1. Physical appearance

People with Down’s syndrome share a number of physical characteristics. Not everyone will have all of them, but they may include:

• Reduced muscle tone which results in floppiness (hypotonia).
• A small nose and flat nasal bridge.
• A small mouth.
• Eyes that slant upwards and outwards.
• A big space between the first and second toe (sandal gap).
• Broad hands with short fingers.
• Their palm may have only one crease across it (palmar crease).
• A below average weight and length at birth.

However, it is important to note that people with Down’s syndrome do not all look the same and will share physical features with their parents and family.

1. Delayed Development

All children with Down’s syndrome have some degree of learning disability and delayed development, but this varies widely between individual children.

Babies with Down’s syndrome also often have short arms and legs and low muscle tone, making it harder for them to learn how to move.

Certain development milestones are often affected, including:

• Reaching
• Sitting
• Standing
• Walking
• Communicating
• Talking
• Reading

A small proportion of children with Down’s syndrome have additional medical complications that also affect their development.

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