FMLY 1010 Lecture 18: Lecture 18

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Family Social Sciences
FMLY 1010
Christine A.Schippers

OP88729 o Is passed through placental filter Causes hearing impairment, visual impairment and heart anomalies Cytomegalovirus (CMV) in herpes group, transmitted through contact with body fluids 60 of all women carry CMV, most have no recognizable symptoms Highest risk for fetus when mother is infected or has reactivation of infection during pregnancy 10 of affected newborns display serious symptoms (deafness, central nervous system damage, intellectual delay) HIV virus that causes AIDS, can be passed directly from mother to fetus (crossing placenta) Fetus may contract virus in birth canal during delivery, or can be passed through breast milk 21000 pregnant women are infected Lower chance of transmitting to fetus if: taking antiHIV drug, have a Dsection, and feed with formula Infants who get HIV become ill in first 2 years, weakening their immune system Other STDS (syphilis, genital herpes, gonorrhea) cause congenital anomalies Bacteria that causes syphilis is most harmful during last 26 weeks of prenatal development Causes eye, ear, and brain anomalies Genital herpes usually passed from mother to infant during birth Gonorrhea causes infant to be blind, also transmitted during birth Teratogens: Drugs Any drug can be teratogenic Doctors recommend avoiding drugs of any kind during pregnancy Prescriptionand Overthecounter drugs Thalidomide mild tranquilizer prescribed to women who experienced severe morning sickness o Caused severe malformations of fetal limbs Depression andanxiety medications can also be teratogenic Benzodiazepine associated with preterm delivery, LBW, low Apgar score, neonatal intensive care, and respiratory distress syndrome Serotonin reuptake inhibitors (SSRIs) associated with preterm delivery in women who st started treatment after 1 trimester Some overthecounter drugs are safe for pregnant women E.g. acetaminophen o Should discuss any medicine, vitamins, supplements pregnant women take with doctors Tobacco Infants with mothers who smoke are 150g lighter on average at birth LBW has a variety of negative consequences Higher rates of miscarriage, stillborn babies, premature birth, neonatal death
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