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Moscow Times News/ Community

 

 

Tuesday, Apr. 16, 2002. Page 10

 

Attitude to Down Syndrome Goes Downside Up

 

By., Annabel McGilvray

Special to the Moscow Times

Helen Bystrova knew something was wrong as soon as her third baby was born. But she was told nothing until a delegation of medical personnel came to her bedside 12 hours later.

 

"Your baby will never walk, she will never talk," she was told. "Your baby has Down syndrome and will be an idiot."

 

Bystrova was instructed by staff at the Moscow hospital that what had occurred had been a nightmare; she must forget the baby so that "you can go on to live a new and good life."

 

 

"They said I was not to even start feeding my Mary," Bystrova said in an interview. "But I did on the sly."

 

Like most Russians, Helen Bystrova and her husband, Alexander, knew next to nothing about Down syndrome ‑‑ a condition, long‑stigmatised in Russia , in which a baby is born with one extra chromosome, causing a variety of physical abnormalities and mental retardation.

 

The couple said they felt they had little choice but to sign the papers they were given. So, as still happens to a reported 90 percent of Russian babies born with Down syndrome, Mary was left at the hospital where the staff were to arrange for her ‑‑ not expected to be lengthy ‑‑ lifelong care in a series of institutions. An estimated 50 percent of these children committed to institutions die before they are 12 months old.

 

Against the medical advice they were given, they continued to visit Mary in the detsky dom, where she lay in a crib not moving or showing any development.

 

However, one day, in a search for more details about the condition, Alexander came across a listing for Russia's Down Syndrome Association on the Internet, He quickly gathered more information, learning it was unnecessary for Mary to be in professional care and that in the West children affected by Down syndrome learn to walk and talk at the same time as other children. He also found a group called Downside Up, which provides education and support in Moscow and the regions for those with Down syndrome and their parents.

 

Mary is now a student at Downside Up. She is an active 4‑year‑old full of endless chatter, a vastly different child to the listless I‑year‑old weighing 6 kilograms that the Bystrova brought home from the institution.

 

Although statistics remain dismaying for the one in every 700 children born with Down syndrome in Russia, Mary is a manifestation of the progress that is gradually occurring in the care and attention paid to these children.

 

The six‑year‑old British‑registered and Russian‑based charity Downside Up is at the forefront of a drive to improve the attitude and education of the public, government institutions and, most importantly, the medical profession regarding the condition.

 

"There is still a lot of prejudice toward Down syndrome," said Suzette de Boer, program director at Downside Up's early intervention centre in south central Moscow . However, she said, things are slowly moving forward. For the first time in Russia , this week the center is to deliver a seminar about the condition and the potential such children have for doctors and other health care workers at Moscow 's Maternity Hospital No. 17. The event is occurring at the invitation of the hospital.

 

"They are very enthusiastic," de Boer said. "And that's where the decision is made at the maternity hospitals. It is very important they have the best information. What doctors learn in their studies is that children with Down syndrome are uneducable and that is what they say to parents. Our intention by giving them this information is to prevent what leads to a social orphan hood. "

 

De Boer said she is also encouraged by tentative government plans to introduce a nation-wide early intervention program.

 

But for the moment, at the charity's Moscow headquarters, 12 special education teachers run a comprehensive series of programs for children from birth up until school age, beginning with home visits and leading to individual and group sessions encompassing speech therapy, cognitive development, motor skills and social and emotional development.

 

One hundred children regularly attend with a further 30 visiting when possible from the regions. Each year about 10 children graduate to regular pre‑schools and kindergartens. Long distance programs are run for those further from the capital.

 

Both the children and their parents are shown the possibilities and potential for a full life within the community.

 

As part of that effort, last week the group brought out the British dance group Larondina, which comprises young adults aged 14‑25 who have Down syndrome.

 

At the event, an initial clap quickly gave way to wild cheers and whistles from an audience of hundreds of local care givers and those affected by the condition lapping up the dancers' rock and roll skill, their enthusiasm and the hope for the future they offered.

 

I admired their professionalism," said Helen Bystrova. A former gymnast, she now hopes to be able to begin dance classes with the children at Downside Up.

 

Unfortunately, Mary didn't attend the performance. The run-around 4‑year‑old just wouldn't have been able to sit still long enough, said Bystrova, smiling.

 

http://www.themoscowtimes.com/stories/2002/04/16/015.html

 

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