The energy distribution maintained at birth is, in some ways, elemental in furnishing a tension level of an individual. Any decrease or increase in these established levels leads to a very common, yet challenging condition known as anxiety. The patterning shown by the distribution of the anxiety influence is relative to the tension level of the individual.
Psychic responses differ according to the severity of trauma that is caused to the fetus at birth. There is solid and confirming evidence that shows the level of trauma varies dramatically for different fetuses. The variety of trauma not only differs, but the ability to absorb this trauma also seems to differ.
Physical agents which may be operative before or at birth to influence the subsequent health of infant and child are such factors as abnormal physical or instrumental delivery. Injury sustained by the fetus by these means may be crippling for life. Apart from purely physical injuries, permanent damage may be done to the mental faculties. In the New York State Schools for Mental Defectives, Malzberg has calculated that approximately 6% of all first admissions are due to injuries sustained at birth.
The pregnancy stage requires a mother to maintain a healthy diet in full supply of vitamins and proteins. The concern of malnutrition is essentially the greatest concern during this period. Emotional stress and toxic disturbance must also be looked after.
Vitamin deficiencies during the pregnancy can lead to a variety of problems. Certain vitamin deficiencies seem to imply a more severe set of defects. The vitamins that researchers seem to have stressed during a variety of studies include C, B, D and calcium.
Ebbs and his co-workers and Tisdall have demonstrated the substantive importance of an adequate maternal diet during pregnancy for the health of the infant and the adult it grows to be-if it survives to be an adult. An important point which should be underscored here is that not one of the 120 women in the poor-diet group studied by these investigators showed the slightest sign of any deficiency diseases. As these workers found, and as Burke and his co-workers found in an independent investigation, when nutrition during pregnancy is inadequate, the fetus suffers more than the mother. If the mother's diet is good during pregnancy, then the infant is usually in excellent condition at birth. In Ebbs' Canadian study 120 pregnant women on a poor diet were compared with 90 pregnant women of the same so-cioeconomic status whose diet had been made good. In every way the mothers and their offspring who were on a good diet did better than the mothers and their offspring who were on a poor diet.
The facts are striking. They show that a diet which was inadequate, although good enough not to produce any recognizable clinical conditions in the mother, seriously interfered with the efficiency of the pregnant mother but affected the fetus more than it did her.
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