Initial Management at Presentation
- Surgery: When no exclusionary criteria are present, inclusion criteria are met, and the mother/family elects fetal repair, the fetus undergoes intrauterine repair before 26 weeks of gestation.
- Prenatal observation: If criteria are not met and/or the mother/family defer intrauterine surgery, gestation of the fetus continues until natural delivery.
Adjunctive Therapies
- None: No adjunctive therapies are required.
Follow-up
- Obstetric: The mother is evaluated at 2 weeks postoperatively to ensure adequate wound healing. Additional high-risk MFM appointments are attended as needed.
- Fetal: The fetus is monitored once weekly following fetal repair, or more frequently if clinical concerns arise.
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