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Cardiac malformations are much more common in Downs babies. In California that baby would get an echocardiogram and full evaluation. I've never seen a baby that looked "mildly" Down's syndrome that didn't have it.
The earlier you tell the patients of the possibility, the sooner they can reach out to their families for support and arrange counseling and specialty care that they need. It is far easier for the patients to begin the difficult adjustment while the mother is still in the hospital. She will have lots of questions and it's better to make those first inquiries with her medical team close by. If she is discharged from the hospital without any idea that there may be a problem it will be more difficult for the family.
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My work here is nearly finished.
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