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Discover the fascinating stages of prenatal development from conception to birth, including the formation of a zygote, embryonic and fetal periods, teratogens effects, and the labor process. Learn about multiple births and the challenges neonates face during birth.
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Prenatal Development Germination Stages of Prenatal Development Neonates
Germination Humans start off as a single cell organism: • Gametes: The male/female reproductive cells • Zygote: Formed an hour after the sperm enters the ovum when the two gametes fuse • Genes: Blueprints for creating a person • 25,000 of them • Composed of DNA molecules _______________________________________________________________ Deoxyribonucleic Acid: (DNA) • Located along 46 chromosomes which are organized in 23 pairs. • Each parent provides 23 chromosomes. • Possible combinations are limitless. • Nearly all of the cells of the body will contain the same 46 chromosomes as the zygote.
Prenatal Development Typically divided into Trimesters: • First: Conception to 3 months • Second: 3 to 6 months • Third: 6 to 9 months
Prenatal Development Conception • Occurs the moment a sperm cell fertilizes the ovum (egg cell), forming a single-celled zygote.
Prenatal Development Three Stages of Prenatal Development: • Germinal (2 weeks) • Begins with conception. • Takes place in one of the fallopian tubes. • Zygote travels to the uterus and attaches itself to the uterine wall. • Rapid cell division occurs • Once the zygote is successfully attached the germinal stage is over.
Prenatal Development • Embryonic (6 weeks) • Developing embryo forms all the major body systems, organs, and structures. • Lasts from the beginning of week 3 through week 8. • Begins when the zygote attaches itself to the uterine wall. • Ends when the first bone cells form. • 1 inch long and weighs 1/7 of an ounce. • Embryo already resembles a human being.
Prenatal Development • Fetal (38 weeks) • Lasts from week 9 (when first bone cells form) until birth. • Experiences rapid growth and further development of body structures, organs, and systems.
Prenatal Development • Teratogen (any agent that causes birth defects): • Drugs (prescription, nonprescription) • Alcohol, tobacco • Environmental pollutants • Infectious diseases • Nutritional deficiencies • Maternal stress • Advanced age of a parent • Severity of damage to the unborn depends on: • Dose • Time of exposure • Genetic susceptibility
Teratogens and Timing of Their Effects on Prenatal Development Zygote Embryonic period (wks) Fetal Period (wks) Central nervous system Heart Arms Most serious damage from teratogens in first 2-8 wks Eyes Legs Ears Teeth Palate Period of susceptibility to structural defects External genitalia Period of susceptibility to functional defects
Multiple Births Less than 3% of all cases result in twins • Any more is far less Two types of twins: • Monozygotic (Maternal twins): Identical • Dizygotic (Fraternal): Completely different individuals Mothers carrying multiple children run a higher risk of premature delivery and birth complications.
Neonates Labor: The Process of Birth Begins • Oxytocin: • Released by the mother’s pituitary gland. • When the concentration of oxytocin is high enough, mother’s uterus begins periodic contractions. • Braxton-Hicks Contractions: (After 4th month) • False labor • Contractions will eventually get strong enough to force the fetus down the birth canal until the baby enters the world.
Neonates:The Stages of Labor Most labors take 16-24 hours for firstborn children. • Duration of labor can vary depending on mother’s: • Age • Race • Ethnicity • Number of prior pregnancies
Neonates:The Stages of Labor Stage 1: (Longest stage) Labor • Uterine contractions every 8-10 minutes • Last 30 seconds • Toward the end contractions occur every 2 minutes • Last 2 minutes • As the contractions increase the cervix (separates uterus from the vagina) becomes wider • Eventually expanding to allow the baby’s head to pass through • Transition: Final part of the first stage • Fully opened cervix is usually around 10cm
Neonates:The Stages of Labor Stage 2: (Approx. 90 min) Delivery • Episiotomy: Incision made to increase the size of the vagina to help in stretching • Baby’s head emerges from the mother • Stage ends when the baby has completely left the mother • The placenta is still inside the mother at the end of this stage
Neonates:The Stages of Labor Stage 3: (Quickest stage) Afterbirth • Expelling of the umbilical cord and placenta (afterbirth) • Lasts just a few minutes • In most cases once a baby makes it outside they spontaneously cry, which helps them to clear their lungs of fluid • If they don’t the child may need to be stimulated or startled to make it cry • If it still does not: • Immediate life saving attention may be necessary
Neonates:Apgar Scale Rhythm: • Repetitive, cyclical pattern of behavior. • Important way that behavior can become integrated in the neuronal system and aide in the learning • Circadian Rhythm State: • Degree of awareness that an infant displays to both internal and external stimulation. • Alertness, fussing, crying, and different levels of sleep. • How much stimulation is necessary for a reaction
Neonates:Apgar Scale Apgar Scale Defined: A standard measurement system that looks for a variety of indications of good health in newborns. • Evaluates 5 basic qualities: • Appearance (color) • Pulse (heart rate) • Grimace (reflex irritability) • Activity(muscle tone) • Respiration (respiratory effort) Scoring: • From 0-2 on each of the five qualities • Score total ranges from 0-10 • Prognosis: • Score from 10 down to 8 means that the child is fine • Score from 7 down to 4 will most probably need help to start breathing • Score less than 4 means that the child needs immediate life-saving attention