What Is Spina Bifida?

According to the Centers for Disease Control and Prevention (CDC), 1 out of every 2,758 babies are born in the U.S. with the birth defect spina bifida. This condition, which develops in a fetus during pregnancy, affects the spine; it is usually identified at birth, although there are different types of spina bifida, one of which is sometimes not diagnosed until late childhood or adulthood, if ever. To better understand spina bifida during Spina Bifida Awareness Month, we will discuss the causes, different types, and what you can do to help reduce the risk of your baby developing it.

What Is Spina Bifida?

picture of a skeleton's spine
Spina bifida occurs when that neural tube doesn’t close all the way in the spine.

Spina bifida is a birth defect that affects the column of the spine, which does not form properly in the womb in babies with the condition. During the first month of pregnancy, a set of cells forms the neural tube, which is what later becomes the brain, the spinal cord, and the structures around it; spina bifida occurs when that neural tube doesn’t close all the way, leaving the backbone, which protects the spinal cord, not fully closed. This often leads to damage to the spinal cord and nerves, causing abnormalities of the spine, accompanied by physical and intellectual disabilities ranging from mild to severe. 

Different Types of Spina Bifida

There are 4 different types of spina bifida, and symptoms will vary depending on the type:

  1. Myelomeningocele- This is the most serious type of spina bifida, in which a sac of fluid comes through an opening in the baby’s back. The spinal cord and surrounding nerves will push through the open bones in the spine and protrude, damaging the spinal cord and nerves. This causes moderate to severe disabilities, such as changes in brain structure, loss of feeling in the legs or feet, inability to move the legs, and bladder dysfunction. 
  2. Meningocele- This occurs when the sac of spinal fluid pokes through the spine, but the spinal cord is not in the sac. Usually there is little to no nerve damage, and only minor disabilities and symptoms.
  3. Closed neural tube defects– This type occurs when the spine has malformations of fat, bone, or membranes. It causes weakness of the legs and trouble with bladder and bowel control. 
  4. Spina Bifida Occulta- Also called “hidden” spina bifida, this is the mildest type. There is a small gap in the spine, but no opening on the back, which is why it is hard to diagnose at a birth or in childhood. It rarely causes disabilities or symptoms, and is often not discovered until late childhood or adulthood.

Causes & Prevention

Unfortunately, doctors and scientists do not know all the causes of spina bifida, but they do think that genetic, nutritional, and environmental factors all play a role. There are, though, ways that you can reduce the risk of spina bifida in your baby:eggs in a basket, cheese, milk, and greens in a pot

  • Take 400 micrograms of folic acid everyday– Spina bifida develops in the first few weeks of pregnancy, so if you are considering getting pregnant, begin taking folic acid beforehand. This B vitamin is important for the development of a healthy fetus, and studies show that adding it to your diet can reduce the risk of having a child with a neural tube defect. In addition to taking supplements, you can eat foods high in folic acid, including dark green vegetables, egg yolks, and enriched breads, pastas, and grain products.  
  • Get your diabetes under control – If you are diabetic before you become pregnant, and if you are obese, you should try to lose weight before getting pregnant.
  • Avoid overheating your body while pregnant
  • Treat fevers immediately when pregnant


Spina bifida is often diagnosed before birth with prenatal testing, but some cases go undetected until after birth. During pregnancy, there are multiple screenings that can be done to check for it:

  • Maternal serum AFP screen– At 16-18 weeks of pregnancy, a sample of the mother’s blood is tested to measure how much AFP, or alpha-fetoprotein, a protein that unborn babies produce, has passed into the mother’s bloodstream from the baby. If there is a high level detected, that means the baby has spina bifida. pregnant woman's belly with an ultrasound projecting on it
  • Ultrasound– During the second trimester, an ultrasound can show pictures of how the baby is developing in the womb. It is accurate in diagnosing birth defects, and can be done during the first trimester, but is more accurate during the second trimester, from 18-22 weeks.
  • Amniocentesis- The doctor will remove a sample of the amniotic fluid and test it for protein levels; higher than average levels of AFP indicate that the baby has spina bifida.

It is also possible to identify spina bifida after a baby is born: babies with this condition will usually have a hairy patch of skin or a dimple on their back. If doctors see this, they can use an image scan such as an X-ray to examine the baby’s spine. 


Treatment is different for each person with spina bifida, depending on the type they have. If it is determined that your fetus has developed the condition, you can opt to have prenatal surgery, in which your baby’s spinal cord will be sewn shut. You can also opt for postnatal surgery, in which the doctor will close the defect and minimize risk of infection within the first few days of life. 

Depending on how severe the case of spina bifida is, your child might have to:doctors in teal scrubs performing surgery

  • Have surgery to improve alignment of their feet, legs, or spine 
  • Have surgery to drain fluid in the brain
  • Use braces, a walker, crutches, or a wheelchair
  • Do physical therapy to strengthen their legs
  • Take rectal medications or enemas to have bowel movements

A child with myelomeningocele will have to have their kidneys monitored closely so that medications or surgeries do not result in kidney failure.

Spina bifida generally occurs within the first weeks of pregnancy, and while we still don’t know exactly what causes it, scientists are continuously researching and studying it to solve the mystery. This condition, depending on the type, can have  severe symptoms that require surgery, constant testing, mobility assistance, and/or physical therapy, so if your child is living with spina bifida it’s very important that you have good health insurance to help pay for all of these medical expenses. EZ.insure will work with you to find an affordable plan that meets your medical needs, so you have one less thing to worry about while providing care to your child. To get free quotes on all available plans in your area, simply enter your zip code in the bar above, or to speak to an agent, call 888-350-1890. No obligation.

8 Foods That Are Good For You, But Toxic If Eaten Too Much

Too much of anything can be a bad thing, even something that’s good for you like water! We are told by doctors and nutritionists that we should be drinking at least 8 cups of water a day. This has been proven to be a myth, and not only that, but if you drink too much water, you can get water intoxication, which leads to electrolyte imbalance. But this is only one of the few instances in which too much of a good thing is toxic. If you are not careful, too much of

bowl of nutmegs with a grater on the table with ground nutmeg next to the grater.
Nutmeg contains a compound called myristicin, which can lead to myristicin poisoning. 

some healthy foods will kill you.

1. Nutmeg

Did you know that nutmeg can be a hallucinogenic drug? Yeah, apparently if you ingest too much nutmeg, about 3-8 hours after, you will experience anxiety, fear, and some will experience psychotic episodes. Nutmeg contains a compound called myristicin, which can lead to myristicin poisoning. 

Doses as much as 20 to 80 grams of nutmeg in powder form is not deadly, but beware consuming too much. A sprinkle in your latte or dessert is fine, buta few tablespoons can be dangerous!

2. Star Fruit

When eaten in normal quantities, starfruit does not possess much risk to a person. However, the delicious fruit contains a potentially toxic neurotoxin for people with kidney disease. It can cause kidney failure. Some common symptoms for people with kidney problems to look for are:

  • Vomiting
  • Weakness
  • Mental Confusion
  • Hiccups
  • Insomnia
  • Altered Consciousness
  • Hypotension
  • Convulsions (long-lasting epileptic seizures)

3. Spinach

Bowl of spinach on a table.
Eat your spinach, but not too much, or else!

“Eat your spinach so you can grow big and strong,” as your mom would say. Well yes, but in moderation, as it is high in oxalic acid. Consuming too much will result in:

  • Kidney stones (ouch!)
  • Low blood pressure
  • Tremors
  • Weak pulse
  • Stomach pain
  • Vomiting

4. Canned Tuna

Tuna has more mercury than any other fish in the sea. Too much mercury can have serious side effects. Consuming too many canned tunas will result in:

  • Vision Problems
  • Hearing Problems
  • Speech Problems
  • Muscle Weakness
  • Balance/Coordination Issues

More than 3-5 cans a week can be dangerous, try to stick to 3 cans or less, preferably of the “light” ones. 

5. Kidney BeansA bunch of red kidney beans

A lot of beans come with the toxin phytohemagglutinin, which comes in especially high concentrations in raw red kidney beans. Eating raw kidney beans are toxic and can lead to severe nausea and vomiting. Luckily raw kidney beans are pretty unappealing.

The only way to be safe eating kidney beans is after it has been cooked or boiled for 10 minutes. 

6. Rhubarb

A lot of people enjoy rhubarb pie, and if you are one of those people, then know that you will be fine if you decide to eat the whole pie by yourself. Rhubarb leaves contain oxalic acid, which is used in bleach. If you eat the leaves, you will experience a burning sensation in your mouth and throat, as well as nausea, convulsions, and death.

Don’t worry, keep eating rhubarb pie, just stay away from their leaves!

7. Potatoes

Bag of potatoes over dirt on the ground
If a potato starts sprouting, throw it away!

Have you ever left a potato, or a sack of them in your kitchen for a while and not had the chance to use them yet? Did you come across a potato or two sprouting? Throw it away! These potatoes contain solanine, which is a natural pesticide toxic to humans. It can cause vomiting, diarrhea, hallucinations, and even cardiac arrest

8. Pitted Fruits

Pitted fruits like cherries, peaches, and plums all have cyanide in their pits. Yes, cyanide. If you swallow the pit whole, you will be fine, however, if you chew it, that’s when things will take a turn for the worst. 

A single cherry yields roughly 0.17 grams of lethal cyanide per gram of seed, so depending on the size of the kernel, ingesting just one or two freshly crushed pits can lead to death.

When you do anything, moderation is key. This rule also goes for things you eat that are good for you. Make sure to not overeat the mentioned foods, or it can be lethal!