Doctor insights on:
What Sort Of Problem Is Anencephaly
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
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
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
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
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