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What Happened To My Baby?

Parents There are a number of causes for congenital limb differences. Radial aplasia is a birth defect of the lower arm. Radial aplasia means a failure of the radius, the long bone at the wrist behind the thumb, to grow. There are a number of causes for congenital limb differences like aplasia. Sometimes it is an unfortunate and unknowable combination of genes between mother and father. It appears that sometimes these are genetic misfortunes between family gene pools, and sometimes to a damaged gene due to a chemical or radiological root cause, on behalf of either a particular egg cell, or a particular sperm cell. Current theory regarding "radiological" root causes may be the penetrating cosmic radiation associated with downs syndrome among older moms.
Mom's eggs are hers for a lifetime, whereas sperm cells individually have a very short life span. A particular sperm cell, of course, might be damaged by a random strike, but probabilities are that the longer-lived egg cells are more vulnerable, due to longer exposure to the same random cosmic particles. Chemical damage to an egg cell or a sperm cell is another matter entirely. Each of us have heard of the consequences of moms taking a medicine called Thalidimide. Following that sad time, there has been unprecedented research and testing prior to approving any given drug for the public, but in our world, we are constantly absorbing all kinds of chemicals from our environment, from medicines, insecticides, cleaning chemicals, foods and even chemicals from the clothes we wear. The MARCH of DIMES is the primary source of funds for ongoing research to isolate and remove chemicals of a harmful nature. Before moms and dads go into genetic counseling, though, we should mention that the best, the medical community understands it. By far the most often encountered cause of congenital limb difference is "amniotic banding".

Very early in every pregnancy, the mom's womb begins to grow a web of filaments to support the growing weight of the fetus, and to hold the fetus more securely. It is thought that occasionally one of the filaments breaks, or pulls loose from the uterine wall, and then curls in reaction to the loss of tension. Sometimes it wraps around of of the tiny limbs, thus cutting off further development. A characteristic of this type of accident is the presence of tiny "nubbins" of fingers or toes apparent. (Please do not let an over-anxious doctor surgically remove any of these nubbins, or let a general practice prosthetist talk you into removing them "for efficient prosthetic fitting" purposes. These nubbins provide a sense of touch that might prove extremely important during your child's future).

In conclusion, for the purposes of this introduction, we sincerely hope you can simply come to view your child's limb difference as an unavoidable accident, over which you had no control.

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