Women with spina bifida present both obstetrical and anesthesia challenges. They are more likely to require a caesarian delivery and traditionally neuraxial anesthesia has been avoided due to concerns of worsening neurologic disability. The case of a pregnant woman with a history of a surgically corrected lipomeningocele and tethered cord is presented to illustrate the need for a comprehensive labor plan. Spina bifida is caused by the failure of the neural tube to close during the first month of embryonic development. There are three main types: spina bifida occulta, meningocele, and myelomeningocele. In spina bifida occulta, the outer part of the vertebrae is not completely closed.
This article is commented on by Strauss, : p. Use the link below to share a full-text version of this article with your friends and colleagues. Learn more. In , all survivors were surveyed by postal questionnaire backed up by telephone interview.
Spina bifida is one of the most common birth defects in the world. There are three kinds of spina bifida. The most severe form is called myelomeningocele , aperta , or open spina bifida. In this form, there is an open channel from the skin to the the spinal cord or its coverings. The defect can usually be seen on fetal ultrasound and is visible to the naked eye in a newborn.
Spina bifida is a birth defect in which there is incomplete closing of the spine and membranes around the spinal cord during early development in pregnancy. Spina bifida is believed to be due to a combination of genetic and environmental factors. Medical imaging can confirm the diagnosis after birth.