True Birth

Trisomy 13/18: Episode #133


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The world of genetics is an intricate and complex field, a web of codes that define every aspect of our being. Occasionally, unexpected changes that occur during the formation of these genetic blueprints, and these can lead to various genetic disorders. Among these disorders are Trisomy 18 and Trisomy 13, also known as Edwards Syndrome and Patau Syndrome, respectively. Although relatively rare, their impact is profound, often leading to serious health challenges for affected individuals.

Trisomy 18 - Edwards Syndrome:

Trisomy 18, commonly known as Edwards Syndrome, is a genetic disorder caused by an error in cell division that results in an extra chromosome 18. The condition is often characterized by severe intellectual and developmental delays, as well as a myriad of physical abnormalities.

Children born with Edwards Syndrome may exhibit a variety of signs, including a small, abnormally shaped head; a small jaw and mouth; and clenched fists with overlapping fingers. They can also have heart defects, kidney problems, and other organ abnormalities. Sadly, due to these severe health issues, many infants with Trisomy 18 do not survive past into birth and the majority to not survive their first year.

Trisomy 13 - Patau Syndrome:

Patau Syndrome, also known as Trisomy 13, is another chromosomal disorder, this time involving an extra copy of chromosome 13. Similar to Trisomy 18, this genetic condition results in severe intellectual and physical challenges.

Infants with Trisomy 13 often have multiple malformations, including heart defects, brain or spinal cord abnormalities, very small or poorly developed eyes (microphthalmia), extra fingers and/or toes (polydactyly), and cleft lip or cleft palate. As with Edwards Syndrome, the prognosis for infants with Patau Syndrome is unfortunately poor, with many not surviving past infancy.

Both Trisomy 18 and Trisomy 13 are incredibly challenging conditions, not just for those directly affected, but also for their families. These disorders highlight the importance of genetic health and the complexity of our chromosomal blueprint. While medical advancements continue to strive for better understanding and treatment options, it's crucial to provide support and understanding for families affected by these conditions.

Early diagnosis, comprehensive care, and a multidisciplinary approach are essential in managing these conditions. But equally important is a supportive and empathetic society that recognizes the unique challenges that individuals with Trisomy 18 or Trisomy 13 and their families face.

Remember, behind every statistic is a person—a life filled with potential and a heart capable of giving and receiving love. In understanding disorders like these, we step toward a more inclusive world where every individual is acknowledged, respected, and celebrated.

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True BirthBy Dr. Yaakov Abdelhak & Kristin Mallon, RN, CNM

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