609 Increased incidence of stillbirth in fetuses with gastroschisis

Broth, Richard; Shlossman, Philip; Kaufmann, M; Berghella, Vincenzo

doi:10.1016/s0002-9378(01)80642-6

Cited by 5 publications

(5 citation statements)

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“…There was a higher rate of spontaneous loss in the third trimester in fetuses with gastroschisis. In fact, in our experience of 77 fetuses with a prenatal diagnosis of gastroschisis over a 10‐year period, we noted a 5% rate of fetal demise as compared to the general population6. Associated gastrointestinal, genitourinary and other malformations are noted in Table 2 and are consistent with those previously reported1–4, 7, 8.…”

Section: Discussionsupporting

confidence: 88%

Abdominal wall defects and congenital heart disease

Gibbin

Touch

Broth

et al. 2003

Ultrasound in Obstet & Gyne

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Section: Discussionsupporting

confidence: 88%

Abdominal wall defects and congenital heart disease

Gibbin

Touch

Broth

et al. 2003

Ultrasound in Obstet & Gyne

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“…14; 85/1,000) and an increased neonatal death rate ( ! 4; 17.5/1,000) as compared with controls [30] . A retrospective assessment of surveillance techniques was not possible from this present gastroschisis population by chart review.…”

Section: Discussionmentioning

confidence: 91%

Gastroschisis: Growth Patterns and a Proposed Prenatal Surveillance Protocol

et al. 2007

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Objective: To assess intrauterine growth for fetuses with gastroschisis using retrospective serial ultrasound assessment from fetuses diagnosed prenatally with gastroschisis. The growth assessment could be available as a prospective tool to direct an antepartum fetal surveillance protocol. Methods: This is a retrospective review of all cases of gastroschisis evaluated prenatally at a single institution between February 1996 and March 2002. Charts were reviewed for serial ultrasound assessment, gestational age at delivery, mode of delivery, and birth weight. Growth assessment was determined for abdominal circumference, biparietal diameter, head circumference, femur length, and estimated fetal weight (IRB No. 2002-1-2648). Results: Forty patients had delivered by March 2002. One hundred and two ultrasound reports were reviewed. Gastroschisis growth curves showed that the 50th percentile was shifted to the right when compared to normal growth curves for abdominal cicumference, biparietal diameter, head circumference, and femur length. The average birth weight was 2,359 g. Compared with a standard population, 44% (16/36) were below the 5th percentile, 61% (22/36) were below the 10th percentile, and 95% (34/36) were below the 50th percentile for gestational age. The average gestational age at delivery was 36.3 weeks. Mothers were nulliparous in 78%, with a mean age of 21.3 years. Conclusions: (1) Fetuses with gastroschisis show a symmetric intrauterine growth restriction pattern consistent with early development of growth delay; (2) the 50th percentile biometry measurements for the gastroschisis population are shifted to the right on normal fetal growth curves; (3) the birth weight is at or below the 10th percentile in 61% of the newborns with gastroschisis, and (4) an antepartum surveillance protocol is proposed based on growth patterns of fetuses with gastroschisis.

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“…Broth et al [46] reported on 78 fetuses with gastroschisis and had a stillbirth rate after 28 weeks of 85 per 1,000 births compared to control group rate of 5.4 per 1,000 births, and a neonatal death rate within 28 days of birth of 17.5 per 1,000 births compared to control group rate of 4.7 per 1,000 births. Recommendations are made for close fetal monitoring in the third trimester and possibly early intervention if abnormal surveillance results are identified.…”

Section: Prenatal Evaluation Including Differential Diagnosismentioning

confidence: 99%

Congenital Abdominal Wall Defects: An Update

Wilson¹,

Johnson²

2004

Fetal Diagn Ther

156

122

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Objective: To review published peer-reviewed literature regarding abdominal wall defects including gastroschisis and omphalocele. Methods: Review of published peer-reviewed literature using Med Line 1985–2003 and textbooks. Results: Gastroschisis and omphalocele literature is reviewed using pathology, incidence and epidemiology, prenatal evaluation, pregnancy and delivery management, postnatal outcome and fetal therapy. Conclusion: Gastroschisis and omphalocele are common abdominal wall defects and have significant morbidity and mortality.

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609 Increased incidence of stillbirth in fetuses with gastroschisis

Cited by 5 publications

References 0 publications

Abdominal wall defects and congenital heart disease

Abdominal wall defects and congenital heart disease

Gastroschisis: Growth Patterns and a Proposed Prenatal Surveillance Protocol

Congenital Abdominal Wall Defects: An Update

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