Saturday, May 30, 2015

Stress and Child Development

                 The Limbic system is comprised of the amygdale, hippocampus, limbic cortex, and the septal area. Each of the above brain structures are important but I want to focus on the function of the Hippocampus. The Hippocampus  is responsible for memory, learning, and controlling emotional responses. According to Berger (2012) "Excessive Cortisol  (the primary stress hormone) may flood the brain and destroy part of the hippocampus" (Berger, 2012, p.236). Destruction of the Hippocampus causes a child to have increased risk of displaying "poor emotional regulation and cognitive impairments" (Berger, 2012, p.237). Also, they are at more risk of "developing major depression, post traumatic stress disorder, and attention-deficit/hyperactivity" (Berger, 2012, p. 236).
             Hunger, exposure to violence,  and poverty are three sources of stress that produce Cortisol. I have friends and family who have suffered from one or all of these stressors. Some of the coping skills are families working together to try to improve their situation, assuring children that things will be okay, and receiving assistance in the form of financial and/or medical assistance. A study was conducted on malnutrition of children in Haiti. "In 1996, 2,335 children were admitted to the hospital and 1,238 of these children were diagnosed as having malnutrition" (Goodfriend, 1999). The relationship between the mother and the child was proven to negatively or positively impact the health of the child.  Malnourished children were more likely to have neglectful parents. The mother was encouraged to administer food, milk, and medicine to her child. It was found that mothers who didn't smile, make eye contact, and/or offer physical comfort caused children to develop insecure attachments. Some children refused to eat and felt uncomfortable with their mothers. Attentive mothers had a more secure bond with her children and the child responded in a positive manner. Mortality was seen as a common problem among children with neglectful parents.
                Poverty is a major contributor to environmental stress. According to Fujita (2012) "based on several research results, it outlines a recent rising trend in child abuse, and examines its risk factors, pointing out that major risk factors of child abuse are poverty, single-parent families, isolation and the fatigue of child-caring" (Fujita, 2012).
               Exposure of violence also negatively influences development of children. A study was conducted on the effect of violence on children between the age of 4 to 6 years old. It was found that "80%  of maltreated preschoolers exhibited patterns of emotion dysregulation in response to witnessing on angry interaction between adults" (Toth, Harris, Goodman, & Cicchetti, 2011). The majority of the children ,exposed to violence, reacted to all stimuli. These preschoolers displayed depressive symptoms and an inability to regulate emotions. In the future, children have an increased risk of "substance abuse, suicidal thoughts, self injury, and anxiety" (Toth, Harris, Goodman, & Cicchetti, 2011). "Child maltreatment, in the form of aggression and violence against children, is one of the most profound failures of a social environment to support normal development" (Toth, Harris, Goodman, & Cicchetti, 2011).
                                                        

References
Berger, K.S. (2012). The developing person through childhood (6th ed.). New York, NY; Worth Publishers
Goodfriend, M. (1999). Malnutrition: Haitian children and their parents. Clinical Pediatrics, 38(4), 256-257. doi:10.1177/000992289903800419
Fujita, H. (2012). Influences of modern poverty on children's development and schooling. Japanese Journal Of Developmental Psychology, 23(4), 439-449.
Toth, S. L., Harris, L. S., Goodman, G. S., & Cicchetti, D. (2011). Influence of violence and aggression on children’s psychological development: Trauma, attachment, and memory. In P. R. Shaver, M. Mikulincer, P. R. Shaver, M. Mikulincer (Eds.) , Human aggression and violence: Causes, manifestations, and consequences (pp. 351-365). Washington, DC, US: American Psychological Association. doi:10.1037/12346-019

Sunday, May 17, 2015

Sudden Infant Death Syndrome

My blog topic is Sudden Infant Death Syndrome (SIDS). I think it is important to discuss SIDS because babies are passing away in their sleep. They are primarily considered healthy at the time of passing. Researchers have responded to SIDS by using the scientific method . Research has found that  babies between 2-6 months of age are most vulnerable to SIDS. Susan Beal collected information on the occurrences of SIDS in different cultures. She compared the rate of infant mortality of babies in South Australia with Chinese and European descent. It was found that "Australian babies of Chinese descent died of SIDS far less often than did Australian babies of European descent" (Berger, 2012, p.6). Beal learned through observation that "Chinese babies were laid on their backs and European babies were laid on their stomach" (Berger, 2012, p.6). SIDS rates decreased when parents were encouraged to lie babies on their backs.

            A study was conducted on births " in the Inuit-inhabited areas of Canada" (Luo, Senecal, Guimond, Penney, 2010). Infant mortality was high among the Aborigines due to preterm birth, stillbirth pregnancies, and infant death. 95% of infants had a higher risk of SIDS because of the quality of maternal and infant care. In conclusion, results of both studies showed that babies who slept on their backs had a decreased risk of SIDS. "Prenatal care, maternal diet, breast-feeding, facial features, and baby blanket fabrics" (Berger, 2012, p.6) are a few of the other possible variables to study in further research.



References

Berger, K. S. (2012). The developing person through childhood (6th ed.). New York, NY: Worth Publishers

Luo, Zhong-Cheng, MD, PhDSenécal, Sacha, PhDSimonet, Fabienne, MSGuimond, Éric, PhDPenney, Christopher, MA; et al.  My Birth outcomes in the Inuit-inhabited areas of Canada Canadian Medical Association. Journal182.3(Feb 23, 2010): 235-42.



Saturday, May 9, 2015

Personal Birth Experience

I chose to discuss my own pregnancy because the birth of my daughter changed my life in a good way. The pregnancy was difficult because I was diagnosed with preeclampsia in the third trimester. Preeclampsia  is a complication in pregnancy marked by high blood pressure and protein in urine. "Preeclampsia occurs in about 4 percent of pregnancies worldwide" ( Mahande, Daltveit, Mmbaga, Masenga, Obure, Manongi, & Lie, 2013). I was put on bed rest, attended non-stress tests twice a week, and had weekly appointments at the gynecologist. Although times were tough, the best part of my pregnancy was seeing my healthy daughter for the first time. She looked at me like she knew who I was. My heart melted and I fell in love with her. She was born December 23 and came home on Christmas day.
            My daughter was induced at 37 weeks of gestation. She was healthy but only weighted 5 lbs 10 ounces. She dropped down to 5 pounds by the time that I left the hospital. The doctors were very concerned about her weight loss. Based on the pregnancy, the development of the child is affected by prenatal complications. For example, my daughter was very small when she was born due to high blood pressure. Her physical development is three weeks behind children born at 40 weeks of gestation.
            A study was conducted for treatment of preeclampsia in Northern Tanzania "Women with preeclampsia had significantly higher rates of chronic hypertension, perinatal death, induced labor, preterm birth and were more likely deliver babies with low birth weight" (Mahande, Daltveit, Mmbaga, Masenga, Obure,  Manongi, & Lie, (2013) ". Preeclampsic mothers in Tanzania had less chance of survival due to a lack of equipment and resources.  Results have shown that low income mothers in Africa are more likely to have preeclampsia. "Preeclampsia is a major contributor to death and disability among women of reproductive age in many low income countries (Mahande, Daltveit, Mmbaga, Masenga, Obure,  Manongi, & Lie, 2013)." 19,811 women delivered babies and 3,909 had preeclampsia. Research has shown that  25% of women who had preeclampsia in the first pregnancy also had preeclampsia in their future pregnancy. 
            Overall, the united states is a more developed country with advanced medicines, research, and treatments. Low income countries are still developing and may not have the resources to monitor the well-being of the mother and baby. A similarity is doctors perceive  preeclampsia has a serious problem that could lead to fetal and maternal mortality. Some differences are that low income countries can't afford the equipment needed to improve the chances of fetal and maternal survival.
References
Mahande, M. J., Daltveit, A. K., Mmbaga, B. T., Masenga, G., Obure, J., Manongi, R., & Lie, R. T. (2013). Recurrence of preeclampsia in northern tanzania: A registry-based cohort study. PLoS One, 8(11) doi:http://dx.doi.org/10.1371/journal.pone.0079116