Heredity, Prenatal Development, Birth
Heredity, Prenatal Development, Birth
LESSON 2:
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innate biological factors (namely genetics) upbringing or life experience more genera
Gottlieb (1998, 2000, 2002)
suggests an analytic
framework for the
nature/nurture debate that
recognizes the interplay
between the environment,
behavior, and genetic
expression.
The Human Genome Project
is an ambitious research
effort aimed at deciphering
the chemical makeup of the
entire human genetic code
(i.e., the genome). The
primary work of the project
is to develop three research
tools that will allow
scientists to identify genes
involved in both rare and
common diseases.
are sex cells
Sperm are produced in the testes in Ova which are stored in the ovaries
a process called spermatogenesis. are present at birth but are
Spermatogenesis begins at about 12 immature.
years old. Each ovary contains about 250,000
(Rome 1998) but only about 400 of
these will become mature eggs
(Mackon & Fauser 2000).
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After the ovum or egg After 3-4 days the egg will reach
the uterus.
ripens and is released
(Usually, the egg is fertilized into
from the ovary it is the fallopian tube and continue it's
drawn to fallopian tube. journey to the uterus.
A process where
one ovum ripens
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about every 28
Once a single cell Once the sperm entered days.
entered the wall of the the cell, the tail of the
egg, the wall becomes sperm breaks off.
hard.
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Contains the genetic information from each
parent.
Normal human cells have 46 chromosomes or 23
pairs.
Gametes or sex cells contains 23 chromosomes.
Cells in the body can be created by a process called mitosis
and meiosis.
23 pairs of 23 chromosomes
created at conception
BB & bb Bb
Examples: Examples:
facial dimples red hair
curly hair being nearsighted
normal vision straight hair
dark hair
When a dominant gene does not
completely supress the recessive
gene.
Example:
Height of the person
Color of the eyes
Sickle Cell Disease (SCD) is a condition in which the red bblood cells 1 in 500 Black Births
in the body are shaped like a sikle (the letter C) and affect the 1 in 36,000 Hispanic
ability of the blood to transport oxugen. Carriers may experience Births
some effects, but do not have the full condition.
1 in 4,000
Tay Sachs Disease is caused by enzyme deficiency resulting in
1 in 30 American
accumulation of lipids in the nerve cells of the brain. This
Jews is a carrier
acccumulation results in progressive damage to the cells and a
1 in 20 French
decrease in cognitive and physical development. Death typically
Canadians are
occurs at the age of five.
carrier
Albinism is when an individual lacks melanin and possess little to Fewer than
no pigment in the skin, hair, and eyes. Vision problem can also 20,000 USA
occur. cases per year
Autosomal Dominant Disorders (Heterozygous): In order to have the
disorder, the individual only needs to inheret the gene change from Cases per Birth
one parent
Hemophilia occurs when there are problems in blood clotting both internal 1 in 10,000
and external bleeding. males
AGE OF THE MOTHER. As the mother ages, the ovum is more likely to
suffer abnormalities at this time.
DIVISION OF GAMETES. Some cells do mot divide evenly when they are
forming. Therefore some cells have more than 46
chromosomes.
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the abnormality is called autosomals when the abnormality is on
AUTOSOMALS:
the non-sex chromosomes.
Pale skin.
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2) TRISOMY 18 OR EDWARD'S SYNDROME
Occurs when there are three rather
than two chromosomes on #18.
Clubfeet
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FETAL PERIOD
From the ninth week until birth, the
organism is referred to as a fetus.
By the third month, the fetus has all its
body parts including external genitalia.
The fetus will develop hair, nails, teeth and
the excretory and digestive systems.
4th- 6th months, the eyes become more
sensitive to light and hearing develops. The
respiratory system continues to develop,
and reflexes such as sucking, swallowing and
hiccupping, develop during the 5th month.
The first chance of survival outside the
womb, known as the age of viability.
Between the 7th and 9th months the fetus
is primarily preparing for birth.
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Teratology- The study of factors
that contribute to birth defects.
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FACTORS INFLUENCING
PRENATAL RISKS:
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ALCOHOL
One of the most commonly used
teratogens
Leading preventable cause of
intellectual disabilities in children in the
United States (Maier & West, 2001).
During the second month of prenatal
development but at any point during
pregnancy, may lead to neurocognitive
and behavioral difficulties that can last
a lifetime.
Fetal Alcohol Spectrum Disorders
(FASD), which is an umbrella term for the
range of effects that can occur due to
alcohol consumption during pregnancy.
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TOBACCO ILLICIT DRUG
Another widely used teratogen As well as prescribed
is tobacco as more than 7% of medications can have serious
pregnant women smoked in teratogenic effects.
2016 (Someji & Beltrán-Sánchez, The use of cocaine is
2019). connected with low birth
Fetus is exposed to dangerous weight, stillbirths and
chemicals including nicotine, spontaneous abortion.
carbon monoxide and tar. Heavy marijuana use is
associated with brain damage.
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There are more than 83,000 chemicals
used in the United States with little
POLLUTANTS information on the effects of them
during pregnancy (March of Dimes,
2016b).
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TOXOPLASMOSIS GERMAN MEASLES
The tiny parasite, toxoplasma Rubella, also called German
gondii, causes an infection measles, is an infection that
called Toxoplasmosis can cause causes mild flu-like symptoms
premature birth, stillbirth, and and a rash on the skin.
can result in birth defects to However, only about half of
the eyes and brain. While most children infected have these
babies born with this infection symptoms, while others have no
show no symptoms, ten symptoms (March of Dimes,
percent may experience eye 2012a). Rubella has been
infections, enlarged liver and associated with a number of
spleen, jaundice, and birth defects.
pneumonia.
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SEXUALLY HUMAN
TRANSMITTED IMMUNODEFICIENCY
DISEASES VIRUS (HIV)
One of the most potentially
Gonorrhea, syphilis, and devastating teratogens is HIV. In
chlamydia are sexually the United States, the fastest
transmitted infections that can growing group of people with AIDS
be passed to the fetus by an is women; globally half of all
people infected with HIV are
infected mother. Mothers
women (UNAIDS, 2005).
should be tested as early as
Some measures that can be taken
possible to minimize the risk of
to lower the chance the child will
spreading these infections to
contract the disease (such as the
their unborn child.
use of antiretroviral drugs from
14 weeks after conception until
birth, avoiding breastfeeding,
and delivering the child by c‐
section).
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Mothers over 35- Women over Teenage Pregnancy- Infants
age 35 are more likely to have an born to teenage mothers have a
increased risk of: higher risk for being premature
Fertility problems and having low birthweight or
High blood pressure other serious health problems.
Diabetes
Miscarriages Gestational Diabetes- Seven
Placenta Previa percent of pregnant women
Cesarean section develop gestational diabetes
Premature birth (March of Dimes, 2015b).
Stillbirth Gestational diabetes usually goes
A baby with a genetic away after the mother gives
disorder or other birth birth, but it might indicate a risk
defects for developing diabetes later in
life.
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High Blood Pressure
(Hypertension)- There are two
types of high blood pressure during
pregnancy, gestational and Weight Gain during Pregnancy-
chronic. High blood pressure during During pregnancy most women
pregnancy can cause premature need only an additional 300
birth and low birth weight. calories per day to aid in the
growth of the fetus. Gaining too
Depression- Depression is a little or too much weight during
significant medical condition in pregnancy can be harmful. Women
which feelings of sadness, who gain too little may have a baby
worthlessness, guilt, and fatigue who is low-birth weight, while those
interfere with one’s daily who gain too much are likely to
functioning. Depression can occur have a premature or large baby.
before, during, or after
pregnancy.
.
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PREGNANCY
AND
CHILDBIRTH
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COMPLICATIONS OF PREGNANCY
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MAJOR COMPLICATION
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PREMATURE BIRTH/PRETERM
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ANOXIA
Anoxia is a temporary lack of oxygen to the brain.
Difficulty during delivery may lead to anoxia which
can result in brain damage or in severe cases,
death. Babies who suffer both low birth weight
and anoxia are more likely to suffer learning
disabilities later in life as well.
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SMALL-FOR-DATE INFANT
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CHILDBIRTH
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APPROACHES TO CHILD BIRTH
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THE DICK-READ METHOD OF NATURAL BIRTH
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LAMAZE METHOD
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BIRTHING CENTERS
The trend now is to have birthing rooms that are hospital rooms that
look more like a suite in a hotel equipped with a bed that can be
converted for delivery. These rooms are also equipped with a bed and
monitoring systems for the newborn. However, many hospitals have
only one or two of these rooms and availability can be a problem.
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THE LEBOYER METHOD
This method involves giving birth in a quiet, dimly lit room and allowing
the newborn to lie on the mother's stomach with the umbilical cord
intact for several minutes while being given a warm bath.
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HOME BIRTH AND NURSE-MIDWIVES
Historically in the United States, most babies were born under the
care of lay midwives. In the 1920s, middle class women were
increasingly using doctors to assist with childbirth but rural women
were still being assisted by lay midwives. The nursing profession
began educating nurse-midwives to assist these women.
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THE PROCESS OF DELIVERY
• Begins with uterine • The baby passes through the • The placenta (afterbirth) is
contractions that help dilate birth canal. delivered about 20 minutes
the cervix to 10 cm. after the baby.
• Takes 12-16 hours for first- • Takes 10-40 minutes, involving
time mothers, 6-9 hours for pushing with each contraction. • If an episiotomy (cut) was
Epidural Block
others. made, it is stitched up.
• Most women use an epidural, which numbs the lower body without
• Water may break, and • Baby’s head is delivered first, affecting the baby.
• It takes 10-20 minutes to take effect and can be used throughout
contractions grow stronger
Some women experience false
followed by the body. labor.
andor
labor closer together.
Braxton-Hicks C-Section (Cesarean Section)
contractions, especially with • Used when there are complications, such as baby distress or mother’s
the first child. These may come health issues.
• It is major surgery and takes longer to recover than vaginal delivery.
and go. They tend to diminish
when the mother begins Induced Labor
walking around. • Labor may be induced if the mother is overdue, has medical conditions,
or if the placenta starts to detach early. 5
ASSESSING THE NEONATE
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2022 June 9
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