The first thousand days of development unifg childrenshealth womenshealth development pediatrics peadiatrics
By Dr. Liji Thomas, MDMay 25 2023Reviewed by Lily Ramsey, LLM How does development take place over the life of a human being from the moment of conception? A fascinating new paper published in Global Pediatrics provides a bird's-eye view of the significant moments of this process, covering the first thousand days of life.Introduction From the beginning of life, events and changes occur constantly that are fundamental to the development of the individual.
3. Second and third trimesters Over the next six months, the fetus continues to develop until it becomes mature and grows in size. The mother is recommended to increase her calorie intake by about 350 and 460 kcal/day during the second and third trimesters.4. Labor-delivery-birth During the whole process of labor and childbirth, and the month immediately succeeding, women and their babies need a safe and welcoming space and competent personnel to attend to their needs.
7. Second year of life Over the second year, babies typically begin to walk, participate in more situations, and move independently of their parents. They explore the world at this stage but should be supervised even while exposed to rich environmental and social stimulation. Maintaining a healthy weight, good physical activity, folic acid supplementation beginning preconceptionally, and avoiding iodine deficiency, are all essential measures to help prevent such adverse outcomes.
2. First trimester In the first trimester, early antenatal assessment is a must to identify challenges and plan lifestyle changes and healthy behaviors. It is also an excellent time to pick up the mother's worries and anxieties regarding her state of life and to alleviate them. This includes operative delivery when necessary, help with establishing lactation, promoting bonding, and newborn screening for a spectrum of diseases, many of which would otherwise be missed until they result in impaired development.
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