This document discusses caring for children born with spinal dysraphism (spina bifida). It aims to provide information on preventing disabilities if the child survives. It suggests building on existing knowledge of movement and sensory disabilities to help spina bifida children. Initial management focuses on minimizing infection and injury. Long-term care involves assessing functional levels, monitoring for hydrocephalus, and managing it through shunting if needed. The child's future depends on defect severity, medical treatment, care, training, and family/community support. Functional goals vary by mobility level and progress. Mobility and posture are prioritized to enable social and educational goals. Parents are encouraged to help children gain self-care skills to build confidence. Bladder

7. How to care for the child with spina bifda if surgery is not safe ( infected cele) or not available ? ?