ArticleCase reports in women's health2025
Ultrasound-guided myelomeningocele drainage at time of cesarean section: A case report.
Article in Case reports in women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Myelomeningocele (MMC) is the most common and complex birth defect of the central nervous system that is compatible with long-term survival. Historically, the preferred mode of delivery has been cesarean; however, more recent literature has questioned the benefit of cesarean delivery or avoidance of labor. A key aspect of this decision is determining the delivery mode which will best protect against rupture of the myelomeningocele, untoward traction on the neural placode, and functional spinal cord rostral to the defect site. Ruptured myelomeningocele is associated with significantly increased morbidity and necessitates urgent surgical repair within the first 72 h of life. There appear to have been no published case reports describing MMC drainage prior to delivery, with the goal of preventing rupture of the MMC. The present report concerns a case of an infant who underwent ultrasound-guided needle decompression of a large MMC prior to delivery. Because of the lack of severe rupture, there was a significant volume of healthy skin available for closure of the defect with no postnatal complications from the procedure. In conclusion, drainage of an MMC may result in a decreased risk of rupture of large MMCs at the time of delivery and may be considered in cases where concern for rupture is particularly high. It is also a procedure that may allow for a reduction in maternal morbidity by reducing the need for highly morbid vertical uterine incisions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.