Life Span Development Spring 2010 Prenatal Development – Chapter 2 Birth and the Newborn Infant – Chapter 3
May 13, 2015
Life Span DevelopmentSpring 2010Prenatal Development – Chapter 2Birth and the Newborn Infant – Chapter 3
The Code of LifeHumans begin life as a single cell.Our genetic code is stored and communicated in
our Genes – the basic units of genetic informationGenes are composed of sequences of DNA
(deoxyriboneucleic acid). Our DNA determines the nature of every cell in the body and how it will function.
Humans have over 25,000 genesOur genes are arranged in a specific order along
46 chromosomes (23 pairs). A chromosome is a very long DNA molecule and associated proteins that carry portions of the hereditary information of an organism.
Cells, Chromosomes, and DNA
Influence of Heredity on DevelopmentCell Division: Mitosis and Meiosis Mitosis
◦ Genetic code carried into new cells◦ Each chromosome splits and combines with chemicals to retake it’s
original
form, resulting in 2 identical copies of DNA Meiosis
◦ Process which forms games (sperm and ova), which have only 23 chromosomes
◦ Each pair of chromosomes split, one member of each moving into a new cell
Fertilization◦ Sperm and ovum cells provide 23 chromosomes each, to form 23 pairs◦ 22 are autosomes◦ 23rd pair are sex chromosomes
X or Y chromosomes determine sex of child XX: female; XY: male
Mitosis
Multiple BirthsMonozygotic (MZ) Identical Twins
◦ Derive from a single zygote, which splits it two and develops into two individuals
with the same genetic code.◦ Rarer than DZ twins
Dizygotic (DZ) Fraternal Twins◦ Derive from two separate fertilized ova.◦ Family background
Chances of Bearing Twins◦ Later in life◦ Fertility Drugs
Dominant and Recessive Traits
How do genes determine traits?◦ Traits are determined by pairs of genes; consisting of two
alleles Homozygous: two identical alleles Heterozygous: two different alleles
Law of Dominance (Gregor Mendel)◦ When a dominant allele is paired with a recessive allele, the
dominant will determine trait expressed in the offspring 1 brown eyed allele and 1 blue eyed allele = brown eyed trait
◦ Recessive traits will be expressed only when two recessive alleles are paired 1 blue eyed allele and 1 blue eyed allele = blue eyed trait
◦ Carrier Person who carries & transmits recessive genes but doesn’t
exhibit them
Chromosomal AbnormalitiesChromosomal Abnormalities (More or less than 46
chromosomes) Down Syndrome
◦ Extra chromosome on 21st pair; resulting in 47 chromosomes◦ Facial feature abnormalities; cardiovascular problems; cognitive,
language, and
motor development impairments.
Sex Linked Chromosomal Abnormalities XYY Syndrome (Males with extra Y chromosome)
◦ Heightens secondary sex characteristics Klinefelter’s Syndrome (Males with extra X chromosome)
◦ Less testosterone; sex characteristic abnormalities; gynecomastia; infertility
Turner Syndrome (Females with missing X chromosome)◦ Lack estrogen; infertility; hindered development of ovaries and breasts.
Triple X Syndrome (Females with extra X chromosome)◦ Normal appearance; some cognitive deficiency; increased rate of
infertility.
Genetic Abnormalities Phenylketonuria (PKU)
◦ Failure to metabolize amino acid phenylalanine causes CNS impairments.
◦ Cause of mental retardation Huntington’s Disease
◦ Fatal, progressive degenerative disorder; uncontrollable muscle movements
Sickle-Cell Anemia◦ Red blood cells are malformed and obstruct blood vessels.◦ Can cause swollen joints, stroke, heart attack and kidney failure
Cystic Fibrosis◦ Most common fatal hereditary disease among European Americans◦ Excessive production of thick mucus that clogs pancreas and
lungs.
Sex-Linked Genetic Abnormalities Hemophilia
◦ Disorder in which blood does not clot properly◦ Carried by the X chromosome
Genetic Counseling and Prenatal Testing Genetic Counseling
◦ Advice concerning the probability that children will show genetic abnormalities
Prenatal Testing◦ Amniocentesis
Need withdraws fetal cells from amniotic sac and examines them for genetic and chromosomal abnormalities
◦ Chorionic Villus Sampling (CVS) Syringe extracts villa from outer membrane of amniotic sac via
vagina◦ Ultrasound
High frequency sound waves provide picture of the fetus Identify fetal position, multiple pregnancies, sex, growth, and
structural abnormalities◦ Blood Tests
Can identify presence of recessive genes for a variety of disorders Alpha-fetoprotein Assay (AFP) blood tests
Conception Conception
◦ Union of sperm cell and ovum that occurs when chromosomes of each of these cells combine to form 23 new pairs
◦ Gametes fuse and form the zygote. ◦ Beginning of new human life
The Ova◦ Women have 400,000 ova at birth, which development via
hormones◦ At puberty, ova begin to mature and each month are released◦ Enter fallopian tube and if not fertilized, are discharged with
endometrium The Sperm Cells
◦ Sperm cells can contain X or Y sex chromosomes (Y swim faster)◦ About 200 to 400 million sperm in each ejaculation; each of
which has the possibility of fertilizing the ovum.
Conception The Journey to Conception
◦ Only 1 / 1000 sperm will ever arrive at the vicinity of the ovum
◦ Those that survive, reach fallopian tubes 60 – 90 minutes after ejaculation
◦ Some enter the wrong tube, others fail to make the final 2 inch journey
◦ Travel is not random – chemical secreted by ovum attracts sperm
Fertilization◦ Only one sperm will be able to fertilize the ovum◦ Ova are surrounded by a layer called the zona pellucida◦ Sperm secretes hyaluronidase, which opens the layer
enabling penetration◦ Once a sperm has entered, layer hardens◦ Chromosomes for sperm and ovum line up to create 23
new pairs with a unique set of genetic instructions.
Female Reproductive Organs
Infertility15% of couples suffer from infertility – the
inability to conceive after 12-18 months of trying to become pregnant
Infertility can be caused by a variety of factors:◦ The age of the parents◦ Previous use of birth control, illicit drugs,
cigarettes, STDs◦ Abnormally low sperm count in men◦ The woman’s mother taking certain drugs
during pregnancy◦ Failure of the ovaries to release an egg – this
can be caused by hormonal imbalance in the woman, damage to the fallopian tubes or uterus, or stress
Causes of Infertility In men:
◦ Low sperm count – most common problem◦ Deformed sperm◦ Low sperm motility
Extensive athletic activity◦ Infectious disease◦ Direct trauma to testes
In women:◦ Irregular ovulation or failure to ovulate – most common problem
Hormone irregularity, stress, malnutrition◦ Various infections◦ Inflammation of tissue
Endometriosis: inflammation of endometrial tissue that is sloughed off into the abdomen rather than out of the body during menstruation
◦ Barriers or disorders in passageways Pelvic Inflammatory Disease
Methods to Help Infertile Couples Bear Children Artificial Insemination
◦ Sperm collected and frozen and injected into uterus at time of ovulation
◦ Low sperm count and motility In-Vitro Fertilization (IVF)
◦ Ripened ova are surgically removed and placed in lab dish with sperm
◦ Fertilized eggs are injected into others for implantation in the uterus
◦ Low sperm motility and blocked fallopian tubes Donor IVF
◦ Ovum harvested from another woman and implanted in mother◦ Low or no ova production
Surrogate Mothers◦ Artificially inseminated with fathers sperm◦ Mothers ova may be implanted
Adoption
Pre-natal DevelopmentThe Germinal StageThe Embryonic StageThe Fetal Stage
Stage 1: The Germinal Stage Germinal Stage of Pre-Natal Development
◦ From conception to implantation (0 to 2 weeks) What happens during the germinal stage?
◦ Cell division occurs◦ Within 3 – 4 days, the zygote reaches the uterus◦ After 1 week, the zygote begins to implant in uterine wall◦ The process of implantation takes approximately 1 week
What does the zygote look like?◦ Blastocyst: mass takes on fluid filled ball of cells; cell
differentiation Embryonic disk: Inner layers which become the
embryo and later the fetus Trophoblast: Outer layers differentiate four different
membranes Blood cell production, umbilical cord and placenta,
amniotic sac, chorion
Stage 2: The Embryonic Stage Embryonic Stage of Pre-Natal Development
◦ From implantation to end of the first two months (3 to 8 weeks) What happens during the embryonic stage?
◦ Most vital organ and bodily systems begin to develop from the embryonic disk Development follows the Cephalocaudal and Proximodistal trends Endoderm (outer layer): nervous system, sensory organs, hair,
outer skin Ectoderm (inner layer): digestive and respiratory systems, liver,
pancreas Mesoderm (middle layer): excretory & circularity systems, bones,
muscles Timeline of Development
◦ 3 weeks: head, blood vessels, and brain◦ 4 weeks (Embryo weights only a fraction of an ounce and is ½ inch
long) Heart begins to beat; arm and leg buds developed as well as eyes,
ears, nose, mouth; umbilical cord beings to function◦ 5 – 8 weeks (Embryo weighs 1/13 of an ounce and is one inch long)
Hands, feet, fingers, and toes develop; kidney and liver function; bones
Stage 2: continued At 5 – 6 weeks, non-descript sex organs have formed
◦ Males and females possess a pair of undifferentiated gonads and two sets of primitive duct structures (Mullerian and Wolffian)
Genetic Differentiation (7 weeks)◦ Genetic activity on the Y chromosome causes testes to
differentiate Ovaries differentiate if Y chromosome is absent
◦ At about 4 months, distinct external genital structures Effect of Hormones
◦ Androgens are necessary for the development of male sex organs Testosterone spurs differentiation of male duct system
◦ Low levels of androgen in females cause development of female sex organs Mullerian ducts develop into fallopian tubes, uterus,
and vagina
Stage 2: Embryonic Stage
Stage 3: Fetal Stage Fetal Stage of Pre-Natal Development
◦ From third month to birth (9 weeks to birth◦ Gains in size and weight and maturation of organ systems
Timeline of Development◦ 9 – 12 weeks (Fetus weighs one ounce and is 3 inches long):
Major organ systems formed; eyes distinguishable; sex of fetus can be determined visually; responds to external stimulation.
◦ End of the Second Trimester (Fetus weighs 2 lbs and is 14 inches) Mother detects fetal movement; opens and shuts eyes; sucks
thumb; sleep and wake cycle; responds to light and sound◦ End of the Third Trimester (Fetus weighs 7 lbs and is 20 inches
long) Heart and lungs increasingly able to sustain life; fatty layer
develops under skin substantial gains in height and weight; fetus turns upside down
Survival rate increases to 90% at end of the 7th month
Fetal Stage: Continued Fetal Perception
◦ End of 13th week: responds to sound waves◦ Third trimester: can determine frequencies◦ Research has found:
Memory for prenatal vocalizations Preference for mother’s voice
◦ Gains in size and weight and maturation of organ systems Fetal Movement
◦ Middle of 4th month: detect first fetal movements (squirms)◦ 29-30 weeks: vigorous kicking◦ Activity slows before birth◦ Research has found:
Individual differences Prediction of post-birth activity and motor development
Environmental Influences - Nutrition
Risks of Maternal Malnutrition◦ Can lead to low birth weight, pre-maturity, retardation of brain
development, cognitive, motor, and behavioral development problems
◦ Risks of being too slender: low birth rate◦ Risks of being too obese: stillbirth and neural tube defects
Expectant Mothers Require◦ Protein; Vitamins A – E; Iron; Zinc; Calcium; Folic Acid, &
Calories◦ Supplements often recommended
Expected Weight Gain◦ Between 25 to 35 pounds◦ ½ lb. per week during first half; 1 lb. per week during second
half◦ Sudden large gains or losses are undesirable
Environmental Issues – Drug Use Antibiotics
◦ Malformed bones; missing limbs; stillbirth; brain damage; deafness
Hormones◦ Cancer; masculinization of sex organs of female embryos
Vitamins◦ Blindness; mental retardation; hearth defects
Heroine◦ Low birth weight; pre-mature birth; toxemia◦ Infant addition and mortality◦ Behavioral, motor, and language deficits which are
apparent into childhood
Drug use - continued Marijuana
◦ Tremors, startling, premature birth; birth defects; neurological problems◦ Learning, memory, and behavioral deficits apparent into childhood◦ Predisposes offspring to opiate addition
Cocaine◦ Stillbirth; low birth weight; birth defects◦ Hyperactivity; delayed cognitive and language development; social
problems Alcohol
◦ Fetal Alcohol Syndrome: Underdeveloped brains; facial abnormalities; mental retardation; hyperactivity; learning disabilities; academic and behavioral deficits
Caffeine◦ Increased risk of miscarriage and low birth weight
Cigarettes◦ Prematurity; low birth weight; fetal death; mental retardation;
hyperactivity◦ Second hand smoke and paternal smoking also dangerous
Environmental Influences – Environmental Hazards Lead
◦ Delayed cognitive and intellectual functioning; memory deficits
◦ Paternal exposure increases incidence of kidney tumors Mercury
◦ Mental retardation; neurological damage PCB
◦ Motor and intellectual deficiencies; decreased responsiveness
Radiation◦ Damage to organs (eyes), central nervous system, and
skeleton◦ Mental retardation and physical deformities◦ Paternal exposure increases incidence of leukemia
Environmental Influences – Stress and Aging Maternal Stress
◦ Linked to secretion of hormones with pass through placenta
◦ Connected to complications during pregnancy and labor
◦ Connected to low preterm, low-birth weight, and irritable babies
Parental Age◦ Aging fathers produce abnormal sperm
◦ Ideal maternal age: 20s Teenage: high incidence of infant mortality and low
birth weight Over 30: fertility declines; increased risk of
chromosomal abnormalities and Downs Syndrome and stillborn and preterm babies
Birth and the Newborn InfantThe Process of Birth Begins…Neonates – term used for
newbornsAbout 266 days after conception,
a protein called corticotropin-releasing hormone (CRH) triggers the process of birth
The hormone oxytocin is released from the mother’s pituitary – build-up of oxytocin begins periodic contractions
Dropping or Lightening
◦ Head of fetus settles in pelvis
Braxton-Hicks contractions
◦ First uterine contractions may be experienced as early as 6th month
Blood spotting in vaginal secretions
◦ Day or so before labor
Rush of amniotic fluid from vagina
◦ Occurs in 1 woman in 10
Other Signs
◦ Indigestion, diarrhea, backache, abdominal cramps
Fetus Signals to the Mother
◦ Adrenal and pituitary glands secrete prostaglandins and oxytocin to stimulate labor contractions.
Countdown...
Stage 1
Lasts from a few hours to more than a day
Uterine contractions efface and dilate cervix
◦ Cervix must dilate 10cm (4 inches)
◦ Contractions increase in strength, frequency, and regularity
Mother may be prepped for episiotomy
Fetal monitoring
◦ Measure fetal heart rate and mother’s contractions
Transition
◦ Cervix is nearly fully dilated
◦ Head of fetus moves into vagina (birth canal)
◦ Frequent and strong contractions
The First Stage
Stage 2 Begins when baby appears at birth canal; ends with birth May last few minutes to few hours Crowning
◦ Baby’s head begins to emerge from birth canal
Episiotomy may be performed once crowning takes place◦ Used to prevent tearing of mother
◦ Controversial and used less frequently
Baby breathes on its own
◦ Once baby’s head emerges mucus is suctioned from the mouth
Umbilical cord is clamped and severed◦ Stump will fall off 7 – 10 days later
Newborn may be removed◦ Foot-printed; ID bracelet; drops are applied to eyes; Vitamin K
injection
The Second Stage
Stage 3
Also referred to as the placenta stage
Lasts minutes to an hour or more
Placenta separates from the wall of uterus and is expelled
◦ Bleeding is normal
◦ Uterus begins to shrink
Obstetrician sews episiotomy, if performed
The exact moment of birth occurs when the fetus passes through the vagina and emerges from the mother’s body
The Third Stage
Stages of Childbirth
Stages of Childbirth
Anesthesia General anesthesia
◦ Eliminates pain by inducing sleep
◦ Short and possible long term affects to baby
Local anesthetics (i.e., epidural block)◦ Deadens pain without putting mother to sleep
◦ Minor depressive effects on neonates shortly after birth
Alternative: Natural Childbirth
Prepared Childbirth Lamaze Method
◦ Breathing techniques and relaxation training to conserve energy, relax, and lessen pain
◦ Social support and aid during labor typically provided by Lamaze coach (typically the father)
◦ Doula: experienced, nonprofessional female to provide support Fewer cesareans, less anesthesia, and shorter, less painful
labors
Methods of Childbirth
Cesarean Section Delivered by abdominal surgery Typically performed when the baby is showing signs of
distress Increase in Cesarean Sections Performed in US
◦ Mother’s small pelvis; weakness; or fatigue◦ Baby is too large; in distress (use of fetal monitors)◦ Bypass infections in birth canal from HIV or Herpes◦ Reduce malpractice suits◦ Control date / time of delivery◦ Baby in breach position or transverse position
Diversity of birthing options
LDRP All-in-one Rooms ◦ Birthing suite in hospital equipped for uncomplicated birth
Home Birth◦ Can be fairly safe for healthy women with little risk of complications
Methods of Childbirth
Oxygen Deprivation
Hypoxia - Prenatal oxygen deprivation
◦ Can impair development of central nervous system
◦ Leads to cognitive, motor, and psychological problems
Anoxia - Oxygen deprived at birth
◦ Predicted problems in learning and memory
◦ Can cause health problems such as early-onset schizophrenia
Potential Causes
◦ Maternal disorders; immaturity of respiratory system; accidents
◦ Umbilical cord squeezed during birthing process
Fetal Monitoring Technology
◦ Can detect distress to signal need for Cesarean Section
Birth Problems
Premature and/or Low Birth Weight Babies
Premature or preterm baby
◦ Occurs before 37 weeks gestation (normal is 40 weeks)
Low-birth-weight baby
◦ Weighs less than 5.5 pounds
Small for date
◦ Low-birth-weight, although born at full term
◦ More likely to remain shorter and lighter preterm babies
Risks of Low Birth Weight
◦ Babies born between 3 ¼ and 5 ½ lbs. are seven times more likely to die
◦ Poor neurological and cognitive functioning in school years
◦ Slow motor development
◦ Pre-school experience can foster cognitive and social development
Birth Problems
Postmature babies:
Postmature infants are babies who are still unborn due weeks past the mother’s due date
This is a concern for several reasons:◦ The blood supply from the placenta may
become insufficient to nourish the fetus adequately. As a result, blood supply to the brain may be decreased and could lead to brain damage
◦ Labor becomes riskier for both mom and baby, as baby is likely to be larger and needs to fit through the birth canal
◦ Doctors will typically use drugs to induce labor or perform a C-section
Maternal Depression
Depression is normal due to hormonal changes
Postpartum depression (10 – 20% mothers)◦ Begins one month after delivery and may linger for
weeks/months
◦ Major depressive disorder with PP onset
Sadness, apathy, worthlessness, changes in sleep and appetite
Interaction of physiological and psychological factors
◦ Rare form includes psychotic features
Baby may be at risk of maternal harm
◦ May profit from social support and psychotherapy
The Postpartum Period
Physical Appearance: Babies are often coated with vernix, a thick greasy substance with
smooths the passage through the birth canal Newborns are often covered with fine, dark fuzz called lanugo Newborns eyelids may be puffy and swollen from an accumulation of
liquids during birth
Bonding:Bonding is the close physical and emotional contact between a parent and child
during the period immediately following the birth. This is believed by some developmentalists to impact the long-term relationship Animal studies showed that there is a critical period just after birth when the
animals have a particular readiness to learn, or imprint, from other members of their species who are present
Lorenz demonstrated how incubator-hatched geese would imprint on the first suitable moving stimulus they saw within what he called a "critical period" between 13-16 hours shortly after hatching. Most famously, the goslings would imprint on Lorenz himself (more specifically, on his wading boots), and he is often depicted being followed by a gaggle of geese who had imprinted on him.
The Postpartum Period
Assessing Health of NeonatesNeonates – the term used for newborns. Apgar scale
◦ Based on five signs of health Appearance, Pulse, Grimace, Activity Level, Reparatory
Effort◦ Interpretation of scores
7 or above – no danger below 4 – critical condition
Brazelton Neonatal Behavioral Assessment Scale◦ Based on four areas of behaviors
Motor behavior (muscle tone & reflexes), stress response, adaptive behavior, and control over physiological state
Characteristics of Neonates: General Health
Points 0 1 2
Appearance: Color
Blue, pale Body pink; Extremities
blue
Entirely pink
Pulse:Heart Rate
Absent(not
detectable)
Slow(Below 100
beats / minute)
Rapid(100-140 beats
/ minute)
Grimace:Reflex Irritability
No response Grimace Crying, cooing, sneezing
Activity Level:Muscle Tone
Completely limp
Weak, inactive Flexed arms and legs;
resists extension
Respiratory Effort:Breathing
Absent Shallow, irregular, slow
Regular breathing;
crying
APGAR Scale
Reflexes
Unlearned responses elicited by certain types of stimulation
◦ Some have survival value, while others seem to be evolutionary
◦ Neural functioning can be determined by testing reflex
Reflexes demonstrated by neonates
◦ Rooting Reflex: turn head and mouth in direction of stroking of cheek
◦ Sucking Reflex: babies will suck object that touches the lips
◦ Moro (Startle) Reflex: back arches, legs and arms are flung out and then brought back toward chest into a hugging motion
◦ Grasping (Palmar) Reflex: babies grasp objects pressed against palms
◦ Stepping Reflex: babies will mimic walking when help upright
◦ Babinski Reflex: infant fans toes when feet are stroked
◦ Tonic-Neck Reflex: infant turns head to one side, extending arm and leg
Characteristics of Neonates: Reflexes
Rooting
Reflex
Reflexes
Vision
Visual acuity (sharpness)
◦ Estimate of 20/600
◦ Best see objects 7 to 9 inches from eyes
◦ Lack peripheral vision of older child
◦ Able to track movement within one day of birth
Visual accommodation
◦ Self-adjustments made by eye lens to bring objects into focus
◦ Neonates show little or no visual accommodation
◦ Convergence does not occur until 7 or 8 weeks
Color Vision
◦ Cones less developed than rods at birth
◦ At 3 months, can see most visible colors
Infants are not passive
Characteristics of Neonates: Sensory Capability
Hearing
Fetuses respond to sound
◦ Middle and inner ear mature in shape and size
Neonates hear remarkably well
◦ Respond to sounds of different amplitude and pitch
May play a role in attachment
◦ Show preference for mothers’ voice
◦ Pre-natal exposure to mothers voice and learning may play a role
Responsive to sounds and rhythms of speech
◦ Show no preference for specific languages
Characteristics of Neonates: Sensory Capability
Smell Well developed at birth Demonstrate facial expressions to different odors
◦ Aversion for noxious and preference for pleasant odors Recognize familiar odors
◦ Learned preference for mother
Taste Sensitive to different tastes Demonstrate facial expressions to basic tastes
◦ Discriminate between salty, sour, and bitter tastes◦ Prefer sweet tastes
Characteristics of Neonates: Sensory Capability
Touch
Sensitive to touch
◦ Touch elicits many reflex behaviors
◦ Provides comfort, security, and foundation for attachment
Pain
Less sensitive to pain than older babies
Habituation
Behavioral difference across ethic groups
◦ European American infants habituate slower than Chinese and Japanese American infants
Show a decline in interest as a repeated stimulus becomes familiar
Differences may be due to:
◦ Genetic endowment, pre-natal environment, parental behavior
Characteristics of Neonates: Sensory Capability
Neonates spend about 16 hours per day in sleep
◦ Typical infants has six cycles of waking and sleeping
Series of naps distributed throughout day and night
Sleep through the night by 6 months to 1 year
◦ Six stages of sleep and wakefulness identified
REM Sleep
◦ Brain waves similar to wakefulness; paradoxical sleep
◦ Neonates spend 50% time in REM sleep
◦ Decreases in percentage of REM
6 months – 30%
Function of REM sleep
◦ Brain activity required for brain development
◦ Older children and adults are stimulated during wakefulness
◦ Neonates compensate by spending more time in REM sleep
Characteristics of Neonates: Patterns of Sleep
Main cause of crying
◦ Pain and discomfort
Universal, expressive and functional communication
◦ Expressive response to unpleasant feelings
◦ Stimulates caregiver response
Distinct causes and patterns of cries
◦ Hunger, anger, pain
◦ Colic: sudden, loud, cries and flexing resulting from digestive tract pain
◦ Peaks of crying in late afternoon and early evening
◦ Pitch can provide information
Crying produces physiological response in others
Can be influenced by parental response
◦ Extinction
Characteristics of Neonates: Crying
Sucking serves as a built-in tranquilizer
◦ Decreases crying and agitated movements
◦ Pacifier, sweet solutions
Soothing processes
◦ Pick baby up, patting, caressing, rocking them
◦ Speaking to them in low voice
◦ Try to find cause of distress
Learning process
◦ Parents learn what works through trial and error
◦ Infants learn that crying is followed by an intervention
Is crying reinforced?
Maturation
◦ Crying tends to be replaced by less upsetting verbal requests
Characteristics of Neonates: Soothing
Sudden Infant Death Syndrome – crib death
◦ Apparently healthy babies stop breathing during sleep
◦ Most common cause of death in infants between 1 and 12 months
◦ Most likely to occur between 2 and 5 months
Period when reflexive behavior is weakening
Causes of SIDS remains obscure, but risk factors include
◦ babies aged 2 to 4 months
◦ babies put to sleep on their stomach
◦ premature and low-birth-weight babies
◦ males
◦ lower SES
◦ African Americans
◦ babies of teenage mothers
◦ babies of mothers who smoked or used narcotics during pregnancy
SIDS: Sudden Infant Death Syndrome