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Comfort care only!: Nobody can nor should help prolong the "lives" of these poor neonates. Anencephalic newborns are devoid of any chance of meaningful interaction with the environment and never attain consciousness. Comfort care is all that is ethically permissible for these dramatic cases. Take 4-5 mg daily of Folic Acid daily throughout your reproductive life, to prevent this from recurring in future pregnancies. ...Read more
Failure of closure: The fetus is busy around 20-30 days in when the nervous system starts forming along a line like a trench. The trench folds in on itself and begins to form a tube, sealing itself in the middle first and moving toward both ends like two zippers. When the top end fails to close, many brain structures don't form & we have anencephaly.At the bottom, we get spina bifida. ...Read moreSee 1 more doctor answer
3 weeks after con-: ception, an embryo's neural plate develops a midline groove; its edges over-fold & close to form a neural tube. Anencephaly is the most severe of the Neural Tube Defects caused by interaction of one of several genes with environmental factors. Low maternal folate (folic acid) level at conception is a main cause; MTHFR, a main gene iinvolved. Fertile women who take daily Folic Acid have lower risk of NTD's. ...Read more
Anencephaly: Anencephaly is a serious birth defect where the brain does not form and the top of the skull is open. It is an extreme form of a neural tube defect. Tests which can indicate anencephaly are an ultrasound examination. A blood test called msafp can be drawn at 15 weeks also. ...Read moreSee 1 more doctor answer
Sorry for your loss: I've been through about half a dozen of these but never in your shoes. Another 30+ weeks of pregnancy carrying this burden may or may not be something you can bear when the outcome is so predictable & bad. Consult your spouse, spiritual adviser, & pray. Do what fits for your needs & grieve for what might have been. See & hold baby whatever you do to say good bye. Followup with a geneticist later. ...Read moreSee 1 more doctor answer
Hopefully,the truth: The difficulty of transmitting this info to the parents is much less than the sadness & loss the parents will feel when they get the info. Pregnancy is one of life's gambles & up to 4% have an unexpected event after delivery.Accurate information on how/why/recurrence risks are all part of the problem management. Either the OB or a geneticist /counselor should fill in the blanks. ...Read more
Increased anomalies: Women with diabetes that is poorly controlled in the weeks prior to and the first weeks of pregnancy have a higher chance of having a fetus with abnormalities of the heart and other parts of the body. It is important that they see a doctor and improve glycemic control before even trying to conceive. Screening and ultrasound studies can detect many of these abnormalities, but prevention is key. ...Read moreSee 2 more doctor answers
Up to parents: This is always fatal within hours or days.The management choices depend on the parents.Some accept early termination after confirmation.Some choose to deliver and spend time with the baby, avoiding attempts to prolong the act of dying.If they choose to deliver,I encourage the parents to see and hold the baby, and have a chance to say goodbye. This has been shown to speed emotional recovery ...Read moreSee 1 more doctor answer
Loose link : All of the neural tube defects from anencephaly down down the back to spina bifida are all loosely linked through numerous genes.Recurrence risk after a first affected child is minimal, quoted as 1.9%, but would encompass any of the related defects.Most are considered single chance events, and pre-pregnancy supplement of Folic Acid has reduced the frequency. ...Read more
i had my first child with anencephaly. What preventive measures need to be taken for the next baby?
37wks+2days pregnant.Feelin scared & anxious of losin this healthy baby in this last bit.Lost 2 bubs to anencephaly in past.Wat can I do?Jus want safe
Natural feelinngs: With your past experience it is easy for you to remain an emotional mess, even after a normal delivery and healthy initial exam. Surround yourself with supportive people who are willing to listen. By the time this baby is five you may relax. Just hang in there. ...Read moreSee 1 more doctor answer
Lost 2 bubs to anencephaly.Now preg with healthy 3rd baby no NTD's.Have had vag bleedin this preg all told"unexplained".Any tips to gt thru last 8wks?
Bedrest: you should take it easy. Not too much activity. Frequent doctor visits and close monitoring. May be best to avoid sexual activity during the final weeks. Babys born 8 weeks early typically do very well these days. ...Read more
No: By definition, the infant with anencephaly went through the stages of fetal development without major brain parts.The primitive tissues of forebrain development come together to form a brain, or not, well before a month into fetal life. It cannot start over. Anencephaly patients can live a day or two under some circumstances but most pass shortly after birth if not prior to delivery. ...Read more
Dont know: I do not know. I have not heard that. I would suggest though that hair perms contain chemicals that can leach in to the body through the scalp and are in general not beneficial especially if pregnant or trying to get pregnant. Avoid them. Anencephaly has multiple causes and at best chemicals may contribute...Have seen no evidence yet they are causal. ...Read more
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