Edwards' Syndrome Health Article

Advertisement
Marketplace
Licensed from
Page: < Back 1 2 3

Parental concerns

Following the birth of a child with Edwards' syndrome, families may wish to seek counseling regarding the effects on relationships within the family. Many people respond with guilt, fear, or blame when a genetic disorder is manifested within a family. Support groups are good sources of information about Edwards' syndrome and can offer emotional and psychological support.

KEY TERMS

Amniocentesis—A procedure performed at 16-18 weeks of pregnancy in which a needle is inserted through a woman's abdomen into her uterus to draw out a small sample of the amniotic fluid from around the baby for analysis. Either the fluid itself or cells from the fluid can be used for a variety of tests to obtain information about genetic disorders and other medical conditions in the fetus.

Atrial septal defect—An opening between the right and left atria (upper chambers) of the heart.

Chorionic villus sampling—A procedure performed at 10 to 12 weeks of pregnancy in which a needle is inserted either through the mother's vagina or abdominal wall into the placenta to withdraw a small amount of chorionic membrane from around the early embryo. The amniotic fluid can be examined for signs of chromosome abnormalities or other genetic diseases.

Chromosome—A microscopic thread-like structure found within each cell of the human body and consisting of a complex of proteins and DNA. Humans have 46 chromosomes arranged into 23 pairs. Chromosomes contain the genetic information necessary to direct the development and functioning of all cells and systems in the body. They pass on hereditary traits from parents to child (like eye color) and determine whether the child will be male or female.

Karyotyping—A laboratory test used to study an individual's chromosome make-up. Chromosomes are separated from cells, stained, and arranged in order from largest to smallest so that their number and structure can be studied under a microscope.

Maternal serum analyte screening—A medical procedure in which a pregnant woman's blood is drawn and analyzed for the levels of certain hormones and proteins. These levels can indicate whether there may be an abnormality in the unborn child. This test is not a definitive indicator of a problem and is followed by more specific testing such as amniocentesis or chorionic villus sampling.

Patent ductus arteriosus—A congenital defect in which the temporary blood vessel connecting the left pulmonary artery to the aorta in the fetus doesn't close after birth.

Trisomy—An abnormal condition where three copies of one chromosome are present in the cells of an individual's body instead of two, the normal number.

Ultrasonography—A medical test in which sound waves are directed against internal structures in the body. As sound waves bounce off the internal structure, they create an image on a video screen. Ultrasonography is often used to diagnose fetal abnormalities, gallstones, heart defects, and tumors. Also called ultrasound imaging.

Ventricular septal defect—An opening between the right and left ventricles of the heart.

For those families whose child does survive the first weeks of life, the doctor should review with the parents the expected clinical course of the condition, and prepare a management plan for use when the child goes home. Each case must be considered on an individual basis, and the doctor should acknowledge the personal feelings of the parents, as well as the individual circumstances of each child. The theme of "best interest of the child" helps as a guiding principle in decision-making throughout the life of the child. There will be many challenges associated with the care of a child with Edwards' syndrome. As medical crises occur, parents will face decisions and emotions related to the possibility of the child dying.

See also Atrial septal defect; Congenital heart disease.

BOOKS

Barnes, Ann M., and John C. Carey. Care of the Infant and Child with Trisomy 18 and 13: Medical Problems, Reported Treatments, and Milestones. Omaha, NE: Munroes-Meyer Institute for Genetics and Rehabilitation, 2000.

Stenson, Carol M., et al. Trisomy 18: A Guidebook for Families. Omaha, NE: Munroes-Meyer Institute for Genetics and Rehabilitation, 2000.

ORGANIZATIONS

Chromosome 18 Registry & Research Society. 7715 Oakridge Drive, San Antonio, TX 78229. (210) 657-4968. Web site: <www.chromosome18.org>.

Support Organization for Trisomy 18, 13, and Related Disorders (SOFT). 2982 South Union St., Rochester, NY 14624. (800) 716-7638. Web site: <www.trisomy.org>.

WEB SITES

Trisomy 18 Support: Families Caring for Families. Available online at: <www.trisomy18support.org>.

Judith Sims

Julia Barrett

Page: < Back 1 2 3
Author Info: Judith Sims, Julia Barrett, Thomson Gale, Gale, Detroit, Gale Encyclopedia of Children's Health, 2006
 
Advertisement
Back to Top