This is a case of Anencephaly, I have encountered one in my life till now when I was posted in Gyn/Obs during my final MBBS. I have a series of photograph. Since anencephaly is not compatible with life, medical termination of pregnancy was done.
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Originally Posted by eKantipur Charikot, Dolakha, March 29 - The birth of a bizarre-looking baby in Charikot, the headquarters of Dolakha district, on Wednesday, drew a huge number of onlookers to witness the astonishing sight. 
The neck-less baby with its head almost totally sunk into the upper part of the body and with extraordinarily large eyeballs literally popping out of the eye-sockets, was born to Nir Bahadur Karki and Suntali Karki at the Gaurishnkar Hospital in Charikot.
The Karki couple is a permanent resident of Dolakha’s Bhirkot VDC.
The bizarre baby, however, died after half an hour of its birth, Suntali, the mother, informed. It was taken to the hospital after its death.
The news about such a baby being brought to the hospital spread like wildfire and there were hundreds gathered at the hospital to have a look. The police had to be deployed to control the crowd.
“We wouldn’t have been able to save it, even if it had been brought here alive,” said a nurse attending to the mother at the hospital, “This is an extremely abnormal case.” 
The “baby” weighed 2kg at birth and was born after the normal nine-month gestation period.
Suntali, already a mother of two normal daughters, was not suffering from any illness during the pregnancy.
Nir Bahadur, the father, says he does not feel any remorse for the newly-born baby’s death. “I am happy that nothing happened to my wife,” he said. |
Fact about Anencephaly What is Anencephaly?
Anencephaly is a defect in the closure of the neural tube during fetal development. The neural tube is a narrow channel that folds and closes between the 3rd and 4th weeks of pregnancy to form the brain and spinal cord of the embryo. Anencephaly occurs when the "cephalic" or head end of the neural tube fails to close, resulting in the absence of a major portion of the brain, skull, and scalp. Infants with this disorder are born without a forebrain (the front part of the brain) and a cerebrum (the thinking and coordinating part of the brain). The remaining brain tissue is often exposed--not covered by bone or skin. A baby born with anencephaly is usually blind, deaf, unconscious, and unable to feel pain. Although some individuals with anencephaly may be born with a rudimentary brain stem, the lack of a functioning cerebrum permanently rules out the possibility of ever gaining consciousness. Reflex actions such as breathing and responses to sound or touch may occur.
The cause of anencephaly is unknown. Although it is thought that a mother's diet and vitamin intake may play a role, scientists believe that many other factors are also involved.
Recent studies have shown that the addition of folic acid (vitamin B9) to the diet of women of childbearing age may significantly reduce the incidence of neural tube defects. Therefore it is recommended that all women of childbearing age consume 0.4 mg of folic acid daily.
What is the incidence of anencephaly?
1/1000 live birth i.e. one pregnant woman among thousands other pregnant will have baby with anencephaly in her womb.
How it can be diagnose?
It can be diagnosed by Amniocentesis, AFP, and/or an ultrasound between 14-16 weeks in couples with a history of an anencephalic infant.
What is done if a mother is diagnosed with anencephalic baby in her womb?
Medical termination of pregnancy because no way the child will survive after the birth as there is defect in the formation of brain and spinal cord.
Is there any treatment?
There is no cure or standard treatment for anencephaly. Treatment is supportive for the family.
What is the prognosis?
The prognosis for babies born with anencephaly is extremely poor. If the infant is not stillborn, then he or she will usually die within a few hours or days after birth.
What research is being done?
Many research includes studies to understand how the brain and nervous system normally develop. These studies contribute to a greater understanding of neural tube disorders, such as anencephaly, and open promising new avenues to treat and prevent neurological birth defects.
Further reading:
- eMedicine - Anencephaly : Article by Robert G Best, PhD, FACMG
- Anencephaly Net
- ANENCEPHALY SUPPORT FOUNDATION - Home
- Anencephaly Information
- Anencephaly Awareness-info on possible causes and future prevention
- Anencephaly Awareness
- Anencephaly - Wikipedia, the free encyclopedia
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