title: Isolated prenatal ultrasound findings predict the postnatal course in gastroschisis.
abstract: OBJECTIVE
  The aim of the study was to identify which prenatal ultrasonographic findings in fetuses with gastroschisis correlate with complicated postnatal outcome.
  
  
  METHODS
  Ultrasound findings at the 30th week of pregnancy and medical reports were statistically analyzed to identify independent prenatal ultrasonographic predictors of postnatal outcome.
  
  
  RESULTS
  Completed prenatal data were gathered from 64 pregnancies. Prenatal intra-abdominal bowel dilatation (cutoff 10 mm) correlated with the presence of atresia (p < 0.01), longer administration of parenteral nutrition, extended hospital stay (median 53 vs. 21 days; 68 vs. 36 days, both p < 0.05), and greater number of additional surgical procedures (p < 0.05). Infants with antenatal presence of thickened bowel wall (greater than or equal to 3 mm) required longer administration of parenteral nutrition (median 34 vs. 20 days; p < 0.01) and prolonged stay (median 44 vs. 37 days; p < 0.05). Presence of oligohydramnion (amniotic fluid index below 8 cm) was connected with longer administration of parenteral nutrition in newborns (median 30 vs. 16 days; p < 0.05).
  
  
  CONCLUSIONS
  The isolated presence of oligohydramnion with amniotic fluid index below 8 cm, thickened bowel wall equal to or more than 3 mm and the prenatal intra-abdominal dilatation with 10 mm cutoff had significant predictive value for the adverse postnatal outcome of patients with gastroschisis.
authors.affiliation: Department of Paediatric Surgery, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital, V Úvalu 84, 15006, Prague 5, Czech Republic, barborafrybova@gmail.com.
authors.forename: Barbora
authors.initials: B
authors.lastname: Frybova
authors.forename: Radovan
authors.initials: R
authors.lastname: Vlk
authors.forename: Alena
authors.initials: A
authors.lastname: Kokesova
authors.forename: Michal
authors.initials: M
authors.lastname: Rygl
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D020139:Gastroschisis / Q000000981:diagnostic imaging* / Q000196:embryology; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011181:Postnatal Care / Q000379:methods*; D011247:Pregnancy; D011379:Prognosis; D015203:Reproducibility of Results; D012189:Retrospective Studies; D016216:Ultrasonography, Prenatal / Q000379:methods*; D055815:Young Adult