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Influences on Birth Defects FACTS About 150,000 babies are born each year with birth defects. The parents of one out of every 28 babies receive the frightening news that their baby has a birth defect There are over 4,000 known birth defects Birth defects are the leading cause of death in the first year of life. What is a Birth Defect? Birth defects are the leading cause of death for infants during the first year of life. Every year, about 7.9 million infants (6% of worldwide births) are born with serious birth defects. The most common birth defects are heart defects, cleft lip and cleft palate, Down syndrome and spina bifida. I. Environmental Influences on Birth Defects A. Inadequate nutrition of mother B. Exposure to diseases or infections during pregnancy C. Harmful substances consumed during pregnancy I. Environmental Influences on Birth Defects A. Inadequate nutrition of mother 1. Stunted brain development of baby 2. Leads to mental retardation I. Environmental Influences on Birth Defects B. Exposure to diseases or infections during pregnancy 1. Rubella or German Measles, can cause blindness, deafness, heart disease, and mental retardation 2. Toxoplasmosis, can cause hearing loss, learning disabilities and death; found in cat litter and some raw meats 3. Chicken pox can cause scarring of babies’ skin, limb defects, eye problems, and miscarriage 4. STDs can be passed to unborn child and lead to serious illness, physical disabilities, or death Toxoplasmosis Toxoplasmosis is considered to be a leading cause of death attributed to foodborne illness in the United States. More than 60 million men, women, and children in the U.S. carry the Toxoplasma parasite, but very few have symptoms because the immune system usually keeps the parasite from causing illness. Cats play an important role in the spread of toxoplasmosis. They become infected by eating infected rodents, birds, or other small animals. The parasite is then passed in the cat's feces. Cats play an important role in the spread of toxoplasmosis. They become infected by eating infected rodents, birds, or other small animals. The parasite is then passed in the cat's feces. If you are newly infected with Toxoplasma while you are pregnant, or just before pregnancy, then you can pass the infection on to your baby. You may not have any symptoms from the infection. Most infected infants do not have symptoms at birth but can develop serious symptoms later in life, such as blindness or mental disability. Occasionally infected newborns have serious eye or brain damage at birth. I. Environmental Influences on Birth Defects C. Harmful substances consumed during pregnancy 1. Nicotine from smoking tobacco or secondhand smoke a. Smaller babies b. Miscarriages and premature births c. Respiratory infections or allergies I. Environmental Influences on Birth Defects C. Harmful substances consumed during pregnancy 2. Alcohol can cause fetal alcohol syndrome (FAS) a. 20% of FAS infants die b. Facial deformities, delayed physical growth, heart defects, and hyperactivity c. Mental retardation or disabilities d. Poor coordination e. Difficulty controlling behavior I. Environment Influences of Birth Defects C. Harmful substances consumed while pregnant 3. Drugs a. Over-the-the counter drugs b. Drug addiction c. Long-term learning and behavioral problems d. Risk of miscarriages e. Congenital heart problems I. Environmental Influences on Birth Defects 4. Exposure to hazards during pregnancy a. Chemicals b. X-rays c. Toxoplasmosis – from cats I. Environmental Influences on Birth Defects 5. Accidental injuries a. Cerebral palsy caused by damage to brain before, during, or shortly after birth b. Falls lead to a variety of complications II. Hereditary Influences on Birth Defects Dominant genes? Recessive genes? Can you explain the difference? II. Hereditary Influences on Birth Defects A. Defective recessive genes inherited from both parents 1. Cystic fibrosis • 2. Tay-Sachs disease • 3. Sickle cell anemia B. Defective dominant gene inherited from one parent • 1. Hemophilia • 2. Huntington’s disease • 3. Duchenne muscular dystrophy • 4. Color blindness C. Errors in chromosomes • 1. Down syndrome • III. Combined Influence of Heredity and Environment Birth Defects A. Drugs + virus = heart defect B. Cleft lip/cleft palate C. Spina Bifida – reduce risk by taking folic acid What potentially causes birth defects? Can birth defects be prevented? While the potential causes of most birth defects are not known, there are a number of steps a woman can take to reduce her risk of having a baby with a birth defect. IV. Factors that contribute to Birth Defects: • A. Overweight • B. Underweight • C. Jewish or AfricanAmerican decent Brainstorm Visit a health care provider for a prepregnancy check up, especially if a woman has health problems When pregnant take daily multivitamins containing 400 mg of the B-vitamin folic acid Avoid alcohol, drugs, smoking, prescription or over-the-counter medication unless approved by a health care provider V. More factors that contribute to birth defects A. Drinks alcohol B. Uses prescription drugs C. Has used street drugs D. Takes vitamins E. Drinks caffeine F. Has had exposure to chemicals V. More factors that contribute to birth defects G. Lives in a home built before 1955 (lead paint) H. Constant exposure to cats I. Has had x-rays during pregnancy J. High blood pressure K. Diabetes L. Sickle cell anemia V. More factors that contribute to birth defects M. Health problems N. Genital herpes O. Gonorrhea P. Syphilis Q. No immunizations against rubella R. Miscarriage Can some birth defects be diagnosed before birth? Can birth defects be treated before birth? Preventing Birth Defects •Avoid… Review How do you define birth defect? What factors contribute to birth defects? Can some birth defects be diagnosed before birth? Can birth defects be prevented?