Trisomy 18, also known as Edwards syndrome, is a chromosome disorder where a baby has 3 copies of chromosome 18 instead of the usual 2 copies. This extra genetic material affects growth and development and often causes heart defects, abnormalities of other organs, a small head and mouth, and clenched fists. Most babies with Trisomy 18 will die before or shortly after birth, though a small number may survive past 1 year, usually with severe intellectual disabilities. It occurs in about 1 in 5,000 live births and risk increases with maternal age.