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Most types of dwarfism are caused by a genetic change mutation in an egg or sperm cell that happens before the start of pregnancy conception. Others happen because of a genetic change s inherited from one or both parents. Genetic changes happen randomly. There is nothing a parent could do before or during pregnancy to prevent this change from happening. A genetic counselor can help determine the chances of having a child with dwarfism. Depending on the type of dwarfism, two average-height parents can have a child with short stature.
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Dwarfism (for Parents) - Nemours KidsHealth

The most common type of dwarfism is achondroplasia ay-kon-dreh-PLAY-zyuh. Most types of dwarfism are caused by a genetic change mutation in the egg or sperm cells before conception. Others happen because of genetic changes inherited from one or both parents. Depending on the type of dwarfism, two average-size parents can have a child with short stature. What makes a gene mutate is not yet well understood.
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Jonathan Novick Documents Life as a Little Person in NYC

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Cox also appeared in various music videos. He spent his childhood in Uniontown, with his grandmother and grandfather, Lottie and Henry Jones. By the age of 10 he became an avid drummer.
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