Story of a Child with Lumbar spina bifida

Presentation

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.

Description

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.

Identification of Birth Defect

The case was diagnosed having 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.

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