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CHERVENAK FRANK A. MD; DUNCAN, CHARLES MD; MENT, LAURA R. MD; TORTORA, MARGE RDMS; McCLURE, MARY MS; HOBBINS, JOHN C. MD
Obstetrics & Gynecology: March 1984
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During a 24-month period, nine neonates with a meningo-myelocele were delivered. Of these, four meningomyeloceles were detected antenatally with ultrasound during the third trimester. Sonographic diagnosis was based upon a discontinuity in the fetal spine and the presence of a protruding sac. Obstetric management included serial sonography until fetal pulmonic maturity was established, and subsequent low transverse cesarean section. A method of atraumatic abdominal delivery is described. Neonatal management consisted of early closure of the spinal defect and appropriate shunting of hydrocephalus. A team approach to the perinatal management of meningomyelocele is recommended for optimal outcome.

© 1984 The American College of Obstetricians and Gynecologists