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https://www.chop.edu/pages/physician-toolkit-management-myelomeningocele
Prenatal surgery to Myelomeningocele Experience at CHOP More than 2,588 Patients referred to the CFDT for suspected Myelomeningocele (MMC) More than 1,438 Patients evaluated for suspected MMC 373 Fetal surgeries for MMC 456 Babies with MMC delivered in our Special Delivery Unit since 2008 All numbers except deliveries reflect data from 1995-December 2019 at Children's Hospital of Philadelphia.
https://www.uptodate.com/contents/overview-of-the-management-of-myelomeningocele-spina-bifida
Patients with myelomeningocele may have weakness and absence of sensation affecting the lower extremities and bowel/bladder dysfunction, depending upon the level of the spinal lesion. An overview of the management of myelomeningocele and its complications will be presented here. Occult spinal dysraphism is discussed separately.
http://fetaltonewborn.org/myelomeningocele-spina-bifida/
The types of spina bifida include: Spina bifida occulta. This is a mild form of spina bifida in which the spinal cord and the surrounding structures remain inside the baby, but the back bones in the lower back area fail to form normally. There may be a hairy patch, dimple, or birthmark over the area of the defect.
https://depts.washington.edu/dbpeds/MMguidelines2010.pdf
(Guidelines for Management of Newborns with Myelomeningocele – Dr. Doherty – Rev. 5/2010) 3) Guidelines for the providers (obstetrics, neonatology) attending delivery In addition to the usual care of a newborn, the following measures are required for infant with myelomeningocele:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5919767/
Feb 26, 2018 · This technical report describes the creation of a myelomeningocele model of a newborn baby. This is a simple, low-cost, and easy-to-assemble model that allows the medical team to practice the delivery room management of a newborn with myelomeningocele.Author: Orna Rosen, Robert M Angert
https://www.chop.edu/centers-programs/center-fetal-diagnosis-and-treatment/management-myelomeningocele-study
The federally sponsored Management of Myelomeningocele Study (MOMS), co-led by experts at Children’s Hospital of Philadelphia, reported results of a clinical trial of fetal surgery for myelomeningocele, the most severe form of spina bifida.. The randomized, controlled clinical trial was initiated and funded by the Eunice Kennedy Shriver National Institute of Child Health and Human ...
https://www.uhs.nhs.uk/OurServices/Childhealth/Neonatalsurgery/Conditionswetreat/SpinaBifida/Initialdiagnosisandmanagementofspinabifida.aspx
Initial diagnosis and management of spina bifida. ... There are two types of Spina Bifida, Meningocele and Myelomeningocele. In the form of Myelomeningocele (meningomyelocele), the most serious and more common of the two forms of Spina Bifida, the cyst not only contains tissue and cerebro-spinal fluid but also nerves and part of the spinal cord ...
https://www.mottchildren.org/conditions-treatments/peds-fetal-medicine/prenatal-care-myelomeningocele-spina-bifida
Delivery is usually planned around 39 or 40 weeks. Delivery of a baby with myelomeningocele. The delivery of a baby with any type of spina bifida should be at a hospital that is prepared for high-risk births, including immediate access to a neonatal intensive care unit and pediatric surgical services.
https://www.sciencedirect.com/science/article/pii/S0031395509000133
Naloxone is no longer recommended for use in newborns in the delivery room but is described in this article because some health care professionals may choose to use it outside of the delivery room. An opioid antagonist, naloxone can be administered intravenously, intramuscularly, or via endotracheal tube.Author: Anand K. Rajani, Ritu Chitkara, Louis P. Halamek
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