Pregnancy and Prenatal Developmentfanconij.faculty.mjc.edu/Ch4PPF11.pdf · 2011-08-23 · Prenatal...

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Copyright © 2011 The McGraw-Hill Companies, Inc. Permission required for reproduction or display Pregnancy and Prenatal Development Chapter 4

Transcript of Pregnancy and Prenatal Developmentfanconij.faculty.mjc.edu/Ch4PPF11.pdf · 2011-08-23 · Prenatal...

Page 1: Pregnancy and Prenatal Developmentfanconij.faculty.mjc.edu/Ch4PPF11.pdf · 2011-08-23 · Prenatal Development: Environmental Influences Maternal Factors Teratogens –Environmental

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Pregnancy and Prenatal Development

Chapter 4

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Guideposts for Study

1. What are the three stages of prenatal development, and what happens during each stage?

2. What environmental influences can affect prenatal development?

3. What techniques can assess a fetus’s health and well-being, and what is the importance of prenatal and preconception care?

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Prenatal Development: Three Stages

Gestation – the period between conception and birth

Gestational age – the age of an unborn baby, usually dated from the first day of an expectant mother’s last period

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Prenatal Development: Three Stages

Cephalocaudal Principle

Growth occurs from head and downward

Proximodistal Principle

Development occurs from the center of body and outward

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Prenatal Development: Three Stages

3 Stages of Prenatal Development

Germinal

Embryonic

Fetal

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Prenatal Development: Three Stages

Germinal Stage (Fertilization to 2 Weeks)

Zygote divides, becomes more complex, and is implanted in the wall of the uterus

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Prenatal Development: Three Stages

Embryonic Stage (2 to 8 Weeks)

Organs and major body systems-- respiratory, digestive, and nervous--develop rapidly

A critical period in development

Spontaneous abortion

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Mourning a Miscarriage or Stillbirth

Methods differ from culture to culture

Some do’s and don’ts

Do: bring up the subject, listen with empathy, express sadness and regret, allow people to cry

Don’t: minimize the loss or pain, ask why it happened, expect the process to take time

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Prenatal Development: Three Stages

Fetal Stage (8 Weeks to Birth)

Fetus grows rapidly to about 20 times its previous length, and organs and body systems become more complex

Ultrasound detects fetal movement

Fetal learning and memory

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Prenatal Development: Environmental Influences

Maternal Factors

Teratogens –Environmental agents that can interfere with normal prenatal development

Examples include: a virus, drug, radiation, pollution

Nutrition and Maternal Weight

Folic Acid

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Prenatal Development: Environmental Influences

Maternal Factors Malnutrition

Physical Activity and Strenuous Work

Drug Intake Medical drugs

Alcohol (Fetal Alcohol Syndrome)

Nicotine

Caffeine

Marijuana and cocaine

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Prenatal Development: Environmental Influences

Maternal Factors

HIV/AIDS

Perinatal transmission

Other maternal factors

Infections Toxoplasmosis

Thyroid deficiency

Rubella

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Prenatal Development: Environmental Influences

Maternal Factors

Maternal stress

Maternal age

Outside environmental hazards

Air pollution

Chemicals

Radiation

Extreme heat and humidity

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Prenatal Development: Environmental Influences

Paternal Factors Lead

Marijuana or tobacco smoke

Large amounts of alcohol or radiation

DES

Pesticides

High ozone levels

Damaged or deteriorated sperm

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Monitoring and Promoting Prenatal Development

Noninvasive Procedures

Ultrasound

Blood tests

Disparities in Prenatal Care

Increasing multiple births

Benefits of prenatal care are not evenly distributed

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Monitoring and Promoting Prenatal Development

The Need for Preconception Care

Physical Examinations

Vaccinations

Risk Screening

Counseling to avoid smoking and alcohol, and maintaining healthy weight and nutrition