Effects of multidisciplinary prenatal care and delivery mode on gastroschisis outcomes

Predictors of postnatal outcome in neonates with gastroschisis

“…Of 6 patients who died, 5 were either born with closed gastroschisis with intestinal atresia or had intestinal necrosis. These results are in accordance with other studies [8,12,19,27] and could be explained by the development of SBS in 9 of our 13 patients with intestinal atresia. Those patients required continuation of PN, and in combination with episodes of septicemia, they developed IFALD, and finally, 3 died of liver failure.…”

“…Gestational age and BW were in concordance with previous studies [4,8,16] and did not correlate with mortality in our patients. Our findings are consistent with previous studies demonstrating that prematurity has a negative effect on outcome [11,14,18,27]. In agreement with Charlesworth et al [11], we found longer duration of PN and LOS in those infants below 2 kg BW or infants born before 35 weeks of gestation.…”

“…In accordance with several previous reports, we did not find any effects of delivery mode on outcome [27,30]. Since 1995, all our patients with gastroschisis receive multidisciplinary prenatal care.…”

“…In our study, we have found similar survival rates but shorter LOS and fewer days on PN than most other studies in which LOS varied from 35 to 52 days and duration of PN 21 to 38 days [3,8,11,12,16,27]. Our favorable results may indirectly reflect the high quality of our neonatal and nutritional care.…”

Abdominal wall defects: omphalocele and gastrschisis

“…Hastalarda kötü prognozdan eşlik eden intestinal komplikasyonlar ve erken gestasyonal yaşı sorumludur. Doğum şekli ve prenatal izlem prognozda etkisizdir (108,116) .…”