GENETIC FACTORS OF THE INCIDENCE OF CONGENITAL MALFORMATIONS ON THE FACE AN HEAD OF NEW BORN BABIES

A mutagen is any agent that alters DNA chromosomal structure, such as ionizing radiation and some chemicals. Pre-natal exposure to mutagens may result in still births or increase the risk of childhood cancer. Approximately 10% of abnormalities are genetic origins (Sadler, 1990).


        Some of the most genetic disorders result not from mutagens but from failure of homologues chromosomes to separate during meiosis resulting in conditions in which one pair of the chromosomes may be duplicated or have more than two chromosomes. This disjunction of the chromosomes produces daughter cells with 23 chromosomes each. Usually, the normal human body cell is made up of 23 pairs of chromosomes, 22 pairs of which are called autosomes and the remaining pair, the sex chromosomes. Chromosomal abnormalities involving automomes are called automomal dependent abnormalities while those related to sex chromosomes are said to be sex chromosome abnormalities (Saladin, 1996).

         In non-disjunction, both chromosomes go to the same daughter cell which then receives 22. Aneuploid, the presence of or absence of a chromosome accounts for about 50% of spontaneous abortions (Saladin, 1996). Most notable for producing autosomal malformations are chromosome pairs 23 to 15, 17, 18 and 21. The defects that occurs in chromosome 21 is the most common of chromosomal disorder referred to as Down’s syndrome, it results from three copies of the chromosomes. Advancing maternal age increases the risk of bearing a child with Down’s syndrome in the following ratio: 1:3000 for women under 30, 1:265 by age 35 and 1:9 by age of 48 (Saladin, 1996, Carter, 1970). Symptoms include short stature, a relatively flat face with a flat nasal bridge, mental retardation and congenital heart malformations.

        Trisomy of chromosome 13 is rare but when it those occur, it’s often server. Affected babies do not make it to a year and have server mental retardation, congenital heart defects, deafness, and cleft/palate lip and eye defects. Another trisomy is that of chromosome 18 known as Edward’s syndrome. This incidence is also affected by increased maternal age. Affected babies have low set of ears, flexion of fingers and hand, mental retardation, heart defects as well as rocker bottom feet (Saladin, 1996).

          Deletion is the loss of a portion of a chromosome and when it occurs on chromosome 15, it causes prader willi syndrome with features which include mental retardation and extreme obesity (Moore, 1999). A deletion on chromosome 5 causes cri-du-chat syndrome in which a baby cry in infancy is like that of a cat, high pitched; mental retardation as well as other physical deformities are also observed (Smith, 1970).

            Abnormalities associated with sex chromosomes are notably Klinifelter’s, turners and triple x syndrome. Klinifelter sufferers are sterile males, usually of average intelligence. The affected boys have two or more x chromosomes along with their y chromosomes. They tend to be tall with unusually long arms and legs, testicular atrophy, gynaecomastia and hyalinization of testis (Young, 1992). 

Turner’s syndrome found in females is a condition where one sex chromosome is missing. Only 3% of those with turner syndrome survive to birth (Saladin, 1996). No serious impairments are shown at birth and as children; they tend to show webbed neck and widely space nipples. At puberty, the secondary sex characteristics fail to develop; gonadal dysgenesis and short stature are also observed (Tijo and Levan, 1956). Difficulty in mathematics and spatial concept may be experienced and may have health related problems (Young, 1996).
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