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BIOLOGY · Stage 9 · Chapter 11: Human Genetics and Development

Biology 11.6 Health of the mother, health of the child — Maternal Nutrition and Care — Alhussan International Academy - Biology (Stages 7-9) Revision Notes & Topical Questions

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11.6 Health of the mother, health of the child — Maternal Nutrition and Care — Alhussan International Academy — Biology (Stages 7–9) notes: Explain how the diet, lifestyle, drugs and care of a pregnant woman affect the health of the developing baby.Dependence — for the nine month…

  • Last three months
  • Folic acid (a B vitamin)
  • Calcium and vitamin D
  • Recreational drugs
  • Small babies
  • Prevention

Section 1 of 6Why the mother's health matters

  • Dependence
    • for the nine months of pregnancy the developing baby depends on its mother.
    • Nutrients pass from the mother to the fetus through the placenta.
    • Whatever she eats, drinks and breathes affects the baby.
  • Good care
    • it gives the baby a healthy start, reduces the risk of miscarriage and premature birth and improves the mother's health.
  • Last three months
    • if the mother does not get enough food, the baby may be underweight and might not survive, and she may not make enough milk.

Section 2 of 6A healthy diet in pregnancy

  • Balance
    • the fetus needs a balance of nutrients for its tissues and organs to develop properly.
  • Folic acid (a B vitamin)
    • it greatly reduces the risk of neural tube defects such as spina bifida.
    • Supplements are advised before conception and in early pregnancy.
  • Iron
    • it is needed to make extra red blood cells for mother and fetus.
    • Deficiency causes anaemia, tiredness and low birth weight.
  • Calcium and vitamin D
    • they build the baby's bones and teeth, and a mother short of calcium may lose it from her own bones.
  • Protein
    • it is needed for the growth of new tissue.
  • Energy
    • a pregnant woman needs only a small increase, around 200 to 300 kcal per day in the last stage, not eating for two.

Section 3 of 6Drugs and the placenta

  • Drugs = substances that affect the way the body works by changing chemical reactions in cells.
  • Medicines
    • they make us feel better when ill and are thoroughly tested, but some may harm the fetus, especially in the first 12 weeks.
    • Some drugs stop the arms and legs growing or damage the heart as it forms.
    • Health workers must be told if a woman is pregnant, so that they give drugs that are safe for the fetus.
  • Recreational drugs
    • they are used for enjoyment, and caffeine and nicotine are legal examples.
    • Cannabis, heroin and cocaine are illegal in most countries, and all these drugs cross the placenta.
  • Caffeine
    • babies of mothers who take in caffeine have a lower birth weight, and the more coffee she drinks the smaller the baby is likely to be.
    • A single cup of coffee contains about 95 mg of caffeine.
  • Addiction
    • if a mother uses cocaine or heroin the baby may be born addicted.
  • Small babies
    • they are more likely to have health problems or die soon after birth.

Section 4 of 6Harmful substances to avoid

SubstanceEffect on fetus
AlcoholFetal alcohol syndrome: poor growth, brain damage, learning difficulties
Nicotine and carbon monoxideLess oxygen delivered; low birth weight; higher risk of premature birth
Some drugsBirth defects; baby may be born addicted
Rubella virusHeart, eye and ear damage; deafness
  • Prevention
    • vaccination against rubella before pregnancy protects babies.
  • Foods
    • pregnant women should avoid foods that may carry harmful bacteria, such as undercooked meat.

Section 5 of 6Antenatal care and after birth

  • Antenatal care = regular check-ups during pregnancy.
    • Midwives and doctors measure blood pressure, test urine for protein or glucose, and check blood for anaemia.
    • Ultrasound scans monitor the baby's growth and position.
    • Problems are identified early and advice is given on diet, exercise and preparing for birth.
  • Exercise
    • mild exercise such as walking or swimming is helpful.
  • Breast milk
    • it gives the right balance of nutrients and antibodies that protect against infections.
    • It can strengthen the bond between mother and baby.
    • Where clean water is not available, bottle feeding can carry risks of disease.

Section 6 of 6Evaluating health advice

  • Evidence
    • advice is based on large studies comparing outcomes for babies of mothers with different habits.
  • Reliable conclusions
    • they need large samples, repeat studies and allowance for other factors such as income and age that also affect birth weight.

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