Postnatal intestinal ischemia in a patient with gastroschisis: a sinister problem of home delivery and improper transportation

Constrained evidence-based practice

“…Inadequate transfer facilities further complicate the discourse. [6] When the neonate arrives at a specialized center, crucial time is already wasted. It is not uncommon to see a delay of more than 24 hours in certain areas.…”

“…At times, the eviscerated bowel may become ischemic due to either a narrow defect or a twist of the eviscerated bowel. [6] Given the circumstances, EBP recommends staged reduction of the gut; however, it is constrained by the non-availability of spring-loaded silastic silo, and either a blood collection bag or a urine bag is used in its place-we rarely see these working.…”