1) Neural tube defects occur when the neural tube fails to close properly during early embryonic development, resulting in defects of the brain and spinal cord like anencephaly, encephalocele, and spina bifida.
2) Risk factors include genetic factors, maternal folic acid deficiency, obesity, use of some antiepileptic drugs, and environmental exposures. Tests like AFP, ultrasound, amniocentesis, and fetal karyotyping can help diagnose neural tube defects.
3) While neural tube defects cannot be cured, management may include surgery, folate supplementation, and ensuring proper prenatal nutrition to help prevent recurrence in future pregnancies.
Neural tube defects are the most common congenital abnormality in India which can be easily prevented with due information and better nursing practices. Neural Tube Defects can be prevented with intake of folic acid.
Genetic counseling: Introduction, definition, purposes of genetic counseling, indications of genetic counseling, beneficiaries of genetic counseling, phases of genetic counseling, role of nurse in genetic counseling, application of genetic counseling.
Neural tube defects are the most common congenital abnormality in India which can be easily prevented with due information and better nursing practices. Neural Tube Defects can be prevented with intake of folic acid.
Genetic counseling: Introduction, definition, purposes of genetic counseling, indications of genetic counseling, beneficiaries of genetic counseling, phases of genetic counseling, role of nurse in genetic counseling, application of genetic counseling.
MYELOMENINGOCELE copy.pptx a slide describing the conditionAjisafeZainab
Myelomeningocele is a disorder of the nervous system particularly the spine and spinal cord, before we go further in this presentation there are some terms to know to aid understanding.
➢Neural tube; The neural tube forms the early brain and spine, As development progresses, the top of the neural tube becomes the brain, and the rest of the tube becomes the spinal cord. An NTD happens when this tube doesn't close completely somewhere along its length. Neural tube closure is completed 28 days (four weeks) from conception.
➢Alpha fetoprotein; AFP is a protein that the liver makes when its cells are growing and dividing to make new cells. AFP is normally high in unborn babies. After birth, AFP levels drop very low. Healthy children and adults who aren't pregnant have very little AFP in their blood. Maternal AFP serum level is used to screen for Down syndrome, neural tube defects, and other chromosomal abnormalities.
➢Spinal bifida; Spina bifida is a condition that affects the spine and is usually apparent at birth. It is a type of neural tube defect (NTD).
Nursing management of myelomeningocele
Types of spinal Bifida
Pathophysiology of myelomeningocele
Neural tube defects are birth defects of the brain, spine, or spinal cord. They happen in the first month of pregnancy, often before a woman even knows that she is pregnant. The two most common neural tube defects are spina bifida and anencephaly.
Spina bifida is a birth disorder that involves the incomplete development of the spine. In the first month of pregnancy, a special set of cells forms the “neural tube;” the top of the tube becomes the brain, and the remainder becomes the spinal cord and structures around it. In spina bifida, the neural tube doesn’t close completely and some of the bones of the spine do not close in the back. This can result in an opening anywhere along the spine and may cause damage to the spinal cord and nerves.There are four types of spina bifida: occulta, closed neural tube defects, meningocele, and myelomeningocele. The symptoms of spina bifida vary from person to person, depending on the type and level of involvement. Most cases are mild and do not require special treatment. The more serious cases involve nerve damage.
Occulta is the mildest and most common form in which one or more bones of the spinal column (vertebrae) are malformed. The name “occulta,” which means “hidden,” indicates that a layer of skin covers the opening in the bones of the spine. It usually shows no symptoms and is often found by accident on an x-ray or similar test.
Closed neural tube defects are a diverse group of disorders in which the spine may have malformations of fat, bone, or the membranes (the meninges) that cover the spinal cord. Many of these neural tube defects require surgery in childhood. People with this type of spina bifida may have weakness of the legs and trouble with bowel and bladder control. These issues may change or progress as children grow. It is important to have close communication with doctors to minimize these changes as much as possible.
Meningocele occurs when the meninges protrude through the spine and cause a sac of spinal fluid on the back. This fluid is typically only around the brain and spine, but a problem with the bony covering over the spine allows it to poke out. The malformation contains no nerves and may or may not be covered by a layer of skin. Individuals with meningocele may have minor symptoms.Myelomeningocele is the most severe form of spina bifida. A portion of the spinal cord or nerves are exposed in a sac through an opening in the spine that may or may not be covered by the meninges. The opening can be closed surgically while the baby is in utero or shortly after the baby is born. Most people with myelomeningocele experience changes in brain structure, leg weakness, and bladder and bowel dysfunction.
Myelomeningocele is often called a "snowflake condition" because no two people with the condition are the same. Typically, if the opening in the spine is lower down the back, the person will experience less symptoms. People with myelomeningocele require close follow-up with physicians throughout their childhood and lifespan to maximize their function and prevent complications like kidney failure.Complications of spina bifida may include:
Abnormal sensation or paralysis, which mostly occurs with closed neural tube defects and myelomenin
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
Neural tube defects and the role of folic acid in Lowering the Risk.pdf
1. GRACIOUS COLLEGE OF NURSING
RAIPUR C.G.
Neural tube defects and the role of folic
acid in Lowering the Risk
acid in Lowering the Risk
PRESENTED BY
OM VERMA
ASSISTANT PROFESSOR
3. INTRODUCTION
The most common birth defect in India in neural
tube defect
Neural tube –
Embryonic precursor to central nervous system which
Embryonic precursor to central nervous system which
is a made up of the brain and spinal cord.
Neural tube Defect – it is a defect in the covering
of the brain and spinal cord it is called Neural tube
Defect.
6. Neural tube defect it is a define as failure of
closure of the neural tube during 3rd and 4th
Week of pregnancy ( first month of
embryonic life ) it is called neural tube
defect .
defect .
According to simmons
8. There are 3 types of neural tube defect :-
1. Anencephaly
2. Encephalocele
2. Encephalocele
3. Spina Bifida
9. 1. ANENCEPHALY :-
Anencephaly is a serious birth defect in which a baby is born
without parts of the brain and skull. Anencephaly is a defect in
the formation of a baby's neural tube during development. It is
a type of neural tube defect , it occurs when the head end of
a type of neural tube defect , it occurs when the head end of
the neural tube fails to close .it is characterized by the
absence of a major portion of the brain and skull .infants either
die with in the uterus /die with in the few hours or days after
birth.
10.
11. Encephalocele happens when the
neural tube does not close completely
2. ENCEPHALOCELE
neural tube does not close completely
during pregnancy. It is a neural tube
defect characterized by Sac like
protrusion of the brain through the
opening in the skull.
13. 3. SPINA BIFIDA
A birth defect in which a developing baby's spinal cord
fails to develop properly.
It occurs when a developing baby's spinal cord fails to
It occurs when a developing baby's spinal cord fails to
develop or close properly while in the fetus.
Symptoms can sometimes be seen on the skin above
the spinal defect. They include an abnormal tuft of hair,
a birthmark or protruding spinal cord tissue.
16. Their 3 types of spina bifida
1. Spina bifida oculta
2. Meningocele
2. Meningocele
3. Meningomyelocele
17.
18. 1. SPINA BIFIDA OCULTA
Spina bifida occulta (SBO) is a common malformation of the
spine. It occurs during a baby's development in its mother's uterus
, Spina bifida occulta is when a baby's backbone (spine) does
not fully form during pregnancy. The baby is born with a small
gap in the bones of the spine. It is most common neural tube
gap in the bones of the spine. It is most common neural tube
defect which involves the spinal cord .it is caused by failure
of the closure of lower portions of the neural tube .and visible
sign is a dimple in the skin of the area or tuft of hair are
present.
19. 2. MENINGOCELE
Meninges and C.S.F. Are out from the defect
and these are the covered by the a
transparent membrane . A meningocele is a
transparent membrane . A meningocele is a
birth defect where there is a sac protruding from
the spinal column. no nerve damage.
20. 3. MENINGOMYELOCELE
Myelomeningocele is an NTD in which the bones of the
spine do not completely form. This results in an
incomplete spinal canal. The spinal cord and meninges
incomplete spinal canal. The spinal cord and meninges
protrude from the child's back. myelomeningocele, part
of their spinal cord and nerves are in the sac and are
damaged
23. GENETIC FACTOR –
Caused by a combination of multiple
genes. neural tube defects can be
caused by genes passed on from both
caused by genes passed on from both
parents (inherited). And genetic
material abnormality present in both
parents.
24. MATERNAL NUTRITION
(including folic acid deficiency) during
pregnancy poor diets lacking in key nutrients – like
iodine, iron, folate, calcium and zinc – can cause
anaemia, pre-eclampsia, haemorrhage and
anaemia, pre-eclampsia, haemorrhage and
death in mothers. They can also lead to stillbirth,
low birthweight, wasting and developmental delays
for fetus ,and neural tube defect.
25. ENVIRONMENTAL FACTORS
That affect fetal development
Smoking.
Metals.
Inhalational Anesthetics.
Inhalational Anesthetics.
Organic Solvents.
Air Pollution.
Pesticide Workers.
Radiation.
Stress.
26. POOR INTAKE FOLIC ACID
Within the first 28 days of pregnancy, the neural
tube, which is responsible for the development
of the brain and spine, closes. Inadequate
of the brain and spine, closes. Inadequate
concentrations of folate can prevent closure
of the neural tube, which can lead to a neural
tube defect.
27. OBESE WOMEN
More severe obesity carried a higher risk of birth
defects, it's possible that health problems
related to excess weight such as abnormal
related to excess weight such as abnormal
metabolism, increased sensitivity to the
hormone insulin and impaired vascular
function all might play a role to lead fetus NTD,
28. ANTIEPILEPTIC DRUGS (AED)
Antiepileptic drugs have chronic teratogenic effects,
the most common of which are congenital heart
disease, cleft lip/palate, and neural tube defects.
Valproate and carbamazepine include minor
Valproate and carbamazepine include minor
anomalies, major congenital malformations,
intrauterine growth retardation, cognitive
dysfunction, low IQ, microcephaly, and infant
mortality.
32. Alpha Fetoprotein In Amniotic Fluid And
Maternal Serum Test
AFP test is a test that is mainly used to measure the
level of alpha-fetoprotein (AFP) in the blood of a
level of alpha-fetoprotein (AFP) in the blood of a
pregnant person. The test checks the baby's risk for
having certain genetic problems and birth defects.
such as neural tube defects or Down syndrome
33. ACETYLCHOLINESTERASE (AChE) TEST
Raised specific acetyl-cholinesterase
(AChE) activity in amniotic fluid was
consistently found to be associated with
consistently found to be associated with
fetal intrauterine death and neural tube
defects,
34. FETAL KARYOTYPING TEST
This test can help identify genetic
problems as the cause of a disorder or
disease. Karyotyping is a test used to
identify chromosome abnormalities as
identify chromosome abnormalities as
the cause of malformation or disease.
The test can be performed on a sample
of blood, bone marrow, amniotic fluid, or
placental tissue.
35. Fetal (prenatal) ultrasound:
An ultrasound during pregnancy is the most
accurate method to diagnose several NTDs.
Healthcare providers typically recommend
Healthcare providers typically recommend
ultrasounds during the first trimester (11 to 14
weeks of pregnancy) and second
trimester (18 to 22 weeks of pregnancy).
36. Amniocentesis:
Healthcare providers use this test to check for
NTDs and other birth defects. During
amniocentesis, they use a needle to remove
amniocentesis, they use a needle to remove
a sample of fluid from the amniotic sac that
surrounds te fetus. You can get this test at 15
to 20 weeks of pregnancy. This test carries
certain risks
37. Management
There is no cure for neural tube defects.
The nerve damage and loss of function that
The nerve damage and loss of function that
are present at birth are usually permanent.
But some management for some birth
defect.
38.
39. Folate (folic acid) deficiency:
Folate, the natural form of vitamin B-9, is important
for healthy fetal development. A folate deficiency
before and during pregnancy increases the risk of
having a baby with spina bifida and other NTDs. The
having a baby with spina bifida and other NTDs. The
Centers for Disease Control and Prevention (CDC)
recommends all people who can become pregnant
take 400 micrograms (mcg) of folic acid every day, in
addition to eating food with folate, to help prevent
NTDs.
40. Surgical management
Surgery for Neural Tube Defects
If the child's spinal cord is exposed to the skin, early
surgical repair is essential to prevent infection and
surgical repair is essential to prevent infection and
neurological deficits. Protrusion of sac can be closed
surgically after which assessment of growth and
development should be continued .
41.
42.
43. Prevention: To prevent the first occurrence of neural tube
defects, all women planning a pregnancy should adopt the
following:
1. Diet of women planning a pregnancy should be supplemented with folic acid.
2. Processed food such as bread, cereals, flour and other grains product
which are fortified with folic acid should be used.
3. Consume more folate rich foods and avoid overcooking which destroy the
folic acid.