Chapter Introduction

46

image

CHAPTER OUTLINE

Life Begins

Genes and Chromosomes

Variations Among People

More on Shared and Divergent Genes

OPPOSING PERSPECTIVES: Too Many Boys?

Twins

Genetic Interactions

From Zygote to Newborn

Germinal: The First 14 Days

Embryo: From the Third Through the Eighth Week

Fetus: From the Ninth Week Until Birth

Finally, a Baby

The New Family

Problems and Solutions

Abnormal Genes and Chromosomes

Harm to the Fetus

A VIEW FROM SCIENCE: Conflicting Advice

Prenatal Testing

A CASE TO STUDY: False Positives and False Negatives

Low Birthweight

Nature and Nurture

Alcohol Use Disorder

Nearsightedness

Practical Applications

47

CHAPTER 2

THE BEGINNING

From Conception to Birth

WHAT WILL YOU KNOW?

  • How do genes affect each individual?

  • Do fathers have any role in pregnancy and birth?

  • How can serious birth disorders be avoided?

  • Is alcohol use disorder genetic or cultural?

Video: Prenatal Development and Birth: A Brief Overview

My daughter Elissa recently had her second child. Her husband and midwife were with her in the Labor Room of the Birthing Center; I was with Asa, age 5, in the Family Room. Periodically, Asa ran down the hall to see his parents. Usually the midwife let us enter, and Elissa smiled and asked him how he was doing. Sometimes we had to wait a minute. Then, contraction over, mother and son greeted each other again.

When the baby was born, the nurse came to tell us, “There’s a new person who wants to meet you.” Asa said, “Let me put this last Lego piece in.” He did, and brought his creation to show his parents, who introduced him to his breast-feeding brother, Isaac. Six hours later, the whole family was home.

The contrast between this 2014 birth and Elissa’s own arrival is stark. Back then, midwives were banned from my New York City hospital. Fathers were relegated to waiting rooms, as my husband, Martin, had been. The nurses did not let me hold Elissa until she was 24 hours old. Her older sisters were banned from the hospital floor where I stayed for 5 days.

The science of human development is not only about how individuals change over time, it is about how contexts and cultures change, as evident in the contrast between Elissa as newborn and Elissa as new mother. Some things endure: Both births, and indeed every pregnancy and birth, were miraculous.

Further, genes have been passed down for thousands of years. Every baby has the genes from both parents, so my grandson has one-fourth of mine. However, historical change—Bronfenbrenner’s chronosystem—is dramatically apparent in conception, in prenatal development and in birth.

This chapter describes the unchanged biology of human genes, conception, prenatal development, and birth, as well as the vast differences in all four from one era, one culture, even one family to another. Possible harm is noted: causes and consequences of diseases, malnutrition, drugs, pollution, stress, and so on. Fathers, particularly, have become more active partners. All of us—professionals, governments, communities, and families—need to know more, because we all shape the beginning of each developing person.

48