After birth, how should a newborn with myelomeningocele be positioned?

In the case of a newborn with myelomeningocele, it is crucial to position the infant in a way that minimizes stress on the spine and prevents further injury to the exposed spinal cord and nerves. Positioning a newborn with myelomeningocele on their stomach or side can help protect the defect and provide stability, as it alleviates pressure on the back where the condition is present.

When placed on the back, there is an increased risk of pressure injuries at the site of the defect, and it may lead to difficulties in managing the lesion, particularly if it is open and exposed. Additionally, this position could pose risks for the baby’s breathing or cause discomfort as they may have limited mobility.

By positioning the infant on their stomach or side, caregivers can also ensure that any surgical intervention can be accessed easily if needed, and can facilitate better airway management and comfort. This approach supports the immediate care protocols established for children with myelomeningocele to optimize their safety and wellbeing during the early stages after birth.