Developmental Psychology I: infancy and childhood part 3.2 Flashcards
(34 cards)
Perinatal Environment and Onset of Birth
Perinatal environment
Perinatal environment = environment surrounding birth: includes influences such as medications given to the mother during delivery, delivery practices, and the social environment shortly after the baby is born.
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The perinatal environment is important as it can affect the baby’s well-being and the course of future development.
Medications used during labor
Delivery practices (e.g. water birth, hospital vs home)
Early social surroundings
These factors can impact how smoothly the baby transitions from womb to world.
When and how does birth start?
A cascade of events triggers labor
🔑 Trigger: Around 266 days (38 weeks) after fertilization
🔬 CRH (Corticotropin-Releasing Hormone) is released by the placenta, which then:
Stimulates the pituitary gland (shown in the brain diagram),
Releases oxytocin – the “let’s get this show started” hormone,
Oxytocin stimulates uterine contractions.
💡 Think of CRH as the conductor and oxytocin as the drumbeat starting the orchestra of labor.
What is the hormonal start of birth?
Hypothalamus
⤷ Releases CRH (Corticotropin-Releasing Hormone)
Anterior Pituitary (Adenohypophysis)
⤷ Responds to CRH by releasing ACTH (Adrenocorticotropic Hormone)
Adrenal Cortex (of the adrenal glands)
⤷ ACTH stimulates it to release Cortisol
Cortisol Effects:
Prepares the body for stress (e.g., energy mobilization)
Matures fetal lungs
Increases uterine sensitivity to oxytocin → triggers contractions
Other words for Pituitary gland?
/Hypothesis/adenohypoteisis
Other words for Posterior lobe of the pituitary gland?
Neurohypothesis
Birth stage 1
Dilation & Contractions
Begins with contractions every 8–10 minutes, lasting ~30s.
Progresses to more frequent, stronger contractions (every 2 minutes).
The goal: dilate cervix to ~10cm — just enough for the baby’s head.
🔑 Final part of stage 1 = transition!!!!!! — intense, rapid contractions right before pushing.
Birth stage 2
Delivery of the Baby!!
Begins once cervix is fully dilated 10 cm.
Baby’s head passes through the cervix and emerges.
Can take 30 to 90 minutes.
May involve episiotomy (small incision to prevent tearing).
Ends when baby is fully born.
Birth stage 3
Expulsion of Placenta
Quickest stage: only a few minutes.
Consists of the umbilical cord (still attached to the baby) and placenta being expelled from the mother.
🕓 Duration of labor (from onset to baby born):
1st baby: ~12 hours (or 8–14 hours)
2nd baby: ~7 hours (or 3–8 hours)
Birth Positions
Most babies rotate head-first into position. Some remain in a breech position (feet/bottom first), which can:
Compress the umbilical cord
Cause anoxia/hypoxia = oxygen deprivation
Lead to brain damage if prolonged
🏥 Often resolved with a C-section.
Complications During Delivery
Here’s a quick analogy: Imagine birth like exiting a narrow tunnel. A few things can go wrong:
Abnormal lie = Baby’s orientation blocks exit.
Intraamniotic infection = Inflammation inside the womb.
Shoulder dystocia = Baby’s shoulder gets stuck.
Umbilical cord prolapse = Cord exits before the baby, cutting oxygen.
Uterine inversion = Uterus flips inside out (very rare).
Induced labor = Medically triggered.
Vacuum or forceps delivery = Instruments used to pull baby out.
Rupture of vessels = Excessive pressure = bleeding risk.
Anoxia/hypoxia = lack of oxygen, potential for brain injury.
Newborn’s First Minutes
First Breaths and Cries
Newborns usually breathe and cry on their own.
Crying = first activation of the lungs. Like turning on an engine for the first time.
Between cries, they inhale air → fills the lungs → oxygen enters bloodstream → body “turns on” its oxygen supply.
🩷 Skin color changes from blue to pink — not because the baby is cold, but because blood is getting re-oxygenated.
Reflexes Activate
Eyes open wide, and muscles in fingers and toes start contracting and relaxing.
It’s like the body is doing a system check: “Are the lights on? Can we move limbs? Good to go.”
Immediate Post-Birth Care
Baby is cleaned, and mucus is removed from the throat to clear airways.
Head may be misshapen (cone-shape) — like clay squeezed through a narrow tube (birth canal). This shape is temporary.
Umbilical Cord
It’s cut, leaving a stub that dries and falls off within days.
Health Tests
Tests are done to assess physical condition (e.g., heart rate, breathing, muscle tone).
💛 The Golden Hour: Skin-to-Skin + Breastfeeding
Colostrum: Thick, nutrient fluid from the mother’s breast — packed with nutrients and immune boosters.
The Golden Hour: The first 60 minutes of life, critical for bonding and early immune protection.
Skin-to-skin contact + breastfeeding during this period maximizes benefits — warmth, bonding hormones (like oxytocin), and feeding success.
birth weight
birth weight is a signal of whether internal development had enough time and resources.
What is Normal Weight?
Average: 3.2–3.4 kg
Optimal range: 3–5 kg
Too low = possible complications
Why Low Birth Weight Is a Concern
Birth weight is a key factor in postnatal survival
Babies with low weight may have underdeveloped vital organs, like lungs or the brain.
They are at greater risk of infections, temperature regulation issues, and developmental delays
What is Small-for-Gestational-Age (SGA)
📉 SGA and Pre-Term Birth
SGA = Small-for-Gestational-Age: Baby is smaller than expected for the number of weeks in the womb.
This can lead to a pre-term birth — delivery before 37 weeks.
👶 Pre-term but within normal weight = higher chance of survival and fewer complications than SGA babies.
What is the Apgar Scale?
Developed by Dr. Virginia Apgar in 1953, the Apgar Scale was a response to the fact that doctors focused mostly on mothers during delivery and often ignored the newborn’s immediate health status.
📌 Purpose: It’s a quick rating scale to evaluate a newborn’s physical condition just 1 minute and 5 minutes after birth.!!!!
The Five Vital Signs Assessed (Apgar Components)
Each component is scored from 0 to 2, for a maximum of 10:
Component: Colour (skin tone)
0: Blue or pale (cyanosis)
1: Body pink, limbs blue
2: Entirely pink
_________________________
Component: Heart rate
0: Absent
1: <100 bpm (slow)
2: >100 bpm (rapid, healthy)
_________________________
Component: Reflex irritability
0: No response
1: Grimace
2: Crying, sneezing, coughing
_________________________
Component: Muscle tone
0: Limp, flaccid
1: Weak, inactive
2: Strong, active
_________________________
Component: Respiratory effort
0: Absent
1: Slow, irregular
2: Good; strong cry
_________________________
Apgar rating scale numbers
Scoring and Interpretation
Each category gets 0, 1, or 2 points.
Total is evaluated at 1 and 5 minutes after birth.
Score 7 or higher = baby is in good health.
Score below 7 = baby might need medical attention.
Any 0 score in a category = immediate intervention needed.
A perfect score of 10 is rare.
Color of baby cyanosis apgar scale
Colour
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Skin turns blue (cyanosis) due to high levels of unoxygenated hemoglobinin cardiovascular system, pink when there are adequate levels ofoxygenated hemoglobin
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Heart rate
Pulse of>100bpm considered healthy for a newborn
Apgar scale explained:
Reflex Irritability: How a baby responds to stimulation like suction in the throat area (e.g., sneezing or coughing).
Muscle Tone: Indicates the baby’s physical activity and strength – are limbs moving actively or is the baby limp?
Respiratory Effort: Measures breathing quality; strong cry = good, weak cry or silence = concern.
Neurological Examination
Beyond the Apgar, neurological condition is examined soon after birth to detect injury or abnormal development of the nervous system.
Signs include absence of expected behaviors or reflexes.
Especially important for at-risk infants:
Preterm babies
Babies from complicated deliveries (e.g., C-section, oxygen deprivation)
Babies of mothers with certain diseases or drug use
NBAS – Neonatal Behavioural Assessment Scale
(Brazelton)
Used within the first two days of life to assess neurological development and response to the environment.
Takes ~30 minutes
Measures:
20 reflexes
26 behaviors, grouped into:
Interaction: e.g., eye widening, gaze following
Motor behavior: resistance when limbs are moved
Physiological control: e.g., not overreacting to light or touch
Stress response: e.g., startle reflex
🧠 Impact on parents:
Helps parents understand what calms or stimulates their baby.
Encourages stronger bonding and greater involvement.
Prechtl’s General Movements Assessment (GMA)
Developed by Einspieler & Prechtl (2005), this test evaluates nervous system function by observing spontaneous movements.
Done for babies up to ~6 months old
Babies lie on their back (supine), and their whole-body movement is assessed for 1–3 minutes.
Movements should be:
Complex
Variable
Frequent
Two specific abnormal general movement patterns have been found to reliably predict cerebral palsy:
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A persistent pattern of “cramp-synchronised” general movements (movements are rigid, not smooth and fluent)
If movements are monotonous or rigid, it may indicate neurological impairment, such as cerebral palsy.
Two Warning Signs of Neurological Disorders (e.g., cerebral palsy)
Cramp-synchronized movements:
Rigid, not smooth or flowing
Suggests nervous system dysfunction
Lack of fidgety movements (3–5 months):
Normally expected: small, smooth, variable movements of trunk, neck, limbs
Their absence signals a red flag
cerebral palsy
Assesses functionality of the nervous system in newborns to specifically detect symptoms of cerebral palsy (a group of disorders marked by a reduced ability to move and maintain balance and posture)