Prenatal Development and Birth

1. Prenatal Development and Birth Chapter 3 The Development of Children (5th ed.) Cole, Cole & Lightfoot

2. Of all our existence, the 9 months we live inside the womb are the most eventful for our growth and development. Cole, Cole & Lightfoot, p. 72

3. The Study of Prenatal Development The developing organism can be affected by mother-to-be’s health, habits, environment and lifestyle

4. Overview of the Journey • Prenatal Periods • Prenatal Development • Birth – The First Bio-Social-Behavioral Shift

5. Prenatal Periods Germinal period: Conception to attachment (8-10 days later) (single-cell zygote  multi-cell blastocyst) Embryonic period Attachment to end of 8th week all major organs have taken primitive shape, gender is decided. Critical period for problems in development of heart, lungs, brain and nervous system Fetal period (fetus) 9th week (ossification begins) until birth all major organs continue to develop

6. Fetal Development Timeline • 10th week: Intestines in place; breathing and jaw-opening movements • 12th week: Sexual characteristics; well-defined neck; sucking and swallowing movements • 16th week: Head erect and lower limbs well-developed • 5th month: As many nerve cells as it will ever have • 7th month: Eyes open and lungs capable of breathing • 8th month: Many folds of the brain present • 9th month: Brain more developed • Fetus doubles its weight in the final weeks before birth

7. Critical Periods of Fetal Development A fetus is most vulnerable when it is first forming

8. Prenatal Development of the Brain Partner talk: What does optimal brain development require in the first three months of prenatal life?

9. Fetal Sensory Capacities • Sensing motion • Sense of balance at 5 months • Vision • Responds to light (i.e., heart rate changes, increased movement) at 26 weeks • Sound • Responds at 5-6 months • Can discriminate outside sounds, but hears mother’s voice best (i.e., changes in heart rate)

10. Maternal Conditions: Attitudes & Stress Presence of a supportive mate and other family members, adequate housing, and steady employment give a woman a basic sense of security. This appears to enhance the prospects for a healthy baby (Thompson, 1990) • Czech study: At birth, unwanted children weighed less and needed more medical help than children in the control group • Psychological stress during pregnancy is associated with premature delivery and low birth weight (Hedegaard, 1993)

11. Premature Birth: Nutritional Intake Yom Kippur: 24-hour food and water fast by orthodox Jews Partner talk: How important is nutrition? Why?

12. Consequences of Premature Birth • Immaturity of the lungs is the leading cause of death for preemies. They can also have digestion and immunity problems • Premature babies who are normal size for their gestational age stand a good chance of catching up with full-term babies • Some children born prematurely have problems maintaining attention and with visual-motor coordination when they are school age

13. Maternal Conditions: Teratogens Teratogens are everything in the environment that is ingested or breathed in that poisons the fetus. All teratogens lead to birth defects, retardation, and/or mental disturbances to some degree.

14. Agent Orange - a toxic poison! Agent Orange, is an environmental pollutant used during the Vietnam War. It was an herbicide used to kill the jungle vegetation. It caused many, many birth defects! Triclosan (found in many antiperspirants) is Agent Orange!

15. Smoking Increase in rate of spontaneous abortion, stillbirth, and neonatal death Nicotine results in abnormal growth of the placenta Similar effects from second-hand smoke!

16. Alcohol Fetal Alcohol Syndrome Abnormally small head, underdeveloped brain, eye abnormalities, congenital heart disease, joint anomalies, malformations of the face Most serious damage from alcohol caused in first weeks of pregnancy This woman’s story is in National Geographic magazine. It is the ONLY such article in NG! Search “Fetal Alcohol Syndrome”

17. Alcohol Fetal Alcohol Syndrome Brain Normal Brain

18. Drugs • Prescription medication: can pass to the fetus and damage its development • Caffeine: Increased spontaneous abortion and low birth weight • Marijuana: Low birth weight, premature; infants startle easily, have tremors, and sleep problems • Cocaine: Increased stillborn or premature, low birth weight, strokes, birth defects; infants irritable, uncoordinated, slow learners • Methadone & Heroin: Born addicted; likely to be premature, underweight, vulnerable to respiratory illness, tremors, irritable; infants have difficulty attending, poor motor control

19. Infections • Rubella (German measles): Can cause a syndrome of congenital heart disease, cataracts, deafness, and mental retardation in more than half of all babies born to mothers who suffer from the disease during the first 12 weeks of pregnancy • AIDS: Approximately 30% of the babies born to mothers who test positive for the AIDS virus acquire this disease • Also Rhincompatibility, radiation, pollution

20. Birth: The First Bio-Social-Behavioral Shift THIRD STAGE: Delivery of the placenta

21. Assessing Viability - how much life force in is the child? Physical condition:Apgar Scale: rates the strength of the heart, respiration, muscles, reflexes and color within 5 minutes of birth Neurological condition:Brazelton Neonatal Assessment Scale: Includes tests of infant reflexes, motor capacities, muscle tone, capacity for responding to objects and people, capacity to control own behavior, attention These tests are good for determining necessity of medical intervention and indicate the potential for normal development.

22. Parent-Child Relationships • Baby-ness: Prominent forehead; large eyes below horizontal midline of face; round, full cheeks • Baby-ness seems to appeal to adults, to girls of 12 and 14, and boys between the ages of 14 and 16 • Baby-ness creates the emotional responses necessary to form positive and healthy attachments in early infancy.

23. Partner Talk: Get a partner … Pick a number: 1, 2, or 3 … Here are your topics: 1. List as 5 examples of the environment playing a significant role in prenatal development. 2. List some of the expectant parents’ responsibilities toward the health of their developing child. 3. What will you be sure to do, or not do, from now on?