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The Ultimate Interaction
Baby's Brain Meets World
By Norbert Herschkowitz, M.D., and Elinore Chapman Herschkowitz
During the baby's passage through the birth canal, the umbilical cord is squeezed, reducing the supply of blood from his mother. The oxygen level in the baby's blood goes down, and the carbon dioxide level rises. When the baby is born, the drop in oxygen makes him take a deep breath, causing his lungs to unfold and fill to full capacity. When the freshly expanded lungs suddenly release their contents, the air rushes through the narrow channel of the larynx and produces the baby's dramatic announcement of his presence, his first cry: "Here I am!"
A popular word today is multimedia, but the brainstem has been in that business for a long time. The brainstem receives incoming sensations through separate channels, or "modes." Information from the eyes is in the "visual mode," what a baby hears is in the "auditory mode" and what he feels by touching his skin is in the "somatosensory mode." His brainstem integrates the input from the different channels, a multimodal process.
Between mid-gestation and birth, an insulating sheath called myelin begins to form around the axons of the neurons in the brainstem, greatly increasing the speed and efficiency of the signals. The fact that myelination takes place so early in the brainstem is evidence of this structure's great importance. The intense activity going on in the brainstem around birth means that it needs extra energy right away. When brain cells are particularly active, they take up greater amounts of glucose, their main fuel.
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