Parenting Notes Chapter 4
Parenting Notes Chapter 4
Conception
● About once every 28 days, an ovum - an egg cell - is released by one of the women’s
ovaries
● This occurs as a part of woman’s menstrual cycle and is called ovulation
● At the same time, a woman's body releases hormones that prepares the uterus - the organ
in a woman's body on which a baby develops during pregnancy- in the event that the
ovum is fertilized
● During ovulation, the inner lining of the uterus grows and thickens
● If the ovum is not fertilized, the lining break down and passes out of the body in the form
of bleeding that a woman experiences as a menstrual cycle
● When an ovum is released from the ovary, it moves through the fallopian tube - the tube
that connects the ovary to the uterus
● The journey from the ovary to the uterus takes about two to three days
● The ovum usually disintegrates when it reaches the uterus and leaves the body with the
menstrual flow.
● When a sperm - a male cell required for reproduction - reaches the fallopian tube, it may
penetrate the ovum which is process called conception and a pregnancy begins at that
time
● An ovum usually lives 12 to 24 hours while a sperm is capable of fertilizing an ovum
approximately 48 to 72 hours
● Therefore, during a woman’s menstrual cycle, there are approximately four to five days
during which intercourse could lead to conception
Prenatal Development
● Prenatal development is the baby’s development during a pregnancy
● Prenatal development can be grouped into three stages:
- The germinal stage
- The embryonic stage
- The fetal stage
The Germinal Stage
● Germinal stage is the first stage in a baby’s development.
● Includes formation of the zygote - fertilized egg
● The developing baby is referred to as the zygote
● This stage lasts about two weeks, but includes the key steps in establishing pregnancy.
- Cell division:
~ While the zygote is still in the fallopian tube, it begins to grow by cell division: the single cell
splits into two cells, then the two cells rapidly multiply to four, then to eight, and so on.
● After about 4-5 days of growth and slow movement, the zygote reaches the opening to
the uterus.
● Implantation: The lining of the uterus has thickening enough to provide a place for the
zygote to attach itself and continue to grow.
● After 2 weeks of rapid growth, the zygote is only the size of the head of a pin.
At Conception
● At the moment of conception, every human baby receives 46 chromosomes - tiny
thread-like structures in the nucleus of every cell.
● Chromosomes come in 23 pairs - 23 from the father’s sperm; 23 from the mother’s ovum.
● Each chromosome has hundreds to thousands of genes - the units that determine a
human's inherited characteristics.
● Genome is defined as the complete blueprint for the creation of a person.
● Genes are made of a complex molecule called DNA - deoxyribonucleic acid.
● A human’s 46 chromosomes form that person's unique DNA.
● No two people, except for identical twins, have the same DNA.
Multiple Births
● Multiple births - when a woman gives birth to more than one child.
● The most common multiple birth form is twins.
● Identical twins - when one fertilized ovum divides into two separate cell masses and
continues to divide, grow into two separate embryos.
● Because only one ovum and sperm were involved in conception, identical twins have
very similar characteristics and are always the same sex.
● Fraternal twins - forms when two eggs are released from the ovaries at the same time
and are fertilized by two different sperm.
● Because of the different eggs and sperm, fraternal twins may not look any more alike
than other siblings do.
● It is common for fraternal twins to be of the opposite sex.
● The birth of three or more babies is more rare.
● A rise in the use of fertility treatments has increased the frequency of multiple births.
Family Planning
Introduction
● Anytime a couple has sexual intercourse, a conception may take place.
● There are various methods of contraception which help prevent pregnancy.
● Most of these methods do not prevent sexually transmitted infections (STI’s) and secually
transmitted diseases (STD’s)
● Most family planning methods have possible side effects that develop among some, but
not all users.
Condom
● Cheapest and easiest method of contraception.
● Made of latex or plastic (incase of latex allergies).
● Mainly used by men but also have a female version.
● Protective, physical barrier to prevent transfer of fluids (ie, semen).
● Very effective at preventing sexually transmitted infections (STIs) (including HIV).
● Best used in combination with other methods (i.e birth control, spermicide).
● Its use is not sanctioned by the catholic church.
● 86%-94% effective in preventing pregnancy.
Spermicide
● Chemical substance that stops sperm from moving (cannot travel up to fertilize the egg in
the fallopian tube).
● Foam, gel, cream.
● Does NOT protect against STI’s.
● Often combined with other methods.
● Can cause allergic reactions.
● Its use is not sanctioned by the catholic church. 1
● 72% effective in preventing pregnancy.
Diaphragm
● Shallow silicone cup inserted into the vagina to cover the entrance to cervix and must be
worn for at least six hours after sexual intercourse (can cause discomfort for the first
few times using it).
● Used with spermicide
● Can be washed and reused.
● Does noy protect against STI’s.
● Increases risk of urinary tract infection.
- Can trap moisture and bacteria in your vagina.
● Lasts up to 2 years.
● Need a prescription up to $75.
● Its use is not sanctioned by the Catholic Church.
● 80%-94% effective in preventing pregnancy.
Abstinence
● Not engaging in sexual intercourse.
● Approved by the Church and more natural form of birth control.
● Prevents against STI’s.
● 100% effective in avoiding pregnancy
Infertility
What is Infertility?
● The inability to become pregnant in either the male or female.
● One third of the cases of infertility can be attributed to male factors.
● One third of the cases of infertility can be attributed to female factors.
● One-third of the cases of infertility can be attributed to a combination of male and female
factors.
1. Hereditary
● Everyone inherits their genes from their biological mother and father.
● For every gene you get two variations (alleles) - 1 from mother 1 from father.
● Alleles can be dominant or recessive.
● Each child inherits 5-6 imperfect recessive genes.
- Recessive inheritance: when both parents pass on the same imperfect recessive gene,
causing the baby to have a birth defect.
- Dominant inheritance: when at least one parent passes on an imperfect dominant gene,
causing the baby to have a birth defect.
2. Errors in Genes or Chromosomes
● Not inherited.
● Extra chromosomes, too few chromosomes, broken chromosomes, rearranged
chromosomes.
● Caused by problems in development of sperm and egg.
3. Environmental Factors
● Early stages of pregnancy are critical to the healthy development of a child.
● External factors can affect a child positively or negatively.
● Factors that can have negative impacts (leading to birth defects):
○ Mothers diet
○ Diseases or infections of the mother
○ Harmful substances (medication, drugs, alcohol, etc.)
○ Exposure to hazards (chemicals, radiation)
● Cystic Fibrosis
- Many die before they reach adulthood.
- Symptoms: respiratory and digestive issues - thick mucus, wheezing/shortness of breath,
bowel disturbances, salty sweat.
- Cause: inheriting defective recessive genes from both parents; more frequent in
Caucasians.
- Detection: blood/genetic tests of parents (predictive), sweat tests of the child.
- Treatment: special diet, lung exercises, therapies, medications.
● Huntington Disease
- Degeneration of nerve cells in the brain.
- Symptoms usually have later onset.
- Symptoms: depression, anxiety, impaired vision, impaired memory, physical
deterioration, involuntary movements.
- Cause: Inheriting one defective dominant gene from a parent.
- Detection: review of family history, genetic testing, neurological (brain scans) and
psychological tests.
- Treatment: medications, therapy.
Prenatal Testing
Alpha-Fetoprotein (AFP) Test
● APF = fetal liver protein that is detachable in mother’s blood.
● Blood tests done on mother when 15-20 weeks pregnant.
● If levels are abnormal, this may be because of a birth defect and further testing is done to
determine exactly why.
Ultrasound
● Uses sound waves to create an image of the baby in the womb (sonogram).
● 3D ultrasounds.
● No harm to mother or child.
● Typically done 20 weeks into pregnancy.
● Monitor development, determine age and sex, and detect birth defects (physically
visible).
Amniocentesis
● Between 15-18 weeks of pregnancy.
● Doctor uses a needle to sample amniotic fluid from the amniotic sac surrounding the baby
(provides fluids, nutrients and cushion for the baby).
● Amniotic fluid also contains cells from the fetus.
● Genetic testing for birth defects.
● Poses some risk for miscarriage (<1%).
● Standard test for women over 35 (to test for Down Syndrome).
● Follow-up after AFP test results.
Laparoscopy
● Laparoscopy: a surgical procedure that inserts a thin, rigid tube through the abdomen to
shine light and magnify.
- Can be used to look at the baby and determine whether birth defects are visible.
- Fetal blood and tissue samples.
Avoiding Dangers to the Baby
Introduction
● From the beginning to the end of her pregnancy, the mother to be has an enormous
responsibility
● She needs to consider the effects of her actions on her unborn child.
● An essential part of good prenatal care is avoiding hazards such as alcohol and other
drugs, smoking, x-rays, hazardous chemicals, and other substances, and infections.
Other Drugs
● Drugs consumed during pregnancy are among the major causes of birth defects:
● Other substances include:
○ Prescribed and over-the-counter drugs
○ Caffeine
○ Nicotine
○ Illegal drugs
○ Inhalants
Prescription and Over-the-Counter-Drugs
● Contact the doctor if using any over-the-counter drugs and medication.
● I.e. thalidomide was prescribed in the 1950s to relieve morning sickness.
● Server birth defects such as missing or deformed arms and legs.
● Prescription medicine for acne proved harmful for this unborn child.
● First three months of pregnancy are most critical.
● Body systems are being formed including the brain.
● Chemicals found in medications can cause severe harm to the body such as intellectual
disabilities.
● At four to nine months, harmful substances may cause slow growth, infections, or
bleeding at birth.
● Doctors may prescribe necessary medication for epilepsy, high blood pressure.
Caffeine
● Found in beverages such as coffee, tea, cocoa, soft drinks, foods and some
over-the-counter medication.
● Some do not consider it a drug, although it may in fact a risk to the unborn child
● Small amounts of caffeine such as two cups of coffee or caffeinated drinks do not pose
great risks.
● Doctors advise women to avoid caffeine during pregnancy
● Consuming large amounts of caffeine may pose the following risks to the unborn baby:
- Low birth weight (5 pounds and 8 ounces or 2.5 kg).
- Serious health problems as a newborn and in the long term.
- Increased risk of miscarriages.
- Higher risk of infant death.
Tobacco
● Nicotine found in tobacco is harmful to the health of any person.
○ Harmful to baby development before birth
○ Causes low birth weight
○ Premature birth
○ Respiratory infections and allergies
○ Second hand smoke has similar effects
Illegals Drugs
● Can have devastating effects for an unborn baby.
● A mother who is addicted to a drug usually passes the addiction on to her baby.
● All drugs pass through the placenta directly to the baby
● Infants must go through painful periods of withdrawal as the baby no longer receives the
drug.
● Long-term effects of prenatal addiction can be severe.
● Children will have a multitude of learning and behavioural difficulties.
Cocaine
● Increases the risk of miscarriage.
● May cause stillbirth or premature birth.
● Causes a fetus to have stroke resulting in brain damage, a heart attack, serious birth
defects, low birth rate, or die.
● Risk of seizure or SIDS- sudden infant death syndrome.
● Tremors, exaggerated startle response, irritability, sleep and feeding difficulties, and
developmental delay that persist into school years.
Ecstasy
● Congenital heart disease or physical abnormality.
X-Rays
Radio from x-rays can cause birth defects.
● Dental x-rays are generally considered safe because they are focused very far away from
the uterus.
Infections
A pregnant mother may get an infection during the course of her pregnancy.
● Some infections can be treated without any harm to the unborn baby if they are caught
early and treated properly.
● Other infections have much more serious and damaging consequences.
Rubella
● Can cause severe birth defects especially in the first three months of pregnancy.
● Can cause blindness, deafness, heart disease and intellectual disabilities.
Toxoplasmosis If an expectant
● An infection caused by a common parasite that is found all over the world.
○ Quite common
○ Can cause blindness, hearing loss, and learning disabilities
○ Can be severe that baby dies shortly after birth or has long term disabilities
○ Can cause stillbirth or miscarriage
Chicken Pox
● A viral infection that commonly occurs in childhood.
● If an expectant mother gets chicken pox during the first half of her pregnancy, the baby is
at a slight risk of getting a condition called congenital varicella syndrome.
● Can cause scarring of the skin, limb defects, eye problems, and other serious
abnormalities.
AIDS
● Acquired Immune Deficiency Syndrome.
● Can attack the brain.
● Infected babies often have seizures and intellectual disabilities.
● The mother can take medication that reduces the chance that the baby will be infected
with the virus.
● Most babies exposed to AIDS and STD’s are delivered by cesarean section to avoid
exposure to the disease in the birth canal.