Conversation: The conversation between human and AI assistant.
[|Human|] dear dr ..... i have a son with VECTRAL syndrom he has no vertebral defect , no renal defect , he has VSD,ASD, imperforate anus, no right upper limb , dislpasia in the right lower limb he has cholestomy now what shal i do later? is there a chance that it happens in my next vbirths?
[|AI|]  Hi, Thanks for the question. Your baby has what is called an association --certain problems (defects) grouped together, but which do not have a specific chromosomal change -----best will be for you to have genetic tests done on your baby to see if it is associated with Trisomy 18 or increased number of chromosome 18 ---or other defects. Both parents can also be tested. Usually this combination of defects is sporadic or happens in that pregnancy alone. Most of the defects can be recognized by a fetal Ultrasound at a good Perinatal center.