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Fetal Brain Development Five months after conception – 4% of adult weight At birth – about 25% of adult weight At four years – about 80% of adult weight Brain stem and midbrain – fairly well established at birth - reflexes - biological functions Cortical areas – associated with sensation, motor responses, thinking, planning, etc. - neural changes continue well after birth Neuron Proliferation - begins near end of first month - production of new nerve cells - produced in the neural tube - over 100 billion young neurons by birth (many by the sixth month) Neuron Migration - neurons move from the neural tube to other locations in two ways 1. in the hypothalamus, brain stem & cerebellum, older neurons are pushed out 2. inside-out pattern: neurons migrate to other regions - pass through levels of older nerons - young neurons move along fibers of glial cells - occurs in waves, esp. 7th and 11th week Neuron Differentiation - neurons enlarge - form synapses with other neurons - external stimulation plays major role in differentiation establishes connections among neurons maintaining and strengthening of connections huge rise in synapses in first months after bith then pruning begins Childbirth Traditional birth "Modern" birth A return to traditional birth? Hospital or home? Hospital "birth rooms" Midwife Doula Three stages of labor Stage one: dilation of the cervix entering the birth canal Stage two: moving through the birth canal the birth Stage three: delivering the placenta The Newborn (Neonate) Newborns look strange! Born a bit early - covered with vernix, a white waxy substance that keeps water off the skin Born a bit late - red and wrinkly Born very early - covered with hair (lanugo) to hold the vernix in place Skull may be misshapen Skin may be uneven in color Reflexes of Newborns Maintaining oxygen supply: - breathing - sneezes - hiccups - thrashing Maintaining body temperature: - crying - shivering - tucking legs in close Feeding: - sucking - rooting - swallowing - crying - spitting up Other Reflexes: - grasping - stepping - swimming - Babinski - Moro Most reflexes disappear during the first few months, as purposeful behavior develops. Infant Behaviors Sleeping and waking: - on average, newborns sleep 16 - 18 hours a day, half in REM sleep - amount of sleep may vary widely Feeding: - depends on the infant - depends on "scheduling" Crying: - signals discomfort, e.g., hunger or pain - reaction to sudden changes - amount of crying may vary widely Individual differences for sleeping and fussing tend to be stable, suggesting these behaviors may Sudden Infant Death Syndrome (SIDS) - 3rd leading cause of death in US and most western countries - No warning - Most frequent between 2 and 4 months, when automatic respiratory reflexes begin to be supplemented by voluntary breathing Risk Factors: - sleeping on stomach (back to sleep movement) - soft bedding exposure to cigarette smoke colder months overheating having a cold lower SES neighborhoods being male