scholarly journals Misoprostol Induced Expulsion of Fetus Following Diagnosis of Anencephaly on Ultrasound: A Case Report

2021 ◽  
Vol 59 (236) ◽  
Author(s):  
Hari Kishor Shrestha ◽  
Suphatra Koirala ◽  
Ingima Shrestha
Keyword(s):  
Folic Acid ◽  
Case Report ◽  
Brain Tissue ◽  
Neural Tube ◽  
Neural Tube Defects ◽  
Cranial Vault ◽  
Folic Acid Intake ◽  
Cardiac Abnormalities ◽  
Ultrasound Findings ◽  
Heart Size

Anencephaly is a condition in which there is an absence of skull and brain tissues. Absence of cranial vault mainly results because of defective neurulation. Absence of cerebral tissues may cause diminished heart size, due to decreased heart load causing various cardiac abnormalities. Here, we report a case of a primigravida lady at 17 weeks of gestation with misoprostol induced expulsion of fetus after ultrasonography revealed absence of brain tissue and calvarium above the orbits suggesting anencephaly. A 300g fetus was delivered which confirmed the ultrasound findings. The patient was discharged with advice for intake of folic acid beginning from 3 months before conception in future pregnancies. Neural tube defects can manifest within approximately 28 days of gestation which highlights the importance of oral folic acid intake before pregnancy.

scholarly journals Factors associated with not using folic acid supplements preconceptionally

2013 ◽  
Vol 17 (10) ◽  
pp. 2344-2350 ◽  
Author(s):  
Judith Manniën ◽  
Ank de Jonge ◽  
Martina C Cornel ◽  
Evelien Spelten ◽  
Eileen K Hutton
Keyword(s):  
Folic Acid ◽  
The Netherlands ◽  
Pregnant Women ◽  
Neural Tube ◽  
Neural Tube Defects ◽  
Lifestyle Factors ◽  
Folic Acid Intake ◽  
Factors Associated ◽  
Acid Intake ◽  
Folic Acid Supplements

AbstractObjectiveNeural tube defects are among the most common birth defects worldwide. Folic acid intake from one month before to three months after conception reduces the likelihood of neural tube defects by at least 50 %. Since 1995, several campaigns have been organised in the Netherlands which resulted in 51 % of pregnant women using folic acid supplements during the entire recommended period in the northern part of the Netherlands in 2005. Our research question was to gain insight into the current prevalence and factors associated with inadequate pregnancy-related use of folic acid supplements.DesignData from the DELIVER study were used, which is a population-based cohort study.SettingTwenty midwifery practices across the Netherlands in 2009 and 2010.SubjectsIn total 5975 pregnant women completed a questionnaire covering items on sociodemographic and lifestyle factors, including folic acid intake.ResultsOf our study population, 55·5 % (3318/5975) used folic acid supplements before conception. Several sociodemographic and lifestyle factors were associated with no preconception use of folic acid, of which non-Western ethnicity and not having a partner had the largest effect size.ConclusionsIn the Netherlands, the folic acid intake before conception is suboptimal and has not improved over recent years. Fortification of staple foods with folic acid should be reconsidered as it would provide a more effective means of ensuring an adequate intake, especially for those groups of women who are unlikely to plan their pregnancies or to receive or respond to health promotion messages.

scholarly journals Assessment of the potential effect of incremental increases in folic acid intake on neural tube defects in Australia and New Zealand

2006 ◽  
Vol 30 (4) ◽  
pp. 369-374 ◽  
Author(s):  
Carol Bower ◽  
Nicholas de Klerk ◽  
Siobhan Hickling ◽  
Gina Ambrosini ◽  
Leon Flicker ◽  
...  
Keyword(s):  
Folic Acid ◽  
New Zealand ◽  
Neural Tube ◽  
Neural Tube Defects ◽  
Potential Effect ◽  
Folic Acid Intake ◽  
Acid Intake

scholarly journals Periconceptional maternal fever, folic acid intake, and the risk for neural tube defects

2017 ◽  
Vol 27 (12) ◽  
pp. 777-782.e1 ◽  
Author(s):  
Stephen M. Kerr ◽  
Samantha E. Parker ◽  
Allen A. Mitchell ◽  
Sarah C. Tinker ◽  
Martha M. Werler
Keyword(s):  
Folic Acid ◽  
Neural Tube ◽  
Neural Tube Defects ◽  
Folic Acid Intake ◽  
Acid Intake

scholarly journals Long-term effect of low-dose folic acid intake: potential effect of mandatory fortification on the prevention of neural tube defects

2011 ◽  
Vol 94 (1) ◽  
pp. 136-141 ◽  
Author(s):  
Lisa A Houghton ◽  
Andrew R Gray ◽  
Meredith C Rose ◽  
Jody C Miller ◽  
Nicola A Hurthouse ◽  
...  
Keyword(s):  
Folic Acid ◽  
Neural Tube ◽  
Neural Tube Defects ◽  
Low Dose ◽  
Potential Effect ◽  
Term Effect ◽  
Folic Acid Intake ◽  
Acid Intake ◽  
Long Term Effect

O220 FOLIC ACID INTAKE AND NEURAL TUBE DEFECTS (NTDs) IN A COHORT OF EGYPTIAN MOTHERS

2012 ◽  
Vol 119 ◽  
pp. S338-S338
Author(s):  
M.A. Elhusseini ◽  
M. Kassab ◽  
M. Krawinkel ◽  
L. Hussein ◽  
M.H.F. El-Shabrawi
Keyword(s):  
Folic Acid ◽  
Neural Tube ◽  
Neural Tube Defects ◽  
Folic Acid Intake ◽  
Acid Intake

scholarly journals Neural Tube Defects: A case report

2018 ◽  
Vol 14 (4) ◽  
pp. 228-230
Author(s):  
Bishnu Gautam
Keyword(s):  
Folic Acid ◽  
Case Report ◽  
Neural Tube ◽  
Neural Tube Defects ◽  
Neural Tube Defect ◽  
Prenatal Counseling ◽  
Folic Acid Supplement ◽  
Folic Acid Supplements ◽  
Period Of Gestation

Neural tube defect is rare congenital defect of fetus. I have a case of 13 weeks period of gestation with meningomeyelocele came for termination of pregnancy. The diagnosis was confirmed by ultrasonography. History suggests that patient had previous neural tube defect baby, non-compliance to folic acid supplements. It is concluded that prenatal counseling, adherence to folic acid supplement and regular follow-up can prevent further complication.

scholarly journals Knowledge, Attitudes, and Practice among Women and Doctors Concerning the Use of Folic Acid

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Eithan Auriel ◽  
Aya Biderman ◽  
Ilana Belmaker ◽  
Tamar Freud ◽  
Roni Peleg
Keyword(s):  
Folic Acid ◽  
Neural Tube ◽  
Neural Tube Defects ◽  
Early Pregnancy ◽  
Family Physicians ◽  
Jewish Women ◽  
Folic Acid Intake ◽  
Significant Difference ◽  
Acid Consumption ◽  
Do So

Background and Objective. Daily folic acid intake, prior to conception and in early pregnancy, significantly reduces neural tube defects (NTDs). We compared folic acid consumption among Jewish and Bedouin women and the recommendations of family physicians and gynecologists. Methods. We compared 64 Muslim Bedouin women and 65 Jewish women. We also compared 39 gynecologists and 60 family physicians. Results. Fifty-one Jewish women (78.5%) took folic acid during pregnancy, but only seven (10.8%) before conception. Sixty Bedouin women (93.75%) took folic acid during pregnancy, but only four (6.25%) before conception (). Five Jewish women (7.7%) and two Bedouin women (3.1%) took folic acid three months before conception. Thirty-three gynecologists (87%) recommend preconception folic acid compared with thirty-six family physicians (60%) (). Conclusions. The majority of women use folic acid during pregnancy, but only few do so to prevent NTDs. There is a significant difference between doctors' recommendations and actual practice.

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