphincter muscles open automatically; baby will not
be able to control these muscles for many months
NEONATAL JAUNDICE
Not serious, does not need treatment, and has no long-term effects
APGAR SCALE
Appearance (Color)
Respiration (breathing)
APGAR SCORE
Used to help parents, health care providers, and researchers assess behavior
Takes 30 minutes
Motor organization: activity level and ability to bring hand to the mouth
Reflexes
State Changes: irritability, excitability, ability to quiet down after being upset
Attention and interactive capacities: general alertness and response to visual and auditory
stimuli
Phenylketonuria PKU: will become mentally retarded unless they are fed a special diet in the
first 3 to 6 weeks of life
Small-for-date (small-for-gestational age) infants: born at or around their due dates but are
smaller than would be expected
Delayed childbearing
Multiple births
Birth weight
Length of gestation
Nervous systems may be too immature for them to perform functions basic for survival (sucking)
ISOLETTE
KANGAROO CARE
Method of skin-to-skin contact in which a newborn is laid face down between the mother’s
breasts for an hour or so at a time after birth
Help preemies and full-term infants make adjustment from fetal life to the jumble of sensory
stimuli in the outside world
Reduce stress on the central nervous system and help with self-regulation of sleep and activity
LONG-TERM OUTCOMES
Greater likelihood for cerebral palsy, mental retardation, autistic disorders, and low educational
and job related income levels
DOCOSAHEXAENOIC ACID
If fed high doses of fatty acids through milk (breast or formula) showed better mental
development at 18 months
SUPPORTIVE ENVIRONMENT?
Physical and psychological development of children who had suffered low birth weight or other
birth complications were seriously impaired ONLY when children grew up in persistently poor
environmental circumstances
Chronic Poverty
Family Discord
Divorce
PROTECTIVE FACTORS
Individual attributes
Energy
Sociability
Intelligence
Affectionate ties
Rewards at school, work, or place of worship that provide a sense of meaning and control over
one’s life
POSTMATURE BABIES
Tend to be long and thin because they have kept growing in the womb but have had an
insufficient blood supply toward the end of gestation
STILLBIRTH
Infant mortality rate: proportion of babies who die within the first year
Sudden Infant Death Syndrome: Crib Death; sudden death of an infant under age 1, cause of
death, unexplained
Unintentional injuries
Traffic accidents
Drowning
Burns
Measles
Polio
Dengue?
PRINCIPLES OF DEVELOPMENT
Cephalocaudal Principle: Development proceeds in a head-to-tail direction; upper parts of the
body develop before lower parts of the trunk
PRINCIPLES OF DEVELOPMENT
Proximodistal Principle: development proceeds from within to without; parts of the body near
the center develop before the extremes
GROWTH PATTERNS
Children grow faster during the first 3 years especially during the first 3 months
As a baby grows into a toddler, a 3-year-old is more slender, not as chubby and pot-bellied as a
1 year old
Quality of relationship between parent and child: provision of affection and cuddling
BREAST-FEEDING
ACCEPTABLE ALTERNATIVES
Iron-fortified formula based on cow’s milk or soy protein and contains supplemental vitamins
and minerals
BREASTFED BABIES
Better visual acuity, neurological development, and long-term cardiovascular health, including
cholesterol levels
BREASTFED MOTHERS
Enjoy quicker recovery from childbirth with less risk of postpartum bleeding
More likely to return to their prepregnancy weight and less likely to develop
Healthy babies should consume nothing but breast milk or iron-fortified formula for the first 6
months
Iron-enriched solid foods beginning with cereals introduced gradually during 2 nd half of the 1st
year
Beginning about 3 weeks after conception, gradually develop from a long hollow tube to a
spherical mass of cells
Growth spurt of spinal cord and brain stem (responsible for breathing, heart rate, body
temperature, and sleep-wake cycle)
BABY CEREBELLUM
Part of the brain that maintains balance and motor coordination grows fastest during the 1 st
year of life
CEREBRUM
Largest part of the brain, divided into right and left halves, or hemispheres, each with
specialized functions (lateralization)
HEMISPHERES
Corpus callosum: joins the two hemispheres which allows them to share information and
coordinate commands
LOBES/SECTIONS OF EACH CEREBRAL HEMISPHERE
Parietal lobe: involved with integrating sensory information from the body, helps move our
bodies through space an manipulate objects in our world
Temporal lobe: helps us interpret smells and sounds and is involved in memory
Frontal lobe: newest region of the brain, involved with a variety of higher order processes: goal
setting, inhibition, reasoning, planning, and problem solving
That govern vision, hearing, and other sensory information grow rapidly within the first few
months after birth
Those responsible for abstract thought, mental associations, remembering, and deliberate
motor responses grow very little during this period and remain immature for several years
That begins at about the 3rd trimester or gestation and continues until at least the 4 th year of life,
important to the development of neurological functioning
BRAIN CELLS
Glia/Glial cells: nourish and protect the neurons; support system for our neurons
BRAIN CELLS
Beginning 2nd month of gestation, estimated 250,000 immature neurons produced every minute
through cell division (mitosis)
At birth: most of the more than 100 billion neurons in a mature brain are already forms but not
yet fully developed
Number of neurons increases most rapidly between 25 th week of gestation and first few months
after birth
NEURONS IN CORTEX
Multiplication of dendrites and synaptic connections, especially during the last 2 ½ months of
gestation and first 6 months to 2 years of life, accounts for much of brain’s growth that permits
the emergence of new perceptual, cognitive, and motor abilities
Integration: neurons that control various groups of muscles coordinate their activities
CELL DEATH
A way to calibrate the developing brain to the local environment and help it work more
efficiently
Process begins during the prenatal period and continues after birth
MYELINATION
Process of coating neural pathways with a fatty substance called myelin, which enables faster
communication between cells
MYELINATION
Begins about halfway through gestation in some parts of the brain and continues into adulthood
in others
Visual pathways begins at birth an continues during the first 5 months of life
EARLY REFLEXES
Reflexes that continue to serve protective functions remain (blinking, yawning, coughing,
gagging)
PRIMITIVE REFLEX
Sucking
POSTURAL REFLEX
LOCOMOTOR REFLEXES
Resemble voluntary movements that do not appear until months after the reflexes have
disappeared
PLASTICITY
PLASTICITY
Enables learning
Individual differences in intelligence reflect in the brain’s ability to develop neural connections in
response to experience
Early experience can have lasting effects on the capacity of the central nervous system to learn
and store information
ROMANIAN ORPHANS
Spent much of their time quietly laying in their cribs or beds with nothing to look at
Preference for pleasant odors learned in utero and during first few days of birth
BINOCULAR VISION
MOTOR DEVELOPMENT
Milestones: achievements that develop systematically, each newly mastered ability preparing a
baby to tackle the next
MOTOR DEVELOPMENT
Used to chart progress between ages 1 month and 6 years to identify children who are not
developing normally
Within first 2 to 3 months, can lift their heads higher and higher
SOCIAL REFERENCING
They learn to look to caregivers for clues as to whether a situation is secure or frightening
Sensory perception: enables infants to learn about themselves and their environments
Visual guidance: use of eyes to guide the movement of hands or other parts of the body
DEPTH PERCEPTION
Depends on several kinds of cues that affect image of object on the retina of the eye
HAPTIC PERCEPTION
Enables babies to respond to such cues as relative size and differences in lecture and shading
Ester Thelen
Motor development is a dynamic process of active coordination of multiple systems within the
infant in relation to the environment