Preparing for cesarean birth reduces the risk of what complication?

• A. Meningitis due to exposed spinal tissue
• B. Preterm labor
• C. Neonatal jaundice
• D. Placental abruption

Answer: (A)

In myelomeningocele, the spinal defect leaves neural tissue exposed, so protecting that tissue during birth is critical. A cesarean delivery helps avoid the sac being stretched, torn, or exposed to vaginal bacteria as the baby passes through the birth canal. By delivering through the abdomen, the exposed spinal area is kept with less mechanical stress and is less likely to come into contact with bacteria from the birth canal, which lowers the risk of meningitis in the newborn.

The other options aren’t specifically reduced by choosing cesarean delivery. Preterm labor is influenced by multiple obstetric factors and isn’t directly prevented by mode of birth. Neonatal jaundice relates more to the baby's liver maturity and overall condition rather than how the baby is delivered. Placental abruption is a separate placental issue that isn’t prevented by cesarean delivery.