By Ilektra Spandagou. A child either has or has not Down syndrome and a diagnosis is definite soon after birth, but the experience of having Down syndrome is not static. As with prenatal diagnosis, medical progress has significantly affected the experience of people with this condition. The same discipline that substantially decreases the chances of a foetus with Down syndrome being born increases life expectancy and quality of life of the child after he or she is born. This does not mean that the politics of reproduction and of inclusion thrown up by Down syndrome are any less challenging today.