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Case study in trisomy 21
General information on down syndrome
General information on down syndrome
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Recommended: Case study in trisomy 21
What is Down syndrome?
Down syndrome is a common birth defect that is genetic. It is a chromosomal disorder caused by an error in cell division that results in an extra 21st chromosome. Most children born with Down syndrome have some level of mental retardation.
The most common form of Down syndrome is known as trisomy 21, and it’s when individuals have 47 chromosomes in each cell instead of 46.
“Each year in the U.S., approximately one in every 800 to 1,000 newborns has Down syndrome. This results in approximately 5,000 children born with Down syndrome each year.” http://www.webmd.com/children/guide/understanding-down-syndrome-basics Three types of Down syndrome
Trisomy 21
95% of people with Down syndrome have Trisomy 21
Three copies of chromosome
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Genetic ultrasound– is performed between 18 – 20 weeks and is a detailed ultrasound combined with blood test results http://www.medicalnewstoday.com/articles/145554.php (2 slide) Diagnostic tests include:
Chorionic villus sampling – is an analysis of a tiny sample of placenta obtained from a needle inserted into the cervix or the abdomen between 8 – 12 weeks
Amniocentesis – is performed between 15 – 20 weeks and is an analysis of a small amount of amniotic fluid obtained from a needle inserted into the abdomen
Percutaneous umbilical blood sampling – is performed after 20 weeks and is an analysis of a small sample of blood from the umbilical cord obtained from a needle inserted into the
As an ultrasound technician/sonographer I will have the ability to see dangerous defects within the human anatomy and begin a lifelong profession with many benefits. The Ultrasound was first invented in the early 1900’s and was surprisingly not used to produce photos of a fetus. In 1917 Paul Langen a marine life scientist used a form of ultrasound equipment in his attempt to detect submarines. After many failed attempts at using high frequency sound waves Dr. Ian Donald and his team in Glasgow, Scotland invented the first ultrasound machine in 1957. Dr. Donald even tested his machine on patients within a year of completing the invention, by the late 1950’s ultrasounds became routine in Glasgow hospitals.
Usually before birth, around the second trimester, doctors can diagnose Sirenomelia through ultrasound or sonogram
The child that I tested will be referred to as K.L. I tested her on April 14th 2016. K.L. is 2 years old, with her exact age being 2 years 9 months and 14 days. I called and asked her mother if she would mind dropping K.L. off with me for a few hours so I could perform the test, and then pick her back up after the test was complete. This test more accurate when the caregiver is not present. K.L. has a step sister and a baby brother on the way. She has always been in the daycare setting, because her grandmother is a provider. K.L. was delivered full term via planned cesarean section due to her mother’s small pelvis. There was no complications during this pregnancy. K.L. weighted 8 lbs. 4 oz. and was 20 ½ inches long at birth, now weighting in at ...
On ultrasound, there is a live fetus in cephalic presentation. Amniotic fluid is generous but normal at 22 cm. Umbilical artery Doppler was within normal limits. BPP is 8/8.
"If it is related to giving birth check out Ina May's guide to child birth (Find it Here)"
Amniocentesis has become of the most controversial and fastest growing trends of expecting parents. The pros and cons of this contentious prenatal test have continually been increasing. Amniocentesis is a prenatal test that allows a doctor to gather information about a baby’s health and development from a sample of amniotic fluid. The test is most commonly done when the women is between 15 and 18 weeks pregnant. The test is used to determine whether the baby has genetic or chromosomal abnormalities. Amniocentesis has recently caused a great deal of controversy in the news at doctor offices in the United States. After comparing the pros and cons it is eminent that amniocentesis is an important test that should be offered to those pregnant women who desire to have it.
Most cases of Down syndrome are not inherited. When the condition is caused by trisomy 21, the chromosomal abnormality occurs as a random event during the formation of reproductive cells in a parent. The abnormality usually occurs in egg cells, but it occasionally occurs in sperm cells. An error in cell division called nondisjunction results in a reproductive cell with an abnormal number of chromosomes. For example, an egg or sperm cell may gain an extra copy of chromosome 21. If one of these atypical reproductive cells contributes to the genetic makeup of a child, the child will have an extra chromosome 21 in each of the body's cells.
Suction aspiration is a very common method used during the first 12 weeks of pregnancy.
In 1866 British doctor John Langdon Down defined and described the characteristic symptoms of Down Syndrome but was unsure of the cause. It wasn't until 1959 that Dr. Lejeunne and his team in Paris showed that people with Down Syndrome have an additional chromosome. We normally have 23 pairs of chromosomes, each made up of genes. The cells of people with Down Syndrome include three chromosome #21 instead of two. The extra 21st chromosome causes an extra dose of proteins. These proteins cause the typical features of Down Syndrome. While the fetus with Down Syndrome is developing, its body cells do not reproduce as fast as usual. That is the main reason why these babies are smaller than average after birth and their brain not as big as those of other newborn children.
Down syndrome, also known as “trisomy 21” is a genetic condition in which a child is born with an extra chromosone which causes certain features and delays in development. In sexual reproduction (meiosis) the new cell will have half of the mothers chromosones 23 and half of the fathers chromosones 23 to make a total of 46 (23 pairs) in the new cell (zygote). In a child with Down Syndrome, they will have an extra chromosone 21 making a total of 47 chromosones. There is no specific reason why this extra chromosone is present, but the older the mother is when giving birth, the more likely that her baby will have Down syndrome. Down Sydrome is named after John Langdon Down, the first person to describe the condition in 1866.
18. American College of Obstetricians and Gynecologists. Maternal serum screening. ACOG Educational Bulletin, 1996; no. 228.
Down syndrome, a genetic disorder, is the most common cause for intellectual disabilities, occurring at an average of one out of every 700 births (CDS, 2006). This disorder is caused by the extra chromosome 21 (also known as Trisomy 21). According to Hassold and Sherman (2002), the probability of giving birth to a child with DS is not linked to any race, ethnicity, socioeconomic status or geographic location. Maternal age seems to be the only etiological factor that may cause DS.
second, prenatal testing, is a testing of a fetus at risk for the disease. The
New technologies are being developed every day. The latest advance in fetal monitoring is the fetal oxygen monitor: “A device that directly measures fetal oxygen saturation during labor and delivery is now available and has the potential to reduce the number of Cesarean sections performed for non-reassuring heart rates.” (Mechcatie) The article by Mechcatie describes the monitor extremely well: “The device’s sensor, located at the end of a flexible tube, is made of pliable plastic and is inserted through the cervical os until it lies along the fetal cheek, where the pressure of the uterine wall keeps it in place during labor. The sensor shines light into the fetal skin and computes the oxygen saturation by measuring the color of the reflected light coming through the blood cells.”
Newborn screening is the practice in which the harmful or potentially fatal conditions that can affect the infant's health or survival are detected. This process can prevent death or health problems and protect the infant against certain diseases and medical conditions. Newborn screening started in 1960's when many states in U.S.A. established a newborn test program for phenylketonuria (PKU) by using the Guthrie method, a system for the collection and transportation of blood samples on filter paper. Many Infants showed developments while receiving treatment. This success led to the addition of tests for other metabolic diseases. Over time, tests were added for endocrine disorders and now newborn screening program include more than 50 individual conditions.