Doctor insights on:
Can Women With Spina Bifida Have Children
It is possible for spina bifida females to become pregnant if they have regular menses and are actively maturing ova.
The neural tube defect does not by itself preclude the abiltiy to get pregnant provided the endocrine function and uterus/ovaries developed normally. Their fertility should be the same as any other woman. Most important is starting Folic Acid at least 4-5 months before pregnancy. ...Read more
Always an issue with: Recurrent &/or chronic ↑es in intra-abdominal pressure inducing the uterus to descend through the large bony pelvis opening through the pelvic diaphragm muscles which cross the opening, typically larger in women than men. Spina bifida may compromise muscle control/contraction. Study: both "Clinical Anatomy " & "Abnormalities of Pelvic Support" on glowm. Com & other anatomy websites for some basics. ...Read more
No: This will generally cause no symptoms or problems for you in the future. ...Read more
Neuro/Ortho Spine: Some pediatric neurosurgeons will follow their patients as adults so check with them. You may need a team to help with bladder, orthopedic, and neurologic problems. For patients with chiari or vp shunts, they will need to see a neurosurgeon to be assessed for concerns for headache, numbness, or weakness. Get referrals from your pediatric providers if possible. ...Read more
Hormones: I'd start with getting the thyroid checked. ...Read more
I was born with meningocele spina bifida. I want to have children now that I am married. Who do I see about that?
Kegel exercises...: Are the only natural treatment for prolapsed uterus, but it is only real effective in mild cases. Spina bifida is a risk factor for prolapse uterus due to weakness in the pelvic floor.Kegel exercises can help strengthen your pelvic floor however. There are physical therapists that specialize in teaching Kegel exercises because sometimes it's hard to know if you're doing it right! Ask your gyn! ...Read more
I have reason to believe my children and I are suffering from undetected spina bifida cystica in palpable mass. Something popped on my back in january that felt like a champagne cork only as big as a cereal bowl. My son sustained trauma in november. We a
43 year old female with Spina Bifida L4-5 ambulate with AFO's and cane. Scheduled for total hip replacement. What are some of my additional risks?
Spinal cord disorder: The spinal cord forms as an open tube that starts to close from the middle out to the two ends. The entire closure is done by about ten weeks. If the closure is not normal than a condition known as spina bifida occurs. Open spina bifida is when there is an opening in the spinal column to the skin. Closed spina bifida is when there is an opening in the spinal column but it has a thin cover. ...Read more
Spina Bifida: Spina bifida is a birth defect where the spine does not close around the spinal cord during development. This may be as small as a small gap between the 2 sides, with no buldging out of membranes or nerves, & no associated handicaps, to a large defect with part of the cord exposed outside the body, leading to paralysis and other neurological problems. Folic acid decreases the risk. ...Read more
Studies show that: The incidence of neural tube defects (NTD's) like open Spina Bifida would decrease by 70% if all women took 0.4mg of Folic Acid daily from menarche to menopause. However, this dose does not prevent NTD's in offspring of women with variations in several genes involved in folate (folic acid) & homocysteine metabolism. There are also inheritable genetic causes of NTD's that are not related to folate (folic acid) metabolism. ...Read more
Although depictions: Of people with Spina Bifida go back 12, 000 years, Amsterdam's Dr. Nicholas Tulp named the disorder between 1618-1652. Dr. Giovanni Battista Morgagni an Italian, linked lower-limb deformity & hydrocephalus to Spina Bifida in 1761. Studies show that the incidence of NTD's could decrease by as much as 70% if all women were to take a daily Folic Acid supplement from menarche to menopause. ...Read more
Yes: Yes, but rarely. This condition is not common and as a family physician, I see only what comes my way. Spina bifida is usually approached in a team concept, usualy dealing with a primary care doctor (pediatrician, family physician or internest) along with physical therapist, neurologists, neuro-surgeons, physiatrist (physical medicine specialists) and a host of others. There are many issues. ...Read more
Depends on the type;
1. Spina bifida occulta shows small gap in 1 or more of spinal bones, seen in newborn as a small dimple or birth mark or tuft of hair or fat collection.
2. Meningocele shows as bulging of meninges (sheath around spinal cord) through the opening in back.
3. Myelomeningocele is wider protrusion through several vertebrae, forming a large sac. This is most severe. ...Read more
Spina bifida: Spina bifida is a very generic term that covers a lot of disorders of the spine that occur at birth. These can range from defects in the spinal bone to loss of the muscle and skin covering leading to herniation of the spinal cord and roots. There are a wide variety of causes known. ...Read more
No: Spina bifida occulta results from failure of the two lamina of one vertebra to make a solid bony fusion. The defect is generally bisecting the spinous process vertically. No instability is present. No neurologic dysfunction is present because neural elements are not affected. But associated neurological problems which may be symptomatic are more common in association with spina bifida occulta. ...Read more
Many: Embryonic development involves progressive closure of the neuro cord which becomes the spine. This closure may be slightly incomplete (occult) or remain a cyst (meningomyelocele) or remain completely open. In some the pelvis and anus do not develop properly. Nerves to bladder, bowel, and legs may only partially develop. The brain may not develop properly, and hydrocephalus may develop. ...Read more
To what degree?: If you are talking about spina bifida occulta, there will be no impact. If you are talking about cases with neurologic symptoms, it depends on whether lower nerve roots (sacral) are involved or if spinal cord is involved. People with spinal cord lesions are more susceptible to life-altering events than are those without. ...Read more
Unlikely: Spina bifida (there are several types) is associated with some known genetic defects however the majority of cases are spontaneous and most cases are more likely related to folate (folic acid) deficiency during pregnancy. The general answer is that this is unlikely to occur in your nephew. ...Read more
No impact: Spina bifida occulta is manifested by a single defect: failure of the two laminae of a vertebra to achieve bony union with each other. Often times the spinous process is associated with one lamina. Rarely is the spinous process completely absent. The vertebra has normal strength, normal associated joints, ligaments, qnd disks plus no nerve root herniation or compression. Occult = symptom-free. ...Read more
Spina bifida: Are you asking about the history of spina bifida in the historical literature or the history of patients that present with spina bifida? If you are talking about the written history of spina bifida there a number of good historical research papers that can be easily found on Google or other search engines. ...Read more
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