A test is available that can identify spina bifida during pregnancy. Fluid obtained from the womb can indicate defects by the fourteenth week of pregnancy. A sonogram during pregnancy can often detect or confirm a defect. Recent evidence has shown that increased folic acid in the diet will decrease the number of babies born with spina bifida. Spina bifida with a sac or open wound is usually obvious at birth.
Treatment consists of surgery to close the protruding sac.
It also involves continual assessment of growth and development. Surgery will not reverse nerve deficits. Before surgery, one must handle the baby with care. One should hold and cuddle the infant to promote bonding, but avoid placing pressure on the sac. When holding him on a lap, one should position him on his abdomen.