New Hope: Babies Get Surgery Before Birth

A team of doctors in Utah is performing a tiny, camera‑guided operation inside the womb to fix spina bifida. The technique is less invasive than older methods and can keep mothers from needing a big cut or an early delivery. The first Utah family to try the new procedure is the Ibarra Garcias. Their daughter, Daniela, was treated at 25 weeks of pregnancy. Six months later she can move her feet and looks alert when held by her mother. The second family, the Vances, had their daughter Jaycie operated on at 26 weeks. Her parents say she is already moving her legs. Spina bifida happens when the baby’s spinal cord does not close properly while forming. It can leave a gap in the spine, exposing the nervous tissue. Babies with this condition often need long‑term care and may have trouble walking or learning. The surgery does not cure the defect, but it can seal the gap before birth. By doing so, doctors hope to stop dangerous fluid build‑up in the brain and reduce other complications. A well‑sealed spine can also improve a child’s chances of walking with help and having normal brain function.The new method uses three small cuts in the uterus. One cut holds a tiny camera, and two hold instruments that close the gap. Because the incisions are small, mothers can usually finish the pregnancy and even try a vaginal birth later. Getting this surgery in Utah has saved families from traveling far for care. It also means that moms who are pregnant elsewhere can travel here if the procedure is not available in their state. A team of about twenty people works together during each operation, from the surgeon to the nurses and anesthesiologists. Both parents who had their babies treated say it was a scary decision. But they believe the benefits outweigh the risks. Their babies are now showing early signs of movement, and doctors say scans look promising. The program is part of a partnership between Intermountain Health Primary Children’s Hospital and the University of Utah. It is funded by a large fundraising effort that aims to improve child health nationwide.