Psyc 221 (Prenatal Development and Birth - 2)

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PSYC221: PRENATAL DEVELOPMENT AND BIRTH (2)

SUBSTANCE-RELATED PROBLEMS IN > ILLEGAL DRUGS


PRENATAL DEVELOPMENT • Marijuana
• Teratogen: Any environmental agent that has the + shorter, weigh less, lower IQ at age 6
potential to damage the fetus when exposure
occurs during the prenatal period • Heroin and methadone

+ E.g.: radiation, alcohol, tobacco, illegal drugs, + born addicted


prescription and over-the-counter drugs + if cared well by age 2, good development
• “teras”: malformation, monstrosity • Cocaine
• The extent of harm depends on the following + placental problems, premature labour
factors
+ mothers: poor, abuse multiple substances ->
+ Timing effect of cocaine or something else?
+ Dose and duration of exposure > TOBACCO
> Some Important Teratogens and Their Effects • slower growth in the womb

• lower weight at birth

• higher rates of learning problems and antisocial


behaviour

> ALCOHOL
+ mounting evidence for detrimental effects
+ can adversely affect an ovum prior to ovulation or
Prescription and over-the-counter drugs during its journey in the fallopian tube
+ can adversely affect a zygote prior to
implantation

Fetal alcohol spectrum disorder (FASD)

- The Timing of Teratogen Exposure

E.g.: Thalidomide
• 1960s in
Canada, Europe,
and South • A term encompassing a range of physical, mental,
America and behavioural outcomes caused by prenatal
alcohol exposure
• Permanent birth defects > The Apgar Scale
• More common than Down syndrome

• Consequences:

+ Growth deficiencies
+ Facial abnormalities
+ Brain damage

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MUSTAFA BAYRAM

MATERNAL INFLUENCES AND FETAL


HEALTH
1) Maternal diseases
• Rubella, HIV, Sexually Transmitted Diseases
(STDs)
2) Other maternal influences
• Diet, Age, Chronic illness, Environmental hazards

• Maternal emotions

+ Antenatal and Postnatal Depression

BIRTH AND THE NEONATE


• Assessing the neonate:

+ Apgar scale
+ Brazelton Neonatal Behavioral Assessment
Scale
+ Why is neonatal assessment important?

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