Trisomy 18, also known as Edwards syndrome, is a genetic disorder caused by the presence of an extra copy of chromosome 18. It occurs due to errors in cell division called nondisjunction. Trisomy 18 can be full, partial, or mosaic and symptoms include low birth weight, clenched fists, heart defects, and developmental delays. The condition is fatal in 95% of cases prenatally or within the first month of life, though treatment focuses on feeding, cardiac, and kidney issues. Trisomy 18 affects approximately 1 in 3,000 to 4,000 live births.