Down syndrome 

Introduction 

Down syndrome: Emily's story

Emily was born with Down syndrome. Watch her mum talk about the health issues they faced when she was little, and Emily's life as a young adult.

Down’s Syndrome Association (DSA)

If you would like more information about Down syndrome you can visit the DSA’s website or call their Helpline on 0333 1212 300.

Carers: how to get practical support

Advice for carers with home care, care homes, equipment and more to help you with caring

Down syndrome, also known as Down’s syndrome, is a genetic condition that typically causes some level of learning disability and a characteristic range of physical features.

Most babies born with Down syndrome are diagnosed with the condition after birth and will be likely to have:

  • reduced muscle tone leading to floppiness (hypotonia)
  • eyes that slant upwards and outwards
  • their palm may have only one crease across it (palmar crease)
  • a below average weight and length at birth

Although children with Down syndrome share some common physical characteristics, they do not all look the same. A child with Down syndrome will look more like their mother, their father or other family members, than other children with the syndrome.

People with Down syndrome also vary in personality and ability. Everyone born with Down syndrome will have a degree of learning disability. The level of learning disability will be different for each individual.

Read more about the characteristics of Down syndrome.

Screening for Down syndrome

In some cases, babies with Down syndrome are identified before birth as a result of antenatal screening for Down syndrome. If screening indicates there is a chance your baby has Down syndrome, further testing is available to determine how likely it is.

Screening tests don’t tell you for definite if your baby has Down syndrome but they tell you how likely it is. The only way to get a definite diagnosis is for a chromosome test to be done using a sample of the baby’s blood.

Read more information about how Down syndrome is diagnosed.

Who is affected

Down syndrome is one of the most common genetic causes of learning disability and around 750 babies are born with the condition each year in the UK. Down syndrome affects people of all races, religions and economic background equally.

The condition is caused by the presence of an extra copy of chromosome 21 in a baby’s cells. It occurs by chance at conception and is irreversible. As yet, no one knows what causes the presence of the extra chromosome 21. 

Although the chance of having a baby with Down syndrome increases with age, babies with the syndrome are born to mothers of all ages. There is no evidence that anything done before or during pregnancy causes the syndrome.

Read more about the causes of Down syndrome.

Living with Down syndrome

Some families find it difficult to accept a diagnosis of Down syndrome and it is not uncommon for parents to experience negative thoughts after the birth of their new baby.

As with most new parents a relationship begins to develop as their baby becomes more responsive and engaging. It is important to remember that a baby with Down syndrome has the same needs as any baby. Books, magazines and support from family and friends are just as relevant.

Read more information for new parents on the Down’s Syndrome Association's website.

Although there is no ‘cure’ for Down syndrome, there are ways to help children with the condition develop into healthy and fulfilled individuals, able to achieve a level of independence right for them. This includes:

  • access to good healthcare including a range of different specialists
  • early intervention programmes to provide support for children and parents
  • good parenting skills and an ordinary family life
  • education and support groups to provide information and help for parents, friends and families

Improved education and support has presented more opportunities to people with Down syndrome. For example, leaving home, forming relationships, gaining employment and leading independent lives.

However, it is important to remember that each child is different and it is not possible to predict how individuals will develop.

Read more about treating Down syndrome.

Complications

Many children with Down syndrome have associated health conditions. Possible complications include:

  • heart disorders
  • bowel abnormalities
  • digestive problems
  • hearing and vision impairments
  • thyroid dysfunctions
  • infections
  • cervical spine dislocation
  • blood disorders

These conditions vary in severity with each individual. Some children experience none of them, some experience a few.

Your child may be checked by a paediatrician more often than other children to detect developing problems as early as possible. If you have any concerns about your child’s health, discuss them with your GP, health visitor or paediatrician.

Read more about the complications of Down syndrome.

Last reviewed: 24/01/2013

Next review due: 24/01/2015

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Comments are personal views. Any information they give has not been checked and may not be accurate.

nkechi said on 26 November 2012

I wish I know where these test are done ,rhis condition is not easy to cope with.dd your comment in 2000 characters or less

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5972 said on 24 April 2012

Screening only serves to provide a chance of that pregnancy being affected by the condition.

The only way to achieve a positive or negative result is diagnostic testing, either by Chorionic Villus Sampling (CVS) or an amniocentesis. Both these methods enable genetic testing of the fetus, to either confirm or not the presence of an extra chromosome 21.

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Andrew Judd said on 06 November 2011

your text reads:

"If screening proves positive (confirms that the baby has Down’s syndrome), counselling is available to provide support and information, so that the woman and her partner can make an informed decision about whether to proceed with the pregnancy."

Which implies that if you get a negative screen result that the baby will not have down syndrome.

Please make is clearer to everybody from the beginning of this text and throughout it and elsewhere that parents wanting greater security need to get the appropriate diagnostic testing done so they can avoid the pain and suffering that results from not testing for this unfortunate condition.

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Special needs in children

If your child has a health condition or disability, they may need specialised healthcare and help at school. Find out more here.

Raising a disabled child

If your child is ill or disabled, read the parent carers' section of Carers Direct for advice on how to get support.