Physical Development in Infancy

Nervous System

  • Neurons are the cells in the nervous system.

  • Key parts of a neuron include:

    • Dendrites: Branch-like extensions that receive signals from other neurons and transmit them toward the cell body.

    • Cell Body (Soma): The main part of the neuron containing the nucleus, which processes information and maintains cell function.

    • Nucleus: Located within the soma; contains genetic material.

    • Axon: A long, tube-like structure that transmits electrical impulses away from the cell body to other neurons or muscles.

    • Axon terminals: Endings of the axon where signals are transmitted to the next neuron.

    • Myelin Sheath: A fatty covering around the axon that insulates and speeds up signal transmission.

    • Synapse: The gap between neurons where neurotransmitters are released to transmit signals to the next neuron.

  • Overall idea: Neurons communicate via electrical impulses along the axon and chemical signals (neurotransmitters) across synapses to connect neural networks that underlie infancy development.

The Nervous System (Dendrites, Soma, Axon, Myelin, Synapse)

  • Dendrites – receive signals from other neurons and transmit them toward the cell body.

  • Cell Body (Soma) – contains the nucleus; processes information and maintains cell function.

  • Axon – transmits electrical impulses away from the cell body to other neurons or muscles.

  • Myelin Sheath – fatty covering around the axon; insulates and speeds up signal transmission.

  • Synapse – the gap between neurons where neurotransmitters are released to transmit signals to the next neuron.

Neurotransmitters

  • Neurotransmitters are chemicals that transmit signals between neurons across synapses.

  • They are released, bind to receptors on another neuron, and can either continue the signal or inhibit it.

  • Common neurotransmitters:

    • Dopamine – reward, motivation, movement

    • Serotonin – mood, sleep, appetite

    • Acetylcholine – learning, memory, muscle action

    • GABA – main inhibitory transmitter (calms activity)

    • Glutamate – main excitatory transmitter

Synaptogenesis

  • The formation of new synapses between neurons.

  • Begins in early fetal development and continues throughout life, with rapid bursts during infancy and early childhood.

  • Increases neural connectivity, enabling learning, memory, and cognitive flexibility.

  • During infancy, a baby’s brain forms millions of new connections daily as they learn to process sensory information and interact with their environment.

Synaptic Pruning

  • The elimination of weaker, less-used synapses to make neural networks more efficient.

  • Peaks during childhood and adolescence; continues into early adulthood.

  • Strengthens frequently used neural pathways while removing unnecessary ones, improving cognitive efficiency.

Phonemic Discrimination

  • Early Sensitivity: Infants are born with the ability to perceive and differentiate phonemes from all languages, even those they are not exposed to.

  • Perceptual Narrowing: By around 6\text{-}12\text{ months}, infants stop showing sensitivity to phonemes not used in their native language.

  • This narrowing is due to synaptic pruning, where the brain strengthens connections relevant to the language(s) they hear.

  • Infants exposed to multiple languages maintain a broader phonemic discrimination ability for longer, aiding bilingual learning.

Plasticity

  • Experience-Dependent Plasticity: New synapses form in response to unique individual experiences (e.g., learning a new skill or language).

  • Plasticity is greatest during the first years of life; many developmentalists suggest that enriching environments during this time encourage healthy brain development and neural connections (e.g., talking, singing, playing).

  • While synaptogenesis is most intense in early development, plasticity continues throughout life, allowing for learning, recovery from brain injuries, and adaptation to new experiences.

Rapid Development

  • The average infant doubles in size over the first 5\text{-}m\text{ months} of life, weighing about 15\text{ pounds}.

  • By the age of 1\text{ year}, infants' weights have tripled from birth weight.

Brain Growth and Injury Risk

  • Baby brains greatly increase in size as neurons grow and become myelinated (myelin speeds transmission of nerve impulses).

  • The infant brain is highly sensitive to injury; shaken baby syndrome can cause blood vessel damage and ruptures in neural connections, leading to severe disability or death.

Fontanelle

  • The soft spot on a baby’s head; an area where the skull bones have not yet fused.

  • Allows for flexibility during birth and room for brain growth in early infancy.

  • Closes around 6\text{-}8\text{ weeks} after birth.

Sleep in Infancy

  • Newborns sleep 16\text{-}17 hours a day in cycles of about 2 hour spurts.

  • By the end of the first year, most infants sleep through the night.

  • Infants have more REM sleep (rapid eye movement) sleep, composing about half of total sleep at first and declining to about one third by 6\text{ months}.

  • Sleep practices are highly cultural.

Perspectives on Sleep: Bedsharing

  • Potential Benefits: Promotes bonding and attachment; easier nighttime feeding; some research suggests babies sleep more soundly when near a caregiver.

  • Cultural norms: In many cultures, co-sleeping is traditional and considered normal.

  • Room sharing (without bedsharing) is generally more recommended in many guidelines.

  • Risks: Increased SIDS risk due to softer sleep surfaces, pillows, and blankets; risk of parents accidentally rolling onto the baby.

Cry It Out? (Sleep Training)

  • Description: A sleep training approach where parents allow their baby to cry.

  • Based on idea that babies can adapt to sleeping without external soothing if given time.

  • Benefits: Promotes independent sleep; increases parental sleep.

  • Concerns: Not suitable for newborns; can disrupt feeding schedules; may cause emotional distress and cortisol release.

Breastfeeding

  • The American Academy of Pediatrics recommends infants be fed breast milk for the first year.

  • Benefits of breast milk include easily digestible proteins, DHA, colostrum contains immunoglobulins, lipase and other enzymes.

  • In the United States, weaning off of breastfeeding or bottle-feeding usually starts around 3\text{-}4\text{ months}; solids start around 6\text{ months}—1–2 tablespoons of solid food per day; by 9\text{ months}, 2–3 solid snacks per day.

Extended Breastfeeding (2+ Years)

  • Mongolia: Socially acceptable to breastfeed well into toddlerhood (often 3\text{-}4\text{ years}).

  • Kenya (Kikuyu & Luo Tribes): Breastfeeding seen as bonding ritual and a way to strengthen immunity.

  • Rural India: Breastfeeding for 2+\text{ years} common, gradual weaning via Ayurveda-based diets.

  • Some Scandinavian countries: Generous maternity leave (up to 1\text{ year} paid) supports longer breastfeeding.

Earlier Weaning (6–12 months)

  • Countries/areas mentioned: United States, Japan, China, urban areas in India, Canada.

Why Families May Not Breastfeed

  • May not have options; maternal health issues; insufficient milk supply; postpartum depression (PPD);

  • Chronic illnesses (e.g., HIV, cancer, tuberculosis) may require medications unsafe for breastfeeding

  • inverted or severely cracked nipples

  • infant health conditions like lactose intolerance or metabolic disorders (e.g., galactosemia) requiring formula

  • premature infants in NICUs may need specialized formula or feeding tubes

  • work and maternity leave constraints

  • short leave and lack of lactation spaces can hinder pumping.

Formula

  • Definition: Infant formula is a scientifically developed milk substitute that provides essential nutrients for newborns and infants who are not breastfed or are partially breastfed. It mimics breast milk but lacks antibodies.

  • Pros: Convenient; easier to track intake; no dietary or medicinal restrictions for the mother; longer feeding gaps because formula digests more slowly.

  • Cons: Lacks immune antibodies; more expensive; higher risk of digestive issues for some babies; requires clean water and proper preparation.

Malnutrition

  • Lack of proper nutrients and a balanced diet can lead to delayed growth and lower IQ scores later in life.

  • Malnutrition due to food insecurity is greatest in developing nations.

  • Undernutrition can occur even if children are not severely malnourished.

  • Common deficiencies: fatty acids, iron, calcium, and vitamin D.

Benefit Programs

  • WIC (Women, Infants, and Children Program):

    • Free formula and baby food for infants up to 12 months

    • food vouchers for pregnant and postpartum mothers

    • breastfeeding support (lactation consultants, free breast pumps).

  • SNAP (Supplemental Nutrition Assistance Program)

Infant Obesity

  • Definition: Obesity is a weight greater than 20\% above the average for a given height.

  • There is no conclusive link between infant obesity and obesity in adolescence.

  • Overfeeding during infancy can predispose a person to being overweight; emphasis on appropriate, varied nutrition rather than weight alone.

Gross Motor Skills

  • By 6\text{ months}: sit upright unsupported.

  • By 8\text{-}10\text{ months}: crawl.

  • By 1\text{ year}: most infants walk unsupported.

  • Development is supported by myelination, strengthening of muscles, and head-to-body proportion.

Fine Motor Skills

  • By 3\text{ months}: coordinate movement of limbs.

  • By 4\text{ months}: begin reaching.

  • By 2\text{ years}: can drink from a cup without spilling.

  • Pincer grasp (thumb to index finger) improves greatly with age, enabling precise motor control.

Cultural Variation in Motor Skill Development

  • Cultural factors influence timing of motor milestones.

  • Aché people (Paraguay): infants kept in direct physical contact with the mother for safety; slower motor skill development.

  • Kipsigis people (Kenya): encourage standing and walking earlier than North American infants.

Visual Perception

  • Visual Cliff Test: assesses depth perception and fear of heights in infants.

  • Face Preference: infants show preferences for certain facial configurations.

  • Face Configurations: Upright faces are preferred; scrambled and inverted face configurations yield different looking-time responses.

  • Key findings (illustrative values):

    • Upright face preference shows significant looking-time advantage with p-values like p<0.03 or p<0.001 in certain configurations.

    • Top-Heavy vs Bottom-Heavy configurations influence preference; data indicate some configurations elicit stronger responses across ages.

Visual Perception: Summary Data

  • Infants show preferences for faces and certain configurations, suggesting early social processing abilities and sensitivity to social cues.

Auditory Perception

  • Early localization: Infants have poorer sound localization due to having a smaller head than adults, improving to adult levels over the first year.

  • Language discrimination: Infants can distinguish their native language from other languages; they can also distinguish their mother’s voice from other women’s voices.

Promoting Sensory Stimulation (Infant Development)

  • Practical strategies to promote sensory development:

    • Carry babies in different positions to vary proprioceptive input.

    • Let infants explore their environment to encourage curiosity and tactile experience.

    • Let babies touch and play with their food to foster oral-motor development and sensory exploration.

    • Provide multimodal toys that combine sight, touch, and sound to integrate multiple sensory modalities.