Extended Criteria For Fetal Myelomeningocele Repair

Inclusion Criteria

• •Any woman with a prenatal diagnoses of myelomeningocele.
• •Pre-pregnancy BMI of 35-45 kg/m2.
• •Diabetes; patients will require good glycemic control
• •History a previous preterm birth, as long as it was followed by a full term birth
• •Structural abnormality in the fetus; abnormality must be minor, not increasing the risk of prematurity. For example cleft lip and palate, minor ventricular septal defect, pyelectasis.
• •Maternal Rh alloimmunization. Must have a low level of anti-red blood cell antibody that is not associated with fetal disease, specifically anti-E \< 1:4 or anti-M. Or alloimmunization with negative fetal red blood cell antigen status determined by amniocentesis.