9/2/2014 Prenatal Development and the Newborn Period How Children Develop (3r d ed.) Siegler, DeLoache & Eisenberg Chapter 2 Overview Prenatal Development The Birth Experience The Newborn Infant 1 9/2/2014 Prenatal Development Conception, Developmental Processes, and Early Development Fetal Behavior, Experience, and Learning Hazards to Prenatal Development Conception Results from the union of two gametes, the egg and the sperm Gametes produced through specialized cell division, meiosis: Each has only half the genetic material of all other normal cells in the body 2 9/2/2014 Prenatal Development 1. Ovum (1/175 inch) + Sperm (1/500 inch) = Baby 1. Of 360 million released by male, only 100 reach ovum. Sperm live for 48 hours – they swim for 6 hours, they lie in wait. Sex Differences Begin at Conception Approximately 120 to 150 males are conceived for every 100 females How and why? to the egg than X chromosome sperm Male embryos are miscarried at higher rates, and boys are more vulnerable to developmental disorders and illness 3 9/2/2014 Sex Differences Begin at Conception The Zygote The fertilized egg, or zygote, has a full complement of human genetic material, half from each parent Marks the beginning of the three periods of prenatal development Germinal: Begins with conception and lasts until the zygote becomes implanted in the uterine wall. Rapid cell division takes place. 4 9/2/2014 The Zygote Embryonic: Following implantation, major development occurs in all the organs and systems of the body. Fetal: Continued development of physical structures and rapid growth of the body. Increasing levels of behavior, sensory experience, and learning. Periods of Prenatal Development Germinal (conception - 2 weeks) Embryonic (3 rd - 8th week) Fetal (9 th week - birth) 5 9/2/2014 The Cells Four major developmental processes transform a zygote into an embryo and then into a fetus 1. 2. 3. 4. Cell division results in the proliferation of cells Cell migration is the movement of cells from their point of origin to somewhere else in the embryo Cell differentiation transforms the embryo’s unspecialized stem cells into roughly 350 different types of cells The selective death of certain cells, or apoptosis, also enables prenatal development The Role of Hormones Hormones play a crucial role in sexual differentiation All human fetuses can develop either male or female genitalia, depending on the presence or absence of testosterone One of the many ways in which the fetus acts as an instigator of its own development 6 9/2/2014 The Blastocyst By the 4th day after conception, the zygote arranges itself into a hollow sphere of cells with a bulge of cells, the inner cell mass, on one side The inner cell mass eventually forms into the embryo Protecting the Fetus The placental membrane is a barrier against some, but not all toxins and infectious agents The amniotic sac, a membrane filled with fluid in which the fetus floats, provides a protective buffer for the fetus 7 9/2/2014 The Fetus: An active contributor to its own development By 12 weeks after gestation, most of the movements that will be present at birth have appeared Swallowing amniotic fluid promotes the development of the palate and aids in the maturation of the Pulling in and expelling small amounts of amniotic fluid help the become functional Sensation The sensory structures are present relatively early in prenatal development and play a vital role in fetal development and learning The fetus experiences tactile stimulation as a result of its own activity, and tastes and smells the amniotic fluid It responds to sounds from at least the 6th month of gestation Prenatal visual experience, however, is negligible 8 9/2/2014 Fetal Learning At 32 weeks’ gestation, the fetus decreases responses to repeated or continued stimulation, a simple form of learning called Fetal Learning Newborn infants have been shown to recognize rhymes and stories presented before birth Newborns also prefer smells, tastes, and sound patterns that are familiar because of prenatal exposure 9 9/2/2014 Miscarriage By far the most common misfortune in prenatal development is spontaneous abortion (miscarriage) Around 45% or more of conceptions result in very early miscarriages, and about 15-20% of pregnancies of which women are aware are miscarried The majority of embryos that miscarry very early have Teratogens (Greek: teras – monstrosity): Environmental agents that have the potential to cause harm during prenatal development Timing is a crucial factor in the severity of the effects of potentially harmful agents Many agents cause damage only if exposure occurs during a sensitive period in development 10 9/2/2014 p. 60 Sensitive Periods Teratogens What effects impact of a teratogen? Amount and length of exposure. Genetic make-up of mother and baby. Multiple negative factors (poor nutrition, no medicine). Age of organism at time of exposure. Teratogens include legal as well as illegal substances... 11 9/2/2014 Some Environmental Hazards to Fetus or Newborn p. 62 Prescription and non-prescription drugs Any drug that mother takes affects fetus. Good example is the anti-naseau thalidomide. But, many pregnant women take unprescribed drugs: Aspirin: linked to low birth weight (LBW), infant death, poor motor development…and on and on. Caffeine (heavy use): linked to LBW, miscarriage, irritable and vomiting newborns. 12 9/2/2014 Teratogens Maternal alcoholism can lead to fetal alcohol syndrome (FAS), which is associated with mental retardation, facial deformity, and other problems FAS is the leading cause of mental retardation in western civilization. Teratogens Cigarette smoking during pregnancy is linked to retarded growth and low birth weight Cigarette smoking has also been linked to SIDS (sudden infant death syndrome), although the ultimate causes of SIDS are still unknown Parents can reduce the risk by , putting babies to sleep on their backs, using firm mattresses and no pillows, not wrapping infants in many blankets 13 9/2/2014 Teratogens • cocaine babies born yearly Babies born to cocaine users Physical: Eye, bone, genital, kidney, heart deformities. Babies born to users of heroin & methadone: Physical: LBW, physical defects, breathing problems, drug addicted Psychological: Less attentive, motor development slowed. Marijuana – less is known and mixed findings. Evidence of disturbed sleep, startles, tremors. Maternal Factors The age, nutrition, disease, and stress-level of the mother have an impact on prenatal development Infants born to girls 15 years or younger are three to four times more likely to die before their first birthday than are those whose mothers are in their 20s Inadequate nutrients or vitamins such as folic acid can have dramatic consequences (e.g., growth of the fetal brain) babies born undernourished yearly in US. Only 72% of impoverished mothers given extra food. 14 9/2/2014 Table 4.5 Nutritional Need Difference Between Non-pregnant and Pregnant Women (24 Years Old) Nutrient Folic acid Vitamin D Iron Calcium Phosphorus Pyridoxine Thiamin Zinc Riboflavin Protein Iodine Vitamin C Energy Magnesium Niacin Vitamin B-12 Vitamin A Nonpregnant 180 mcg 5 mg 15 mg 800 mg 1.6 mg 1.1 mg 12 mg 1.3 mg 50 g 150 mcg 60 mg 2200 kcal 280 mg 15 mg 2.0mcg 800mg Pregnant 400 mcg 10mg 30 mg 1200 mg 1200 mg 2.2 mg 1.5 mg 15 mg 1.6 mg 60 g 175 mcg 70 mg 2500 kcal 320 mg 17 mg 2.2 mcg 800 mg Percent Dietary Sources Increase +122 +100 +100 +50 +50 +38 +36 +25 +23 +20 +17 +17 +14 +14 +13 +10 0 Leafy vegetables, liver Fortified dairy products Meats, eggs, grains Dairy products Meats Meats, liver, enriched grains Enriched grains, pork Meats, seafood, eggs Meats, liver, enriched grains Meats, fish, poultry, dairy Iodized salt, seafood Citrus fruits, tomatoes Proteins, fats, carbohydrates Seafood, legumes, grains Meats, nuts, legumes Animal proteins Dark green, yellow, or orange fruits and vegetables, liver Source: Data from Reece et al., 1995. From Reece, E.A., Hobbins, J.C., Mahoney, M.J., and Petrie, R.H. (1995) HANDBOOK OF MED ICINE OF T HE FET US AND THE MOT HER. Copyright © 1995. Used by permission of Lippincott Williams & Wilkins (http://lww.com) The Birth Experience Approximately 38 weeks after conception, contractions of the uterine muscles begin, initiating the birth of the baby Research on the birth process has revealed that many aspects of the birth experience, including squeezing in the birth canal, have adaptive value and increase the likelihood of survival for the newborn 15 9/2/2014 Psychological Stress High anxiety linked to miscarriage, LBW, respiratory illness Why? • Under stress blood rushes to heart, brain, muscles - away from uterus. • Anxious women more likely to smoke, drink, eat poorly. Reduced by partner, friends: complicated pregnancy, complication. with help had without help had Maternal Age: • Birth in 30s are increasing (best is 16-34). • But, less problems if mother is healthy. Assessing the Newborn’s Condition – Apgar Scale Rating from 0-2 on five ratings Score of 7+ is good, 4-6 help needed, 3- is bad. The Newborn’s Appearance Average = 20 inches long, 7½ pounds. Big head – they learn quickly but are immobile. 16 9/2/2014 Interacting with the Environment State: The infant’s level of arousal and engagement in the environment Ranges from deep sleep to intense activity Is an important influence in the newborn’s exploration of the world Newborn States 17 9/2/2014 Sleep Newborns sleep twice as much as young adults The pattern of two different sleep states changes dramatically REM (rapid eye movement) sleep: An active sleep state associated with dreaming in adults Non-REM sleep: A quiet or deep sleep state characterized Sleep REM sleep constitutes fully 50% of a newborn’s total sleep time and declines rapidly to only 20% by 3 or 4 years of age... Why? 18 9/2/2014 Infant Mortality Worldwide (2002) p. 75 Infant Mortality Death during the first year after birth (infant mortality) has become a relatively rare event in the Western industrialized world However, rates in the United States are the 23rd highest in the world... African-American infants are more than twice as likely to die before their first birthday as EuroAmerican babies Why? 19 9/2/2014 Low Birth Weight Infants Infants weighing less than 5.5 pounds (2,500 grams) are considered to be of low birth weight (LBW) LBW infants born at or before 35 weeks after conception are described as premature Other LBW infants are referred to as small for gestation age (SGA) when their birth weight is substantially less than the norm for their gestational age LBW Infants As a group, LBW babies experience more medical complications, have more developmental difficulties, and present special challenges for parents However, the majority of LBW babies turn out quite well They need extensive parent contact and more touch 20 9/2/2014 Risk Factors Tend to occur together in the world A negative outcome is more likely when there are multiple risk factors Despite multiple risk factors, however, some individuals do well 21