Blausen 0326 DownSyndrome staff (2014). “Medical gallery of Blausen Medical 2014”. WikiJournal of Medicine 1 (2). DOI:10.15347/wjm/2014.010. ISSN 2002-4436., CC BY 3.0, via Wikimedia Commons

Down syndrome is a genetic condition that occurs as a result of an extra chromosome. It is not an illness or disease.

The human body is made up of millions of cells. In each cell there are 23 pairs of chromosomes (equaling 46 chromosomes in total) half of which have come from mum and half of which have come from dad.  Down syndrome is caused by the occurrence of an extra copy of chromosome 21 (the medical term for Down syndrome is Trisomy 21). This means that people with Down syndrome are like everybody else but instead of having 46 chromosomes in each of their cells they have 47 thanks to the presence of three copies of chromosome 21 instead of two.

Down syndrome was first described in detail by an English doctor, John Langdon Down, in 1866 (hence the name). While the common characteristics of people with Down syndrome were described in the 19th century it wasn’t until 1959 that a French doctor, named Jerome Lejeune, discovered that Down syndrome was caused by the inheritance of an extra copy of a chromosome. It affects 1 out of every 800 to 1,000 babies born.

Why does Down syndrome occur?

We do not know why Down syndrome happens. We know it occurs at conception and it can happen to anyone no matter what ethnic, social or age group of the parents. We also know that it is not caused by anything the parents may have done before or during pregnancy.

Down syndrome is usually recognisable at birth. People with Down syndrome do have features in common and doctors and medical specialists will look at these as an indicator.  A diagnosis is confirmed however by a blood test where a specialist takes a look at your baby’s chromosomes under the microscope and confirms if there is an extra copy of chromosome 21.

What will my baby look like?

Even though your babies’ features will have similarities with other people with Down syndrome your baby will also resemble you, your family and his/her brothers and sisters. While there are many characteristics common to people with Down syndrome your baby is an individual, with a unique appearance, personality and a set of abilities. At first the label ‘Down syndrome’ will seem larger than your baby but as your baby grows and develops and reaches the milestones at his or her own pace his or her personality traits will become more pronounced and soon you just see your baby more as the individual he or she is.

Are you expecting, or have you recently welcomed a baby with Down syndrome into your family? Meet other families who have been there – join the Auckland Down Syndrome Association.

For more information about Down syndrome, see the New Zealand Down Syndrome Association’s (NZDSA) website ↗