S2 W4 Prenatal development Flashcards
Risk factor
more likely
Fetal Alcohol Spectrum Disorders (FASD)
Some FASD: result in neurological but not physiological problems.
Fetal Alcohol Syndrome (FAS)
FAS: abnormally small head, underdeveloped brain, eye abnormalities, congenital heart disease, joint anomalies, and malformations of the face.
Causality
causes
Genetic risk factors
account fro 10-15% of congenital defects.
Inherited gene disorder: risk dependent on father’s status (causality). Autosomal gene disorders (e.g., sickle cell disease and cystic fibrosis) (if father is carrier)
Chromosomal abnormalities found 1 in 200 live births (e.g., down’s syndrome and Edward’s syndrome): Account for 50-70% of first trimester miscarriages.
Environemntal risk factor: radiation and Pollution
Radiation can cause serious birth defects and cancer. Air pollution has been linked to autism (Volk et al., 2014). Genetic factors interact with an environmental factor.
Environmental risk factor: Viral infection
COVID-19 (viral infection): leads to increased risk of premature birth, stillbirth and is linked to low birth weight. Evidence of neurodevelopmental impact is limited.
Envrionmental risk factor: Domestic violence
Approx. 6.9% of women experience domestic violence in the UK (Crime survey for England and Wales, 2022). Approx. 7-8% of pregnant women experience violence by their intimate partners, most more than once.
High rate of miscarriage.
Socioeconomic status (SES)
Domestic violence, radiation/pollution are linked to SES.
SES causes a risk to pre/postnatal development both neural and physical.
Maternal malnutrition
related to premature birth and low birth (disproportionately affects people who live in poverty (food poverty). = the risk of spina bifida, a neural tube defect (NTD), can be reduced if vitamins containing folic acid are taken during pregnancy
Maternal risk factors:
Age/Stress and support/Teratogens
Mother’s age
increase in chromosomal abnormalities with higher age. Risk for down syndrome 1/2000 at 20 but 1/200 by 37Y.
Fathers age
The age of father is a factor in social function impairments – extreme of which are autism and schizophrenia. Likely due to DNA methylation abnormalities in sperm of father.
Teenage pregnancy
Teenage Pregnancy: Teenager’s growth is not complete. Pelvic cradle is not ready, leading to complication during birth and pain for the mother.
Psychological stress
associated with premature delivery and low brith weight.