Ch. 8 Prenatal Development Caregiving Service - Development Before Birth Prenatal development: the development of the fetus before birth A full term pregnancy lasts about 9 months, or 40 weeks, or 280 days Pregnancy is broken into three sections called trimesters (3 months each) Three stages of development: zygote, embryo, fetus - First Trimester (1st-3rd months) Zygote Stage From conception to first 2 weeks of pregnancy A fertilized egg that travels from the fallopian tube to attach itself to the uterine wall The cells multiply as they grow - - Embryonic Stage Lasts from the 3rd-8th week of pregnancy Three layers of cells: o Ectoderm- outer layer: skin, hair, nails, nervous system, brain, spinal cord, & nerves o Mesoderm- middle layer: will be bones, muscles, blood vessels, heart, kidneys, reproductive organs o Endoderm- inner layer: stomach, liver, lungs During this stage the eyes, nose, ears develop and the heart starts pumping blood Support System for the Embryo - The amniotic sac develops around the embryo in the mother’s uterus - Inside the amniotic sac is amniotic fluid - The placenta is an organ that forms to attach the amniotic sac to the uterus - Between the embryo and the placenta is the umbilical cord - The umbilical cord provides blood which gives nutrition, oxygen, and a way to remove waste products - Fetal Stage Lasts from the 9th week till birth Bones and muscles begin to form At end of 3rd month: 3 inches long, liver produces bile, kidneys make urine - Second Trimester (4th-6th months) Fetal Stage Continued Fetus weighs about 2 pounds (ie a quart of milk) Eyebrows, eyelashes, and lanugo (a fine hair covering the fetus) form Quickening occurs: the mom can feel the fetus moving Fetus “breathes” amniotic fluid Senses develop and eyes open and close Ch 8 Prenatal Development, CS 1 - - - - Third Trimester (7th-9th months) Organs mature such as heart, lungs, brain Fat tissue is added to the fetus Average baby is 7-8 pounds at birth 8th month: the baby turns upside down to get ready for birth See p. 172 for a chart of what happens month by month Problems in Prenatal Development Miscarriage: the spontaneous loss of the baby before 20 weeks of pregnancy 15 – 20% of known pregnancies end in a miscarriage Risks include: o Women age 35 & up o Previous miscarriage or family history of such o Certain diseases or infections o Exposure to alcohol, drugs, smoking, chemicals Stillbirth: the loss of a baby after 20 weeks of a pregnancy About one out of 200 pregnancies are stillbirths Warning signs during pregnancy o Heavy bleeding o Sudden loss of fluid (before the “water breaks”) o Absence of fetal movement after it was moving o Painful cramping o More than three contractions an hour before the due date Tell doctor immediately if these occur! If a woman has a miscarriage or stillbirth, her body must recover & both parents must deal with the grief of losing a child Ectopic Pregnancy - When the fertilized egg implants itself outside the uterus - Can lead to hemorrhaging, infertility, or death - Tubal Pregnancy: the egg is implanted in the fallopian tube - The zygote has no nourishment so can’t survive - It can burst the fallopian tube and hurt the mother - The pregnancy must be ended Premature Labor and Birth - Premature birth: a baby born before the 37th week - These babies are not fully developed so have more problems ie brain, lungs - Prenatal Testing Tests done to determine if a fetus has a birth defect or to tell the sex of the baby Not all pregnant mothers need all the tests Ultrasound Imaging: using sound waves to take a picture of the fetus o Non-invasive so very low risk o Also called a sonogram o Used to check the fetal position, heart rate, gender, and if there are multiple births Ch 8 Prenatal Development, CS 2 - Amniocentesis: this test uses a needle inserted through the woman’s abdomen to remove amniotic fluid o The fluid is tested for genetic diseases o Ultrasound is used to guide procedure o Greater risk of miscarriage o Often used for those over age 35 - Chorionic Villi Sampling: this test takes a sample of cells from the placenta o Done through the abdomen or vagina o Ultrasound is used to guide procedure o Cells are checked for genetic disorders o Higher risks of miscarriage then amniocentesis ****************************************************************** Use the following words to label the parts of the baby’s world Amniotic Fluid Amniotic Sac Cervix Fetus Placenta Umbilical Cord Uterus Ch 8 Prenatal Development, CS 3
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