Applying sterile, moist nonadherent dressings is done to
prevent drying and breakage of the sac; any opening increases the risk for
infection of the central nervous system. Diapering is contraindicated until the
defect is repaired; the diaper may irritate the sac and cause rupture,
predisposing the infant to infection. The infant is generally placed in a
neutral position to reduce pressure on the affected area. The legs are abducted
to counteract subluxation because the infant is unable to move the legs.
