At a glance
ClinicalIndex Comparison Record- ✓Pregnant women carrying a fetus diagnosed with myelomeningocele
- ✓Myelomeningocele lesion location between T1 (top) and S1 (bottom) with hindbrain herniation
- ✓Gestational age between 19 weeks 0 days and 25 weeks 6 days at randomization
- ✓Normal karyotype (chromosomal test)
- ✕Maternal insulin-dependent pregestational diabetes
- ✕Short or incompetent cervix or cervical cerclage in place
- ✕Placenta previa
- ✕Maternal BMI of 35 or higher
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Myelomeningocele Repair Randomized Trial
In Brief
A clinical study evaluating Prenatal Myelomeningocele Repair Surgery and Postnatal Myelomeningocele Repair Surgery for Meningomyelocele and Spinal Dysraphism. Completed, enrolled 183 participants across 3 sites.
Detailed Summary
Spina bifida (myelomeningocele) is a complex birth defect in which a portion of the spinal cord is not fully developed. The overlying bones and skin are incompletely formed and the underdeveloped area of the spinal cord is exposed on the surface of the back. Spina bifida defects are closed soon after birth to prevent further damage to the spinal cord and nerves. The Management of Myelomeningocele Study (MOMS) is a research study comparing two approaches to the treatment of babies with spina bifida: surgery before birth (prenatal surgery) and the standard closure, surgery after birth (postnatal surgery).
Study Details
Timeline
Interventions
Fetal surgery to repair spina bifida defect performed prior to 26 weeks of gestation with delivery by C-section at approximately 37 weeks of gestation.
Standard postnatal surgical closure of the spina bifida defect