Down syndrome is a genetic condition where a person has three copies of chromosome 21 instead of the usual two. This extra genetic material causes developmental delays and other issues. Down syndrome can range from mild to severe depending on the individual. Over 90% of Down syndrome cases are caused by trisomy 21, where there are three copies of chromosome 21. Physical signs include a flattened nose, small ears and mouth, upward slanting eyes, and short hands and fingers. The risk of having a child with Down syndrome increases with the mother's age. Complications can include heart defects, leukemia, and early-onset Alzheimer's disease.