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Pediatric Surgery International

Erschienen in:

01.11.2015 | Original Article

Outcomes in infants with prenatally diagnosed gastroschisis and planned preterm delivery

verfasst von: Carmen Mesas Burgos, Anna Svenningsson, Jenny Hammarqvist Vejde, Tina Granholm, Peter Conner

Erschienen in: Pediatric Surgery International | Ausgabe 11/2015

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Abstract

Background

The timing and mode of delivery of pregnancies with prenatally diagnosed gastroschisis remains controversial.

Aim

To evaluate the outcome of patients with gastroschisis managed during two time periods: 2006–2009 and 2010–2014, with planned elective cesarean delivery at 37 versus 35 gestational weeks (gw). A secondary aim was to analyze the outcome in relation to the gestational age at birth.

Material and methods

Retrospective review of all cases with gastroschisis managed at our institution between 2006 and 2014.

Results

Fifty-two patients were identified, 24 during the initial period, and 28 during the second. There were a significantly higher number of emergency cesarean deliveries in the first period. There were no differences between groups with regard to the use of preformed silo, need of parenteral nutrition or length of hospital stay. When analyzing the outcome in relation to the gw the patients actually were born, we observed that patients delivered between 35 and 36.9 gw were primary closed in 88.5 % of cases, with shorter time on mechanical ventilation, parenteral nutrition and hospital stay.

Conclusion

Planned caesarian section at 35 completed gestational weeks for fetuses with prenatally diagnosed gastroschisis is safe. We observe the best outcome for patients born between 35 and 36.9 gw.

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Titel: Outcomes in infants with prenatally diagnosed gastroschisis and planned preterm delivery
verfasst von: Carmen Mesas Burgos
Anna Svenningsson
Jenny Hammarqvist Vejde
Tina Granholm
Peter Conner
Publikationsdatum: 01.11.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 11/2015
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-015-3795-8

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Outcomes in infants with prenatally diagnosed gastroschisis and planned preterm delivery

Abstract

Background

Aim

Material and methods

Results

Conclusion

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Abstract

Background

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Material and methods

Results

Conclusion

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