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Understanding Childbirth and Newborn Care

Psychology
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0% found this document useful (0 votes)
15 views16 pages

Understanding Childbirth and Newborn Care

Psychology
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

Module 2:

The Start To Life

MIHIKAA CHATURVEDI
Components

 Influence of heredity and environment


 Birth and newborn: Labour process
 Ways of childbirth
 Birth complications
 Competent newborn
Birth Process
 Corticotropin Releasing Hormone (Protein) release triggers
release of Oxytocin
 Oxytocin leads to contractions of uterus
 Three stages of Labour
 Braxton Hicks contraction: False labour pains
 First stage : Uterine contractions occur every 8-10 minutes.
First stage lasts for 16 hours and is the longest
 Second stage: Uterine contractions occur every 2-3 minutes. It
ends with the baby being born
 Episiotomy (incision made to increase size of opening of vagina)
carried out during the second stage
 Third stage: Child’s umbilical cord dispensed from the mother
Birthing procedures
 Lamaze childbirth: Based on writings of Dr Fernand Lamaze, it
involves using birthing exercises and relaxation training to gain control
and relax various body parts on command
 Bradley childbirth: Husband coached childbirth. Childbirth should be
as natural as possible without use of medication or medical
interventions
 Hypnobirthing: form of self hypnosis during delivery that produces a
sense of calm reducing pain
 Water birthing: a practice in which a woman enters a pool of water to
give birth. The buoyancy of water is soothing, easing length and pain
of childbirth
 Epidural anaesthesia
 Doula or midwife
APGAR SCALE

• Low apgar scale may indicate birth defects in the fetus.


• Restriction of oxygen may produce cognitive deficits
Birth Complications
 Preterm babies
 Post mature babies (infants still unborn two weeks after mother’s
due date)
 Very low birthweight infants
 Factors that may cause birth complications
a. Inadequate Nutrition,
b. Young age of mother
c. Second pregnancy within 6 months of first pregnancy,
d. Mother carrying twins
e. Wives of older fathers (father’s age )
 Caesarean delivery
 Post partum depression
Preterm Infants
 Average new-born weighs 3.4 kgs
 Preterm infants are infants born prior to 38 weeks after
conception (also known as premature infants)
 Low birthweight infant weighs 2500 gms/2.5 kgs
 Very low birthweight infant weigh less than 1250 gms or
regardless of weight have ben in the womb less than 30 weeks
 Small for gestational age infants are infants because of delayed
fetal growth weigh 90 percent or less of the average weight of
infants of same gestational age.
Preterm infants

 Some low birthweight infants may be susceptible to respiratory


distress syndrome (RDS) as their lungs may not be fully
developed and they may have difficulty in taking oxygen.
 May be highly vulnerable to infections
 May be placed in incubators (enclosures where oxygen and
temperature may be controlled)
 By age 6, some may show learning disabilities, behaviour
disorders or may be at risk for mental illness
Caesarean delivery
 Baby is surgically removed from the uterus rather than travelling
through the birth canal
 Occurs when fetus shows signs of distress or when blood is seen
coming from mothers vagina
 They may be used if fetus is in:
a) Breech position- baby is positioned feet first in the birth canal
b) Transverse position-baby lies crosswise in the uterus
c) Baby’s head is so large that it has trouble moving through birth
canal
Caesarean Delivery

 Routine use of fetal monitors may also lead to caesarean


deliveries
 Risks- maternal infection may be higher
a) Maternal recovery may be lengthy
b) It may deter release of stress related hormones (catecholamine)
which are essential for baby’s development in the world
c) Children may suffer breathing problems
Other Complications
 Postpartum Depression- Period of deep depression in the mother
following birth of the child
 Affects 10% of all mothers
 Mothers may be withdrawn and detached
 Postpartum depression may be triggered by pronounced swings in
hormone production (progesterone and oestrogen)
 Children of mothers with postpartum depression more prone to
antisocial activities or may show less positive emotions
 Stillbirth- delivery of a child who is not alive
 Infant mortality- death within first year of life
Interaction of Heredity and Environment
 Relatedness (Monozygotic twins and Dizygotic twins reared
together and apart )
 Monozygotic – identical twins (one zygote fertilized)
 Dizygotic- fraternal/ non identical twins (two zygotes fertilized)
 Intelligence (genetics and environment)
 Physical traits: Family resemblance (For e.g. Blood pressure,
respiration rates)
 Multifactorial transmission (determination of traits by
combination of genetics and environment)
 Genotype provides a range in which phenotype may be expressed
 Psychological disorders: Role of genetics (Schizophrenia)
Competent Newborn
 Physical competence
 Learning capabilities
 A) Classical conditioning
 B) Operant conditioning
 C) Habituation
 Sensory capabilities
 Social competence
PHYSICAL COMPETENCE
 Baby begins to breathe on own
 Reflexes – unlearned, organised, involuntary responses that occur
automatically in presence of certain stimuli
 Digestion- meconium- greenish black
 Neonatal jaundice
 Rooting reflex, sucking, swallowing, coughing
 Objects with green, blue colours catch attention,
 Familiarity with sound, stops crying listening to own voice
 Sense of smell and taste develop - Pucker lips, peppermint
 Sensitive to touch
SENSORY AND SOCIAL COMPETENCE

 Classical conditioning- stimulus substitution (stroke on head)


 Operant conditioning- crying
 Habituation- Decrease in response that occurs after repeated
presentation of same stimulus
 Orienting response- quiet, slower heart beat, increased attention
 Social competence
 Imitate others’ behaviour
 Imitate adult expressions
 Experience various states of arousal
THANK YOU

Common questions

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Caesarean delivery is considered when the fetus shows distress, when blood is noticed from the mother's vagina, or in cases involving breech or transverse fetal positions, or a large head . Risks include higher infection rates, prolonged maternal recovery, and potential issues in the infant's stress-related hormone release, potentially leading to breathing problems .

Labor consists of three stages. The first stage involves uterine contractions every 8-10 minutes and lasts approximately 16 hours, making it the longest stage . The second stage features contractions every 2-3 minutes and ends with the baby's birth; an episiotomy may be performed during this stage to widen the vaginal opening . The third stage involves the detachment and dispension of the child's umbilical cord from the mother .

Lamaze childbirth focuses on birthing exercises and relaxation techniques to control and relax various body parts . The Bradley method, also known as husband-coached childbirth, emphasizes natural childbirth without the use of medication or medical interventions . Hypnobirthing utilizes self-hypnosis to achieve a calm state, aiming to reduce pain and stress during delivery . These methods vary primarily in their use of psychological and physical strategies to support the birthing process.

Heredity and environment interact through multifactorial transmission, determining traits through genetic and environmental combinations . The genotype offers a range for potential expression, influencing the phenotype . For example, physical traits such as blood pressure and psychological disorders like schizophrenia illustrate both genetic underpinnings and environmental effects on expression .

Postpartum depression is a significant period of depression affecting about 10% of mothers due to hormonal swings in progesterone and estrogen . Affected mothers may experience withdrawal, impacting their interaction with their child. Children of these mothers are more likely to engage in antisocial activities and exhibit less positive emotions .

Preterm infants, born prior to 38 weeks, often face respiratory distress due to underdeveloped lungs, making them susceptible to infections. Such infants may require incubators for environment control . By age six, they may encounter learning disabilities, behavioral disorders, or mental illness risks . Management strategies include providing a controlled environment, specialized healthcare, and monitoring developmental progress to address these complications.

The Apgar scale assesses newborn health immediately after birth, examining factors like heart rate and muscle tone. A low Apgar score can indicate potential birth defects or issues like oxygen deprivation, which may result in cognitive deficits . This scale helps in promptly identifying infants needing immediate medical attention.

Reflex actions in newborns, such as rooting, sucking, swallowing, and coughing, showcase involuntary, organized responses triggered by specific stimuli . These reflexes indicate a newborn's ability to engage with and adapt to environmental changes automatically, demonstrating inherent physical competence .

Newborns' social competence is reflected through psychological processes like habituation, where response decreases with repeated exposure to stimuli, and sensory capabilities, such as recognizing mothers' sounds and differing colors . They also display social behaviors, like imitation of adult facial expressions, which are foundational for social interaction and bonding with caregivers .

Small-for-gestational-age infants have a birth weight below 90% of their peers due to delayed fetal growth, whereas preterm infants are born before 38 weeks . These infants may face challenges such as developmental delays and increased vulnerability to infections due to their smaller size and underdevelopment compared to typical infants of their gestational age .

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