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Genetics, Prenatal Development, and Birth Chapter 2 Robert S. Feldman Copyright © 2011 Pearson Education, Inc. All rights reserved. 1, 2, 3…Go! Module 2.1: Earliest development and genetics Module 2.2: Interaction of heredity and environment Module 2.3: Prenatal growth and birth Module 2.1 Earliest Development and the Foundations of Genetics Beginning of Life Gametes from male and female join Ovum and sperm Fused gametes create zygote The Code of Life Genes DNA Chromosomes Rod-shaped DNA portions in 23 pairs Contain genetic blueprint for individuals Replicate through mitosis Figure 2.1. The Contents of a Single Human Cell And baby makes two or three or more! Multiple births • Monozygotic • Dizygotic What causes multiple births? Fertility drugs Racial, ethnic, and national differences Mixing and Matching of Traits • Basics of genetics – DOMINANT TRAITS – RECESSIVE TRAITS Just the right type GENOTYPE Homozygous Heterozygous PHENOTYPE Genetic Information Transmission Let’s turn to Figure 2-4 in the text to examine PKU probabilities Figure 2-4. PKU Probabilities Cracking the Genetic Code • The Human Genome • National Human Genome Research Institute • (http://www.genome.gov/) Figure 2.5. Uniquely Human? In what ways do you think information from the Human Genome Project can affect your life? When Development Deviates Causes Genetics Spontaneous mutation Environmental insult When Development Deviates Consequences Down Syndrome Fragile X Syndrome Sickle-cell Anemia Tay-Sachs Disease Klinefelter’s Syndrome Genetic Counseling Can you name three diseases for which DNAbased gene tests are available? (Hint: see Table 2-2) Table 2-2. Some Currently Available DNA-Based Gene Tests Prenatal Testing Amniocentesis CVS embryoscopy FBS Sonoembryology Sonogram Ultrasound sonographyregular ultrasound From Research to Practice Should pre-implantation sorting be available to all families? Review and Apply REVIEW In humans, the ____ sex cell (sperm) and the ____ sex cell (ova) provide the developing baby with 23 chromosomes each. A ____ is the underlying combination of genetic materials present in an organism, but invisible; a ____ is the visible trait, the expression of the genotype. The field of ____ ____, a combination of psychology and genetics, studies the effects of genetics on behavior. Review and Apply REVIEW Several inherited and genetic disorders are due to damaged or mutated genes. ____ ____ use a variety of data and techniques to advise future parents of possible genetic risks to their unborn children. Review and Apply APPLY How can the study of identical twins who were separated at birth help researchers determine the effects of genetic and environmental factors on human development? If genetic testing revealed that you had what is almost always a fatal disease, what use would the information have for you? Would it change your career goals? Chosen partner? Choice of college? Module 2.2 The Interaction of Heredity and Environment What do you think? A given behavior is not caused exclusively by genetic factors, nor is it caused solely by environmental factors. Can you restate that in regular words? How about an example? Range of Possibilities Figure 2-6. Possible Sources of Intelligence Studying Development Nonhuman animal studies Controlling genetics and environment Human studies Adoption (What do we know abt natural parents and how that affects kids who grow up in diff environment) Twin studies (Look at fraternal and identical in same envio ornot to determine nature vs nurture) Family studies ( Look at relationship/ average genetic relationness between family on average) Do you have your mother’s eyes? Family resemblances More genetically similarity more likely to share physical characteristics Nature, Nurture, and Intelligence Relative contributions of nature and nurture highly researched Closer genetic link = greater correspondence of overall IQ scores Figure 2-2. Genetics and I.Q. Do we inherit our personality? What evidence supports this claim? Figure 2-8. Inheriting Traits A link look Two* of “Big Five” personality traits linked to genetic factors: – Neuroticism* – Extroversion* – Agreeableness – Conscientiousness – Openness What about environmental influences? Culture -Influences you to think this is “the only way things can be” -What your parents have taught you and you learned from others around you Parental encouragement - Ex: if you’re shy and your parents don’t push you to socialize you will always be shy Any other? - Birth order -Parents are inexperienced at first and also freak out easily when kids get hurt but as time goes on they become more comfortable -Socio Economic Status - Able to provide material w/ more $ and more opportunities - Gene-environmental Influence Sandra Scarr suggests three ways that a child’s genetic predisposition may influence his or her environment: Active -Child actively tries to surround themselves by an enviro that fits w their genes Passive - Ex: parent doesn’t fix the problem for their kid and gives advice for them to act actively Evocative – Kids draw certain responses from adults – (Ex: cute kids gets attn from adults which increases their resiliency) Review and Apply REVIEW Human characteristics and behavior are a ____ ____ of genetic and environmental factors. Genetic influences have been identified in ____ ____, ____, ____ ____ and _behaviors_. There is some speculation that ___ ____ may be predisposed genetically toward certain types of philosophical viewpoints and attitudes. Review and Apply APPLY How might an environment different from the one you have experienced have affected the development of personality characteristics that you believe you inherited from one or both of your parents? Some people have used the proven genetic basis of intelligence to argue against strenuous educational efforts on behalf of individuals with below-average IQs. Does this viewpoint make sense based on what you have learned about heredity and environment? Why or why not? Module 2.3 Prenatal Growth and Birth Fertilization Moment of conception Joining of sperm and ovum = zygote Stages of Prenatal Development • Germinal (Zygote Stage) • Embryonic (After implantation) • Fetal (When most organ systems are well developed-fuzzy distinction) (See Table 2-3 for a concise review) Stages of Prenatal Period Germinal Stage Fertilization two weeks – Shortest stage – Fertilized egg now called blastocyst – Travels to and implants in uterus – Characterized by methodical cell division – With division comes cell specialization Embryonic Stage 2 weeks 8 weeks – Organism firmly secures to uterus and called an embryo – Development of major organs and basic anatomy – Can see where arms, teeth, eyes and lips are – Has a small tail: looks like a fish Three distinct layers that ultimately form different set of structures: – Ectoderm (sensory) – Endoderm (internal organs and respiratory system) – Mesoderm (muscle, bones and circulatory) Figure 2-9. Body Proportions During fetal period, body proportions change dramatically. Can you see the differences? Fetal Stage 8 weeks Birth – Formally starts when differentiation of major organs has occurred – Organism now called fetus – Characterized by rapid development Autism and the Toddler Brain causes remain unknown • New research (Whaken et al., 2009) • Autistic Spectrum Disorder – ASD might be related to problems with structure or functions of amygdala – Amygdala larger in brains of toddlers with ASD and smaller in adult brains of people with ASD So should all toddlers be screened to test for ASD? Pregnancy Problems Infertility – Artificial insemination (Either stick a needle with sperm into egg or into womb) – In vitro fertilization (IVF) (outside the body in a Petri dish) – Surrogate mother (either bears the child w their egg or the mother’s) Miscarriage -Spontaneous abortion or simply losing the child out of your actions Abortion Threats to Development Prenatal environment – Teratogen (See Figure 2.11-15 for a teratogen sensitivity timeline) Figure 2.11.Teratogen Sensitivity Timeline Mother’s Prenatal Influence Diet Age Prenatal support Health Drug use Alcohol Tobacco Father’s Prenatal Influence Relatively little research Tobacco use Drug use Alcohol use Treatment of mother Becoming an Informed Consumer Optimizing the Prenatal Environment Avoid X-rays and birth control pills; get rubella vaccination Eat well and take prenatal vitamins Avoid alcohol use and other drugs Monitor caffeine intake. Avoid smoking and exposure to secondhand smoke Exercise regularly Labor: The Process of Birth Begins Release of CRH (including oxytocin) Contractions – Braxton-Hicks – Labor initiation Figure 2-12. Three Stages of Labor From Fetus to Neonate Some things to ponder… When is the moment of birth? What causes a baby to cry after birth? What cultural differences surround the birth of children worldwide? Approaches to Childbirth Variety of strategies and approaches No universally accepted single procedure No conclusive research evidence that one procedure significantly more effective than another REMEMBER: Everyone has advice. Get information, reflect, and make your own decision! What birthing procedures would you choose? Alternative Birthing Procedures Lamaze birthing techniques Bradley Method Hypnobirthing Childbirth Attendants: Who Helps? Obstetrician Midwife Doula Pain and Childbirth Interpretation of pain is subjective – Amounts of pain varies, including perceived pain – Many factors affect pain perception, including cultural ideas of childbirth, fear (raises pain), number of previous births, fetal presentation, birthing position, and a woman's natural pain threshold Do neonates feel pain during birth? Objective indications of neonate pain at birth: • • • • • • Crying Facial expressions Body movement Vital signs Serum cortisol, tissue and blood oxygen levels Neurobehavioral assessments Use of Anesthesia and PainReducing Drugs Kinds Effects – Mother – Neonate What do you think? Why is infant survival less likely in the United States than in other, less developed countries? (poor ppl don’t have insurance to cover prenatal care) Problems During Labor and Delivery Preterm infants: when a baby is born early Low birth-weight infants: most premies are low-birth but there are also babies born on time who are too small b/c they didn’t fully develop in the womb Small-for-gestational-age infants Very low birth-weight infants Most vulnerable; immaturity of their organ systems Weigh less than 1250 grams (around 2 1/4 pounds) What causes preterm and lowbirth-weight deliveries? • Half of births unexplained • Difficulties related to mother’s reproductive system • Immaturity of mother’s reproductive system • General health of mother Factors Associated with Increased Risk of Low Birth weight • • • • • • Demographic risk Medical risks predating pregnancy Medical risks in current pregnancy Behavioral and environmental risks Healthcare risks Evolving concepts of risks (See Table 3-2) Post-mature Babies: Too Late, Too Large 2 weeks or more overdue – Blood supply from placenta may become insufficient – Blood supply to brain may be decreased, leading to the potential of brain damage – Labor becomes riskier for larger fetus to pass through birth canal Cesarean Delivery Baby is surgically removed from uterus Occur most frequently when fetal stress appears More prevalent in older mothers Related to position in birth canal: breech (teeth first) transverse (cross wire) True or False? Cesareans are effective medical interventions? Mortality and Stillbirth: The Tragedy of Premature Death • Stillbirth • Resources: – March of Dimes – National Stillbirth Society – MISS Foundation Race and Infant Mortality Review and Apply REVIEW ____ joins the sperm and ovum to start the journey of prenatal development. Some couples, however, need medical help to conceive. Among the alternative routes to conception are ____ ____ and ____ ____ ____ (IVF). The prenatal period consists of three stages: ____, ____, and ____. Review and Apply REVIEW The ____ environment significantly influences the development of the baby. The diet, age, prenatal support, and illnesses of mothers can affect their babies’ ____ and ____. Mothers’ use of ____, ____, ____, and ____ can adversely affect the health and development of the unborn child. Fathers’ and others’ behaviors (e.g., smoking) can also affect the health of the unborn child. Review and Apply REVIEW Stages In the ____ stage of labor, contractions increase in frequency, duration, and intensity until the baby’s head is able to pass through the cervix. In the ____ stage, the baby moves through the cervix and birth canal and leaves the mother’s body. In the ____ stage, the umbilical cord and placenta emerge. Immediately after birth, birthing attendants usually examine the neonate using a measurement system such as the ____ scale. Review and Apply REVIEW Many birthing options are available to parents today. They may weigh the advantages and disadvantages of ____ ____ during birth. They may choose alternatives to traditional hospital birthing, including the ____ method, the use of a ____ ____, and the use of a ____. Review and Apply REVIEW Largely because of ____ ____ ____, preterm infants may have substantial difficulties after birth and later in life. Very-low-birth weight infants are in special danger because of the ____ of their organ systems. Review and Apply REVIEW Preterm and low-birth weight deliveries can be caused by ____, ____, and pregnancy-related factors in the mother. ____ (and, because of its relationship with income, ____) is also an important factor. Review and Apply REVIEW ____ ____ are performed with post mature babies or when the fetus is in distress, in the wrong position, or unable to progress through the birth canal. Infant ____ ____ can be affected by the availability of inexpensive health care and good education programs for mothers-to-be. Review and Apply APPLY It has been found that a mother’s diet is a crucial part of the development of the fetus. What sorts of environmental and social factors affect development? Studies show that “crack babies” who are now entering school have significantly difficulty dealing with multiple stimuli and forming close attachments. How might both genetics and environmental influences have combined to produce these results?