Delivery after Fetal Surgery for Spina Bifida (8 of 12)


>>OUR GOAL WITH FETAL SURGERY
REPAIR FOR SPINA BIFIDA IS TO GET THE MOTHER
TO 37 WEEKS.>>BABIES WHO UNDERGO FETAL SURGERY
TEND TO BE BORN PREMATURELY. IN THE MOMS TRIAL THEY WERE
BORN AT AN AVERAGE GESTATIONAL AGE JUST BEYOND 34 WEEKS,
BUT 10% WERE BORN AT 30 WEEKS OR PRIOR TO THAT TIME,
WHICH IS QUITE PREMATURE.>>OVER 65% OF THEM GET PAST
THAT 35-WEEK MARK. AND THEN IT BECOMES A MATTER
OF TIMING OF DELIVERY.>>WE’VE MADE AN INCISION IN THE
UTERUS THAT IS NOT IN A SAFE PART OF THE UTERUS TO ALLOW THE
WOMAN TO LABOR IN ANY PREGNANCY GOING FORWARD.>>SO THE BABY IS DELIVERED
VIA CESAREAN SECTION IN THE SPECIAL DELIVERY UNIT.>>THE SPECIAL DELIVERY UNIT WAS
BUILT FOR THE MOTHER CARRYING A BABY WITH A BIRTH DEFECT,
WAS BUILT FOR THE MOTHER CARRYING A BABY WITH SPINA BIFIDA.>>WE, AS THE RESUSCITATION TEAM,
FEEL LIKE WE ARE VERY PREPARED FOR THOSE DELIVERIES. WE HAVE EXCELLENT COMMUNICATION
WITH THE OBSTETRICIANS, AND WE HAVE ACCESS TO ALL
THEIR PRENATAL IMAGING. WE KNOW THOSE BABIES VERY WELL,
AND WE COORDINATE THEIR DELIVERY AND THEIR CARE.>>DR. JOHNSON DELIVERED SEAN.>>HE CAME OUT VERY HEALTHY,
6 LBS. 7 OZ.>>WHICH WAS A VERY GOOD SIZE
FOR A CHILD THAT’S BORN AT 36 1/2 WEEKS. HE WAS A BIG BOY.>>WE ALWAYS MAKE A POINT OF
BRINGING THE BABY TO THE MOTHER PRIOR TO BRINGING THE BABY DOWN
TO THE NICU SO THAT THE MOTHER AND FATHER AND ANY RELATIVES
THAT THEY WANT CAN SEE THE BABY.>>AND FROM THERE, WE TAKE
THE BABY STRAIGHT DOWN TO THE NEWBORN INFANT ICU
AND THE MOMS ARE CLOSE. YOU KNOW, THEY CAN COME DOWN AS
SOON AS THEY’RE FEELING WELL. AND, IF THERE’S SOMETHING
GOING ON, WE’RE ABLE TO GO STRAIGHT BACK UP TO THEIR UNIT.>>THE IDEA OF BEING TOGETHER IS
HUGE WHEN YOU’RE TALKING ABOUT WHAT’S ALREADY A VERY STRESSFUL SITUATION.>>SO REALLY THE SDU HAS BEEN
A WONDERFUL THING.

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