Counseling and care for the pregnancy complicated by gastroschisis.
Twenty-one consecutive cases of fetal and neonatal gastroschisis were retrospectively reviewed. There was 100% survival if major nonintestinal malformations did not coexist; however, 28.6% of these patients had other major malformations and 66% of them died. There were significantly fewer small for gestational age infants if the defect was diagnosed prenatally (20% versus 75%, p less than 0.003). There was a 60% cesarean delivery rate in prenatally diagnosed infants and 0% if diagnosis occurred at delivery (p less than 0.01).
Chescheir
N C
NC
Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill.
Azizkhan
R G
RG
Seeds
J W
JW
Lacey
S R
SR
Watson
W J
WJ
D000009:Abdominal Muscles / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D002585:Cesarean Section / Q000706:statistics & numerical data; D003376:Counseling; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007422:Intestines / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D011247:Pregnancy; D011295:Prenatal Care; D012189:Retrospective Studies; D015996:Survival Rate; D016216:Ultrasonography, Prenatal; D000509:alpha-Fetoproteins / Q000032:analysis
D000509:alpha-Fetoproteins