Case Studies on Detection and Follow-up in NBBD network SWACH and NHM


Male child was born normally to a 30 years old female after 40 weeks gestation. The child was born normally by vaginal delivery which was conducted by a general nurse midwife. He weighed 3500 grams at birth. Birth defect was detected at birth as a visible birth defect due to presence of a pea sized protrusion on the back of the child.


There was a small round structure which looked like a tumor on the lumbosacral region. It was intact and connected to the body by a stalk. Other anthropometric measures head size was normal and there was no defect of the lower limbs.


Photographs of the defect were submitted and full description was confirmed by WHO-SEARO to be:-

Q00-Q07 Congenital malformations of the nervous system

Q05.7 Lumbar spina bifida without hydrocephalus

It occurs when a developing baby’s spinal cord fails to develop or close properly while in the womb and no two cases are the same. Here it was seen on the skin possibly above the spinal defect (which here appeared to be a small one. It resembled a birthmark or protruding spinal cord tissue.

Treatment & Follow-up

He was operated at the age of 4 months. Before surgery the family was supported by SWACH to provide exclusive breast feeding vaccination and play and communication.

Now at the age of 9 months of age, he weighs 9.5 kg, can stand with support and is developing normally. Early identification and intervention helped the child to take on a healthy, diability6 free life.