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Fluids and Barriers of the CNS

Open Access

Preconceptual care for women with spina bifida

Cerebrospinal Fluid Research20041(Suppl 1):S60

Published: 23 December 2004


Folic AcidNeural TubeManagement OptionSpina BifidaAcid Supplementation


When women with spina bifida reach reproductive age they may have concerns about the potential complications they may face during pregnancy. Over the last year six women with spina bifida have been seen in our preconceptual clinic.

Study design

Retrospective case series n = 6.


St Mary's Hospital, Manchester. A tertiary referral centre.


To describe recurrent themes covered during pre-conceptual counselling of women with spina bifida.


Common themes emerged during the six consultations. These related to the need for preconceptual folic acid supplementation (6/6), discussion of recurrence risks (6/6), screening for neural tube defects (6/6), management of urinary symptoms and urinary infection (5/6), potential problems with backpain, mobility and the ability to continue to work during pregnancy (6/6), analgesia in labour (6/6), anaesthesia (3/6), mode of delivery (6/6). Management options for the above were discussed. All women reported that they had found the consultation to contain useful information and that the actual risks were not as high as they perceived. They were also reassured by the suggested management plans. Two of the women have become pregnant.


For women with spina bifida a preconceptual consultation provides an opportunity to reinforce advice regarding folic acid. The provision of information, acknowledgement of potential problems and the discussion of management options in a preconceptual clinic appears to reduce anxieties about pregnancy.

Authors’ Affiliations

St Mary's Hospital, Manchester, UK


© The Author(s) 2004

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.