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In this article, we are going to look at the
development of a child right from conception to birth. We hope this article will enrich you with knowledge that will enable you to understand prenatal
development and the factors that influence it as well as the birth process. This is
the crucial life time for it effects greatly on the entire life after birth in
so many ways.
PERIODS OF PRENATAL DEVELOPMENT
Life begins
by the union of two sex cells called gametes and these cells originate from
male and female parents. These are spermatozoa and ovum respectively. The cell
of a human being has 46 chromosomes, which are arranged into 23 pairs. The
union of the gametes is known as conception that results into the formation of
a zygote.
Conception takes place when sperm cell(s) from the male unites with an ovum (egg) in the female’s fallopian tube in a process known as fertilisation. By the time the fertilised egg (zygote) ends its three to four days journey through the fallopian tube and reaches the uterus, it has divided into about 12-18 cells. A zygote has a full complement of 46 chromosomes.
Characteristic of sex is
determined by male gametes alone. This is so because male sex chromosomes are
XY while female sex chromosomes are XX. For instance the pairing of male Y
chromosomes and female X chromosomes will result into a male offspring.
Therefore, prenatal period is the time from conception to birth. Prenatal
development is divided into 3 main periods: germinal, embryonic and foetal.
1.
The germinal period
This is the
first period of prenatal development that occurs in the first two weeks after
conception. During this period, a zygote is created, continued cell division
takes place and attachment of the zygote to uterine wall also takes place.
The zygote is made up of 100-150 cells a week after conception. The inner and outer layers of the organism are formed at this stage. The blastocyst is the inner layer of cells that develop during the germinal period. These cells later on changes into embryo. The trophoblast is the outer layer of cells that later on provides nutrition and support to the embryo. Also implantation which is attachment of the zygote to the uterine wall occurs ten days after conception.
The embryonic period
This is a
period of prenatal development that occurs from 2-8 weeks after cell division.
During this stage, the rate of cell division increases, support systems for the
cells and some organs are formed. At this stage, the mass of cells changes from
zygote to embryo, which forms 3 layers: these are the endoderm which is the
inner most layer that develops the digestive and respiratory systems. The
mesoderm,
which is the middle layer that later on develops into circulatory system, and
excretory system. Finally, the ectoderm which is the outermost
layer that later on develops into the nervous system, sensory receptors
(tongue, nose and eyes) skin parts (hair, nails etc.).
Life
support systems for the embryo, which includes the placenta, the umbilical cord
and the amnion also develop during this period.
The
placenta is the life support system that consists of tissues in which small
blood vessels from the mother and the offspring intertwine but are not joined
at all. The umbilical cord supports life by providing two arteries and one vein
that connects the baby to the placenta. Only very small molecules such as
oxygen, water, salt, and food from the mother’s blood pass back and forth
between the mother and the infant. The amnion is a bag-like structure filled
with fluid in which the developing embryo floats.
The foetal period
This is the
final period of prenatal development that begins two months after conception and
lasts for about 7 months. The foetus is active and can move about its
arms and legs, opening and closing its mouth besides movements of the head. The
face, forehead, eyes, nose, chin, ears can be distinguished. The sex can be
identified as male or female. By the end of the 4th month foetus is
about 15 cm long and the growth occurs mostly in the lower parts. By the end of
the 5th month, the foetus is about 27- 32cm in length and weighs
about 300g.
Structures
of the skin like toe, nails and fingernails are formed. This is the time when
the foetus shows preference in particular position in the womb. By the end of
the 6th month, the foetus is 37-45cm long. During this period, the
eyes and the eyelids are completely formed and a fine layer of hair covers the
head, by the end of the 7th month, the foetus is about 37 – 45cm
long and weighs about 1 ½ kg. At the eighth and 9th months, the
foetus grows longer and weighs about 2kg. In the last two months, fatty tissues
develop and the functioning of various organ systems such as heart and kidneys
become operational.
Having
looked at what happens in the germinal, embryonic and foetal periods we can now
explain some of the hazards that occur in the prenatal period.
HAZARDS ASSOCIATED WITH PRENATAL PERIOD
There are
serious hazards to development during the relatively short period before birth.
These are either physical or psychological. Physical hazards are dangerous but
are easily recognised and so they have received more scientific attention.
Psychological hazards are equally dangerous because they affect attitudes of
the significant people in the society toward the developing child.
Physical hazards: each of the three main
subdivisions of the prenatal period involves certain physical hazards. What
happens to the foetus in the womb and in the process of its birth, the adequacy
of its uterine nutrition, its good or ill fortune at birth with regard to
infection or injury, are all considered as important as its heredity.
Miscarriage and abortion: a
miscarriage or spontaneous abortion occurs when pregnancy is brought to an end
before the developing organism is mature enough to survive outside the womb. It
takes place when the embryo separates from the uterine wall and is flushed out
by the uterus. Nearly 20% of all pregnancies end in a spontaneous abortion
mostly in the first 2-3 months.
Most of the
spontaneous abortions take place without mothers’ awareness and perhaps many
involve an embryo/foetus that was developing in a normal way. Today’s
spontaneous abortion is brought about by abnormalities of the reproductive
tract, viral or bacterial infections and sometimes by severe traumas.
Maternal diseases and conditions: maternal
disease can result into defects by crossing the placental barrier. These
diseases can also be source of damage to the foetus during birth. For instance:
Rubella (German measles): is a
maternal disease that damages prenatal development of children. Those born with
Rubella may have defects such as mental retardation, blindness, and deafness
and heart problems. The greatest danger of this disease is in the 3rd or 4th
week of pregnancy, hence it occurs during organogenesis (when organs are
formed) however, it can be controlled nowadays through vaccine, which is
administered to children. Also, it is advisable for women who plan to have
children to first test their blood before they become pregnant to detect
presence of the disease.
Syphilis: this is devastative later in prenatal development in
4th or more months after conception. Unlike Rubella that damages organogenesis,
syphilis damages organs that have been formed. It causes eye lesions that can
result into blindness.
When
present at birth, then it may cause problems that affect the central nervous
system and gastro-intestinal tract. It is suggested that women should be tested
to detect syphilis before pregnancy.
Genital herpes: this may be contracted during
birth. New-borns contract the herpes simplex virus II when they are delivered
through the birth canal of mothers with genital herpes. Nearly 1/3 of babies
delivered through the birth canal die and ¼ become brain damaged. This can be
prevented by using caesarean section to keep the virus from infecting the
new-born.
HIV/AIDS: today, the number of women with HIV is growing
steadily especially in developing countries. Consequently, more children are
born exposed and infected with HIV. HIV/AIDS is among the leading cause of
death among children between the ages of 1-14 years. Once the immune system of
a baby is destroyed then the result is death. There are 3 ways a mother who
suffers from HIV/AIDS can infect her offspring.
•
During gestation
across the placenta
•
During delivery
through contact with maternal blood or fluids.
•
Postpartum through
breast-feeding
However,
babies born to HIV/AIDS-infected mothers can be placed under the following
categories.
•
Those who are
infected and symptomatic (showing HIV/AIDS symptoms)
•
Those who are
infected and asymptomatic (not showing HIV/AIDS symptoms)
•
Those who are not
affected at all.
It is
suggested that couples should be tested to detect HIV/AIDS before pregnancy in
order to prevent the spread of HIV among children. In addition, a woman who is
pregnant and suffers from HIV/AIDS should be put under HIV/AIDS drugs to
prevent the foetus from being infected.
Maternal age: this has been revealed to be a condition that facilitates possibility of physical hazards during the prenatal period. The mortality rate of an infant born to adolescent mothers is double that of infants born to mothers in their 20s. This is because mothers in adolescent stage may have less developed reproductive system, poor nutrition, lack of parental care and low socio-economic status. Nowadays, there is delay in child bearing because women want to establish their careers before starting a family.
This delay can cause Down’s syndrome. Also, as women approach menopause period,
they frequently have endocrine disorders that slow down the development of the
embryo and foetus and this results in developmental irregularities such as
cretinism, Down's Syndrome, heart malformations and hydrocephalus, all of which
cause physical and mental defects.
Maternal Malnutrition: this can
affect normal development especially of the foetal brain as well as physical
aspect. The foetus depends on its mother for nutrition, which comes from the
mother’s blood. Nutrition is determined by any specific diet. A pregnant woman
requires appropriate level of proteins, vitamins, minerals etc. A woman’s
nutrition influences her ability to reproduce and give birth to a healthy
child. Otherwise she may stop menstruating hence making conception impossible.
Drugs: excessive smoking and drinking are dangerous to
normal development especially during embryonic and foetal periods. Taking the
wrong drugs at the wrong time may make an offspring physically handicapped for
life for instance, thalidomide when taken during pregnancy might prevent
growth of arms and legs. Heavy drinking during pregnancy can lead to deformed
limbs, face, heart and mental retardation. Cigarette smoking by pregnant women
can cause foetal and neonatal death as well as low birth weights.
Environmental hazards: radiation,
chemical and environment pollutants and toxic waste of modem industrial world
are dangerous to the foetus. For instance, radiation can cause gene mutation
(abrupt but permanent change in genetic material). Fathers who are often
exposed to a high level of radiation have higher chances of producing children
with chromosomal abnormalities. X-ray can also affect development of embryo
during pregnancy. Toxoplasmosis caught from outdoor cats, which feed on raw
meat such as rats and mice can cause eye defects, brain defects and premature
birth. The toxoplasmosis organism can pass from the cat in its faeces and lives
up to one year.
It is
therefore suggested that pregnant mothers should wash their hands after
handling cats, raw meat etc. and should ensure that meat is thoroughly cooked
before being eaten.
Psychological hazards: maternal
stress can easily be transmitted to the foetus. When an expectant mother is
exposed to intense fears, anxieties and depression, physiological change occurs
in respiratory and glandular systems. For instance, due to fear, adrenaline may
be produced which restricts blood flow to the uterus and may deprive the foetus
of adequate oxygen. The mother’s emotional state during pregnancy can influence
the birth process. An emotional mother might develop irregular contractions and
a more difficult labour period.
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