Doctor insights on:
What Are The Tests That Indicate Anencephaly
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
Suffered anencephaly.planning to conceive in 3 months.is folic acid 5 mg once a day is fine or twice a day?any tests to take before getting pregnant
Yes that is fine: 4 to 5 mg of folic acid likely reduces your recurrence risk to that of the general population risk. You must be take it daily as folic acid is illuminated from the system in a day, being a water soluble vitamin. The dose of folic acid in a prenatal vitamin is 0.6 mg. Just be sure you're taking it every day when you possibly might become pregnant.. ...Read more
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
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
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
Genetic influence: Anencephaly is one of the many forms of neural tube defects that can occur. The factors are likely present on several chromosomes, making it a polygenic rather than single gene in origin. Recurrence risk of any form of ntd to a previously affected couple is a few percent. ...Read more
Measles in pregnancy: If a pregnant woman has measles it depends on the trimester what effects it will have on the fetus. It can cause brain anomalies as well. You OB should be the one counselling you on this, and the ultra sound of the fetus tells a lot about such problems. Talk to your ob. ...Read more
Sporadic malformatn: The fetal nervous system first forms as a groove that folds in on itself and begins to close from the middle outward to the top & bottom.If the bottom doesn't close, spina bifida develops. If the top doesn't, anencephaly occurs. Recurrence risk to any affected mom ~1-2% makes this non-genetic. There is some evidence that taking Folic Acid before pregnancy & up to 3m can help prevent it. ...Read more
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?
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