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Fetal Brain Development and the Preterm Infant

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FETAL BRAIN DEVELOPMENT AND THE PRETERM INFANT 2

NORMAL FETAL BRAIN DEVELOPMENT Embryonic brain development begins a few weeks after conception through the processes known as gastrulation and neurulation (Gilbert, 2000). During gastrulation the embryo changes from a simple group of cells to a multi-layered organism. Three germ layers are formed during this process: the endoderm, mesoderm, and ectoderm (Gilbert, 2000). The endoderm is the most inner layer and forms the lining of internal organs. The mesoderm is the middle layer which forms the skeletal, muscle, and circulatory systems. The ectoderm is the outer most layer which forms the skin, brain and nervous system.
During the process of neurulation the ectoderm, the outermost germ layer, goes through a thickening process which in turn forms the neural plate. With changes in cell attachment and shape, the plate beings to rise and fold eventually with both sides meeting in the middle creating a tube (Gilbert, 2000). This tube pulls away from the ectoderm forming what is termed as the neural tube. “By 27 days, the tube is fully closed and has already begun its transformation into the brain and spinal cord of the embryo” (Zero to three). Failure of the neural tube to close can result in the cerebral cortex not being able to be formed or in spina bifida.
Cells called neural progenitor cells, which formed and differentiated in the ectoderm during gastrulation, begin forming the brain, hind brain and the spinal

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