Myelomeningocele And Delivery

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Myelomeningocele (Spina Bifida) - Fetal to Newborn Care

    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.

Physician Toolkit: Management of Myelomeningocele ...

    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.

Prenatal Care for Myelomeningocele (Spina Bifida) CS ...

    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.

GUIDELINES FOR MANAGEMENT OF NEWBORNS WITH ...

    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:

What is Myelomeningocele? Causes, Diagnosis, Treatment

    https://www.ortho.wustl.edu/content/Patient-Care/6885/Services/Pediatric-and-Adolescent-Orthopedic-Surgery/Overview/Pediatric-Spine-Patient-Education-Overview/Myelomeningocele.aspx
    Most cases of myelomeningocele are treated surgically with a repair soon after birth. In some cases, the repair is done while still in the womb prior to delivery. Children that have hydrocephalus will likely require surgery to decrease fluid on the brain (VP shunt).

UpToDate

    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.

Myelomeningocele: MedlinePlus Medical Encyclopedia

    https://medlineplus.gov/ency/article/001558.htm
    Myelomeningocele is a neural tube defect in which the bones of the spine do not completely form. This results in an incomplete spinal canal. The spinal cord and meninges (the tissues covering the spinal cord) protrude from the child's back. Myelomeningocele may affect as many as 1 out of every 4,000 infants.

Spina Bifida - UNC Department of Obstetrics & Gynecology

    https://www.med.unc.edu/obgyn/mfm/fetalcare/conditions-we-care-for/spina-bifida/
    Myelomeningocele, more commonly known as Spina Bifida, is an open spinal cord defect, usually located in the lower back. In this defect there is an opening in the vertebral body or the bone that surrounds the spinal cord in the lower spine. ... Delivery is recommended at UNC following this procedure, but delivery at a center with specialty care ...

The impact of mode of delivery on infant neurologic ...

    https://www.sciencedirect.com/science/article/pii/S0002937816302423
    Myelomeningocele is estimated to occur in 1 in every 1000 live births worldwide, with variation among populations based on genetic and environmental factors. Considerable disagreement exists about the optimal mode of delivery for infants with myelomeningocele.Author: Stephanie Greene, Philip S. Lee, Christopher P. Deibert, Zachary J. Tempel, Nathan T. Zwagerman, Kar...

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