Down's babies benefit greatly from breastfeeding.  They have poor immune function as a result of their Down syndrome and breastfeeding really helps avoid constant ear infections, etc.  Unfortunately, they often have initially poor oral motor function and coordination.  Having the mom preserve her milk supply by pumping/expressing and using a bottle, syringe, or other device to give the milk to the baby will be necessary until the baby learns to feed adequately and gain weight well at the breast.

Down syndrome kids need good followup care.  The AAP (American Academy of Pediatrics) has a practice parameter on followup of Down's patients.  This includes screening for thyroid disease and celiac disease.  Even if no murmur is heard in the nursery, a cardiac ultrasound evaluation is recommended to ensure that there is really no cardiac defect.

These kids do well with good care.  Here in the US, they are enrolled in developmental stimulation programs and go to school at the normal times.  Often they do fine in regular kindergarten classes, but need special academic classes for upper grades.  As adults, most are able to find productive work and are able to live in and participate in the community in group homes and supervised living environments.

Linda Shaw MD FAAP

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