Abstract
A 12-hour-old, 39-week gestation female was born on the day of admission via spontaneous vaginal delivery to a gravida 7 para 5 36-year-old mother. The baby had a prenatal diagnosis of multiple congenital anomalies, including ventriculomegaly, myelomeningocele, congenital diaphragmatic hernia, and a ventricular septal defect. Ultrasonography performed at 22 weeks showed an open neural tube defect with Arnold-Chiari type II malformation, left renal pyelectasis, left diaphragmatic hernia, and a ventricular septal defect. The parents received extensive prenatal counseling and were aware of potential diagnoses. The family declined amniocentesis; the pregnancy was otherwise unremarkable. The amniotic fluid was meconium stained. The baby was intubated, and the ruptured myelomeningocele was wrapped in warm saline-soaked pads. There were no reported spontaneous leg movements.
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