Tuesday, September 23, 2014

Consequences of Stress on Children's Development

The one stressor I chose was that of a set of twins that I taught in Head Start. twin boys, very rambunctious, were always fighting, biting, scratching each other. I had to remove certain toys from the classroom until I could teach them how to be safe. ex: dramatic play, in the kitchen area, the boys would take the utensil, the knives in particular and would shove them down in front of the pull-ups and would try and stab each other. The brooms and mop, they would use them as swords. The boys were constipated a lot, one morning one of the twins came in with a black eye. I spoke with mom and she said over the weekend the boys where horsing around and one of the threw a book and it caught the other twin just below the eye. I did not quite believe that story, but I documented, went to the Ed. Coordinator and told her I felt the need to make a CPS complaint. I filed the complaint, CPS went to the home to find that the mother was being abused by the father, and there was no food in the house except for pasta. The boys were only doing what they saw in the home. The father was removed, and so were the boys and the mother went to counseling. Although I was afraid, it was to best call I could have made and it saved those boys lives.
In its toxic form, stress affects behavior and physical health, and we need to translate this knowledge into public policies that can prevent it.
The growing epidemic of domestic violence is another key factor in the early childhood stress equation. Many people believe children are not affected by domestic violence and stressful environments until they are verbal, and over the age of 3 or 4. Nothing could be further from the truth. Research tells us stress in utero and in the first months and years of life has lasting consequences on a developing child.
The Dangerous Part of Stress is the Physical Response: In this context, “stress” doesn't refer to a worried or anxious state of mind, but rather to the body’s physical responses to negative circumstances. When a situation is perceived as challenging or threatening, the body responds with a series of chemical reactions that affect heart rate, blood pressure, metabolism and other functions. These temporary adjustments help us adapt and survive, but when they happen too frequently or last too long they can produce lifelong chronic disease.
For children, whose bodies and minds are still growing, a well-tuned stress response system is especially important. High levels of early stress have been linked to impaired behavioral and emotional development as well as numerous health consequences later in life, including high blood pressure, cardiovascular disease, obesity and diabetes. Such consequences cost our society in many ways.
Stress is not Always Dangerous: Positive stress is a normal part of learning and development. As children learn to cope with frustration, overcome obstacles and confront challenges, they will experience a certain amount of stress. This level of stress is usually safe and manageable, especially if a child has the support of a healthy home environment.
Toxic Stress During Pregnancy Affects the Baby

The brain is the primary stress organ: It is responsible for activating, monitoring and shutting down the body’s reactions to stress. Infants’ developing brains are particularly vulnerable; babies are affected by stress even in the protective environment of the womb. Since maternal cortisol levels affect the developing fetus, a mother’s level of stress is directly related to the well-being of her baby.FEBRUARY 15, 2012
                                                                                                         References:
http://www.urbanchildinstitute.org/articles/editorials/stress-has-lasting-effect-on-childs-development

Tuesday, September 9, 2014

                                            Child Development and Public Health
 The process of protecting a person against a disease, via antibodies, Immunization can happen naturally, when some survives a disease, or medically, usually via a small dose of the virus that stimulates the production of antibodies and thus renders a person immune. (Also called vaccination.) Berger, K. S. (2012).

The public health topic I chose to write about is; Immunizations.
Immunizations protects children not only from temporary sickness but also from serious complications, including deafness, blindness, sterility, and meningitis. Sometimes the damage from illness is not apparent until decades later. Childhood mumps, for instance, can cause sterility and doubles the risk of schizophrenia (Dalman et al., 2008). Berger, K. S. (2012). The developing person through childhood (6th ed.). New York, NY: Worth Publishers.
           
Some people cannot be safely immunized, including: 1. Embryos exposed to rubella (German measles), who may be born blind, deaf, and brain-damaged, 2. Newborns, who may die from a disease that is mild in children; 3. People with impaired immune systems (HIV. Positive, aged, or undergoing chemotherapy). All these are protected if they are part of a community (a herd) in which 90 percent of the people are immunized, because then the disease does not spread to those who are vulnerable.  Berger, K. S. (2012). The developing person through childhood (6th ed.). New York, NY: Worth Publishers.

The biggest problem with immunization is that no effective vaccine has been found for AIDS, malaria, cholera, typhoid, and shigellosis-all devastating diseases in the developing world. Another problem is that public health measures have not reach many rural areas of the world. Failure to immunize infants constitutes medical neglect. Berger, K. S. (2012). The developing person through childhood (6th ed.). New York, NY: Worth Publishers.

I was immunized as a child and all three of my children were immunized, so far no regrets. There are a lot of un-providing facts out there that are scaring young mothers to not immunize their children. For example; (MMR) causing Autism. Parents a duty to protect their children, if the reason for not immunizing their children is because they could possibly get Autism, you could argue, if you don't you risk the chances of your child being exposed to deafness, blindness, sterility, and meningitis. If you chose to not immunize because of religious belief, there is no argument from me.
 A variety of pathogens – bacteria, viruses and parasites – are responsible for the major childhood diseases. Bacteria causes tetanus, diphtheria, pertussis and tuberculosis. Viruses cause polio and measles. A single-celled parasite causes malaria.
Measles, a viral respiratory infection, killed over 500,000 children in 2003, more than any other vaccine-preventable disease. The measles death toll in Africa is so high – every minute one child dies – that many mothers don't give children real names until they have survived the disease. Measles weakens the immune system and renders children very susceptible to fatal complications from diarrhea, pneumonia and malnutrition. Those that survive may suffer blindness, deafness or brain damage. http://www.unicef.org/immunization/index_why.html
References:
Berger, K. S. (2012). The developing person through childhood (6th ed.). New York, NY: Worth Publishers.

http://www.unicef.org/immunization/index_why.html

Tuesday, September 2, 2014

Childbirth In Your Life and Around the World My childbirth Experience

Childbirth In Your Life and Around the World
My childbirth Experience
I was pregnant with our third child, at the time I did not know I was pregnant because although all the signs were there that I was pregnant, my menstruation continued.
I went to the Doctor and at twelve weeks I was told that I was pregnant but the nature of the pregnancy one or two things are likely to happen. 1. The baby could be born with down's syndrome or 2.  Spinal bifida (meaning paralyzed from the waist down). But the jury was still out because that is not what God said.
My husband had just joined the military and would be leaving for basic training in a matter of weeks. At the time we were living in Orlando Fl. And the Doctor who delivered my first two children was located in Fort Lauderdale, so I decided to move back to Fort Lauderdale to be under the care of my primary obgyn, who was a God fearing Doctor. He explain to me that what was going on, placenta pre-via a condition in which the placenta partially or wholly blocks the neck of the uterus, thus interfering with normal delivery of a baby. Hemorrhaging was the main concern.  
Every trimester I was in the hospital do to bleeding. The day of the deliver, a planned C-section, I was not put to sleep but had an epidural, as crazy as it sounds, I could feel burning really bad, it was to initial cut that I felt. The Doctor order to stop and ask if I could feel that, I replied yes, it burns. They rotated the table at a 45* angle and waited, then proceed with the surgery.
To make a long story short, my son was delivered 6lbs. 8oz, I did not hear him cry as they quickly took him to nicu.   
The only thing I remember saying was how tired I was and that I wanted to sleep, not knowing that I was hemorrhaging, I received four units of blood and six units of platelets.  It was by  God grace that I lived and not died.
I decided to compare Placenta pre-via: its relationship with race and the country of origin among Asian women.
OBJECTIVES:
To examine the association between placenta pre-via with maternal race and its variations by country of origin among Asian women.
STUDY DESIGN:
Retrospective cohort study.
METHODS:
We analyzed data from a population-based retrospective cohort study of 16,751,627 pregnancies in the US. The data were derived from the national linked birth/infant mortality database for the period 1995-2000. Multiple logistic regressions were used to describe the relationship between placenta pre-via and race as well as country of origin among Asian women.
RESULTS:
About 3.3 per 1,000 pregnancies were complicated with placenta pre-via among white women, while the corresponding figures for black women and women of other races were 3.0 and 4.5 per 1,000 pregnancies, respectively. The excess risk remained substantial and significant after adjustment for confounders for women of other races compared to white women. The frequencies of placenta pre-via among Chinese, Japanese, Filipino, Asian Indian, Korean, Vietnamese and other Asian or Pacific Islander were 5.6, 5.1, 7.6, 4.5, 5.9, 4.4 and 4.4 per 1,000 pregnancies, respectively. The adjusted odds ratios ranged from 1.39 to 2.15 among Asian women by country of origin, with the lowest for Japanese and Vietnamese and the highest for Filipino women in our study.
CONCLUSION:
Asian women have excess risk of placenta pre-via compared with white women. Major variation exists in placenta pre-via risk among Asian women, with the lowest risk in Japanese and Vietnamese women and the highest risk in Filipino women.
Reference:

 Acta Obstet Gynecol Scand. 2008;87(6):612-6. doi: 10.1080/00016340802071037. http://www.ncbi.nlm.nih.gov/pubmed/18568460