A Case Report of Maternal Spina Bifida that had a successful Pregnancy Outcome

Апстракт

Spina bifida is a neural tube defect which results from

failure of closure of the neural arch during

embryogenesis. The extent of the defect and

physiologic impairments vary, it may be associated

with neural, sensory, and motor losses,

musculoskeletal impairments, urinary bladder and

bowel sphincteric dysfunction. Term pregnancy

among women with spina bifida is uncommon. With

advances in management and care of children

affected by spina bifida, more women survive to

reproductive age group and achieve conception,

pregnancy and delivery. There is dearth of information

on the management of pregnant women with spinal

bifida, which is why this case was reported.

This is a case report of a 23year old booked

nulliparous woman with spina bifida occulta which

was repaired at 3 months of life. She had a successful

pregnancy and was delivered by caesarean section

at term. This report describes the antepartum,

intrapartum and postpartum management of a

pregnant woman with Spina bifida.

PDF (енглески)

Референце

Tong Ching Man Carmen, Dew Morgan E.,

Zimmerman Kathrin D, Hopson Betsy D., Blount

Jeffrey P., Rocque Brandon G., et al. A qualitative

interview study on successful pregnancies in

women with spina bifida. Journal of Pediatric

Urology Volume 18, Issue 1, February 2022,

Pages 3.e1-3.e7. https://doi.org/10.1016/

j.jpurol.2021.10.025

Vinck A, Nijhuis-van der Sanden MW, Roeleveld

NJ, et al. Motor profile and cognitive functioning

in children with spina bifida. Eur J Paediatr

Neurol. 2010 Jan. 14(1):86-9

Thompson DN. Postnatal management and

outcome for neural tube defects including spina

bifida and encephalocoeles. Prenat Diagn. 2009

Apr. 29(4):412-9.

Kenga Sivarajah, Sophie Relph, Radha

Sabaratnam, Spyros Bakalis. Spina bifida in

pregnancy: A review of the evidence for

preconception, antenatal, intrapartum and

postpartum care. Obstetric Medicine. 2019, Vol.

(1) 14–21 DOI: 10.1177/1753495X18769221

Blencowe H, Kancherla V, Moorthie S, Darlison

MW, Modell B. Estimates of global and regional

prevalence of neural tube defects for 2015: a

systematic analysis. Ann N Y Acad Sci. 2018

Feb. 1414 (1):31-46.

American Association of Neurological Surgeons.

Spina Bifida. https://www.aans.org/en/Patients/

Neurosurgical-Conditions-and-Treatments/

Spina-Bifida

Yang N, Wang L, Finnell RH, et al. Levels of

folate receptor autoantibodies in maternal and

cord blood and risk of neural tube defects in a

Chinese population. Birth Defects Res A Clin

Mol Teratol. 2016 Aug. 106 (8):685-95.

Racial/ethnic differences in the birth prevalence

of spina bifida - United States, 1995-

MMWR Morb Mortal Wkly Rep. 2009

Jan 9. 57(53):1409-13.

Holmes LB. Does taking vitamins at the time of

conception prevent neural tube defects? JAMA.

Dec 2. 260(21):3181.

Laura E Mitchell, N Scott Adzick, Jeanne

Melchionne, Patrick S Pasquariello, Leslie N

Sutton, Alexander S Whitehead. Spina bifida.

Lancet 2004; 364: 1885–95.

Vineet Vashistha Mishra, Sakshi Nanda, Rohina

Aggarwal, Tanvir. Successful Pregnancy

Outcome in an Operated Case of

Lipomeningomyocele: A Rare Case. Journal of

Clinical and Diagnostic Research. 2016 Sep, Vol-

(9): QD04-QD05. DOI: 10.7860/JCDR/2016/

8558

Cremer Reinhold, Nils Hofmann, Friedrich Wolff.

Pregnancy and labour in women with spina bifida.

BioMed Central - Cerebrospinal Fluid Research

, 6(Suppl 2):S5 doi:10.1186/1743-8454-6-S2-

S5

Amie B. Jackson* and Pamela K. Mott.

Reproductive Health Care for Women with Spina

Bifida. The Scientific World Journal (2007) 7,

–1883. TSW Urology ISSN 1537-744X;

DOI 10.1100/tsw.2007.304

Centers for Disease Control. Recommendations

for the Use of Folic Acid to Reduce the Number

of Cases of Spina Bifida and Other Neural Tube

Defects. MMWR 1992 September, 11. Vol.

(No. RR-14): 5

Raji HO, Suleiman ZA, Abdulkadir ZA,

Abdulrahman A. Caesarean section in a

primigravida with spina bifida occulta and a spinal

cord stimulator: Preconception counselling,

antenatal care and anesthetic considerations.

Trop J Obstet Gynaecol 2018; 35:192 5.

Shepard CL, Yan PL, Kielb SJ, Wittmann DA,

Quint EH, Kraft KH, Hollingsworth JM.

Complications of Delivery Among Mothers with

Spina Bifida. Urology. 2019 January; 123: 280–

doi:10.1016/j.urology.2018.04.045

Natarajan V, Kapur D, Sharma S, Singh G.

Pregnancy in Patients with Spina Bifida and

Urinary Diversion. Int.Urogynecol J (2002)

:383–385

David Richmond i, Ivo Zaharievslci’ and Andrew

Bond. Management of pregnancy in mothers

with spina bifida. Eur. J. Obstet. Gynecol.

Reprod. Biol. 25 (1987) 341-345

Mary O’Neal. A Pregnant Woman with Spina

Bifida: Need for a Multidisciplinary Labor Plan.

Front. Med. (2017) 4:172. doi: 10.3389/

fmed.2017.00172

Wynn JS, Mellor S, Morewood GA. Pregnancy

in patients with spina bifida cystica. Practitioner.

; 222:543-546

Arata M, Grover S, Dunne K, Bryan D.

Pregnancy outcome and complications in women

with spina bifida. J Reprod Med 2000; 45:743e8