Please respond to the discussion questions below. Each response should be 200-300 word count for a total of 500 word minimum.
Kathleen Stassen Berger
Part I
Prenatal Development and Birth
Chapter Four
- From Zygote to Newborn
- Risk Reduction
- Birth
From Zygote to Newborn
- Prenatal development is divided into three main periods:
- germinal period (0-2 weeks)
- embryonic period (3-8 weeks)
- fetal period (9 weeks-birth)
- germinal period:
- first two weeks of prenatal development after conception
- Characterized by rapid cell division and the beginning of cell differentiation.
Germinal: The First 14 Days
- embryonic period:
- approximately the third through eighth week after conception
- all body structures, including internal organs, begin to develop
- fetal period:
- stage of prenatal development from ninth week after conception until birth, during which the organs grow in size and mature in functioning
Germinal: The First 14 Days
- implantation:
- process in which developing organism burrows into placenta that lines uterus
- placenta:
- organ that surrounds developing embryo and fetus, sustaining life via the umbilical cord
- Embryo:
- name for a developing human organism from about the third through the eighth week after conception
Embryo: From the Third Through the Eighth Week
- The developing organism is called a fetus from the start of the ninth week after conception until birth.
- during the fetal period the fetus develops from tiny, sexless creature to a 7 1/2-pound, 20-inch boy or girl
Fetus: From the Ninth Week Until Birth
- At the end of the third month, the fetus has all its body parts.
- Weighs approximately 3 ounces, and is about 3 inches long.
- Early prenatal growth is very rapid, but there is considerable variation from fetus to fetus, especially in body weight.
The Third Month
- In the fourth, fifth and sixth months:
- heartbeat becomes stronger
- cardiovascular system becomes more active
- brain increases about six times in size
- age of viability:
- Age at which a fetus can survive outside the mother’s uterus if specialized medical care is available.
- about 22 weeks after conception
- In the final three months of prenatal life:
- brain waves indicate responsiveness.
- lungs expand and contract, using the amniotic fluid as a substitute for air.
- heart valves, arteries, and veins circulate the fetal blood.
Risk Reduction
- teratogens: agents and conditions that can:
- harm the prenatal brain
- impairing the future child’s intellectual and emotional functioning
- Once it was thought the placenta screened out all harmful substances.
- Doctors on an Australian military base traced an increase in blindness among newborns to rubella (German measles) contracted by pregnant women a few months earlier.
- Realized that some diseases during pregnancy could harm a fetus.
Determining Risk
The effort to understand what triggered such damage gave rise to:
- teratology: science of risk analysis, the study of birth defects
- risk analysis: to determine likelihood of harm, science of weighing the potential effects of a particular:
- event
- substance
- experience
Timing of Exposure
- Second important factor is the dose and/or frequency of exposure.
- threshold effect: situation in which a certain teratogen is relatively harmless in small doses but harmful once exposure reaches certain level (the threshold)
- interaction effect: result of a combination of teratogens
- Sometimes risk is greatly magnified when embryo or fetus is exposed to more than one teratogen at the same time.
Genetic Vulnerability
- Several lines of evidence suggest that genes may be crucial.
- Dizygotic twins, exposed to same teratogens but have only half their genes in common, are born with different abnormalities.
- Suggests both protective and vulnerable genes.
- Cleft lip, cleft palate, club foot more common in some families.
- Suggests genetic vulnerability.
Protective Measures
- Impact of teratogens cannot be predicted before mid-pregnancy.
- Some pregnant women are exposed to the tetragons with no evident harm.
- Some defects occur even thought the woman avoids all known tetragons while pregnant.
A View From Science
- Alcohol in high doses is a proven teratogen.
- 40 years ago drinking during pregnancy was believed to be harmless.
- Obstetricians noted that some patients who drank heavily while they were pregnant had babies with distorted faces.
- fetal alcohol syndrome (FAS)
- fetal alcohol effects (FAE)
- fetal alcohol syndrome (FAS): cluster of birth defects, including:
- abnormal facial characteristics
- slow physical growth
- retarded mental development
- fetal alcohol effects (FAE): condition in which child has been exposed to alcohol before birth
- has some signs of fetal alcohol syndrome but does not meet all the criteria
Benefits of Prenatal Care
- Tests done during pregnancy can diagnose problems early on, and remedies can be put in place in some instances.
- sonogram: image of unborn fetus (or an internal organ) produced by high-frequency sound waves (ultrasound)
- For full-term fetus and a healthy mother, birth can be simple and quick.
The Newborn’s First Minutes
- Most newborns begin to breathe as soon as their head emerges.
- first breath causes infant’s color to change
- eyes open wide
- the tiny fingers grab
- toes stretch and retract
- mucus in the baby’s throat is removed
- umbilical cord is cut to detach the placenta
- placenta is expelled
Apgar scale: quick assessment of newborn’s condition including:
- the baby’s color
- heart rate
- reflexes
- muscle tone
- respiratory effort
Medical Intervention
- about 31% of births in the U.S. are cesarean section, (also called c-section)
- incision through mother’s abdomen and uterus to allow fetus to be removed quickly, instead of being delivered through the vagina
Birth In Developing Nations
- In the U.S. only 1% of births take place at home.
- Worldwide most births occur at home.
- doula- a woman who helps with the birth process
- also helps with breastfeeding and newborn care.
- anoxia:
- lack of oxygen that can cause brain damage or death to the baby
- means “no oxygen”
- cerebral palsy:
- disorder that results from damage to brain’s motor centers
- People with cerebral palsy have difficulty with muscle control, so their speech and body movements are impaired.
Anoxia
- Average weight of a newborn is 7½ lbs.
- low birthweight (LBW): a body weight at birth of less than 5½ lbs.
- very low birthweight (VLBW): a body weight at birth of less than 3 lbs, 5oz.
- extremely low birthweight (ELBW): a body weight at birth of less than 2 lbs, 3 oz.
Low Birthweight (LBW)
- preterm birth: occurs 3 or more weeks before full 38 weeks of a typical pregnancy
- Preterm babies are typically (but not always) LBW because they miss final weeks of weight gain.
- small for dates or small for gestational age (SGA)- birth weight is lower than expected given the time of conception.
Social Support
- The developing person is affected by quality of:
- medical care
- education
- culture
- social support
- Fathers and other relatives, neighbors, cultures, and, clinics can reduce risk of birth complications
Mothers, Fathers, and a Good Start
- Birth complications can have a lingering impact on the new family, depending partly on:
- sensitivity of hospital care
- the home
- To reduce stress on an infant who has to stay in the hospital, parents are encouraged to help with early caregiving.
- kangaroo care: form of child care in which the mother of a low-birthweight infant spends at least an hour a day holding the baby between her breast, like a kangaroo
Help from Fathers
- Fathers can be crucial in the effort to produce a healthy baby.
- Supportive father-to-be helps a mother-to-be:
- stay healthy
- well nourished
- drug-free
- parental alliance: cooperation between a mother and a father based on mutual commitment to their children
- Parents agree to support each other in their shared parental roles.
- new mother’s feelings of inadequacy and sadness in days and weeks after giving birth including:
- irritability
- eating disruptions
- sadness
- feeling overwhelmed and inadequate
- affects 10-15% of women
Postpartum Depression
- parent-infant bond: strong, loving connection that forms as parents hold, examine, and feed newborn
- cross-fostering: newborns are removed from their biological mothers in first days of life and raised by another female or even male
Bonding