Prenatal extra-abdominal bowel dilatation is a risk factor for intrapartum fetal compromise for fetuses with gastroschisis

Brown, Nicole; Nardi, Mel; Greer, Ristan M.; Petersen, Scott; Thomas, Joseph; Gardener, Glenn; Cincotta, Robert; Kumar, Sailesh

doi:10.1002/pd.4535

Cited by 14 publications

(7 citation statements)

References 32 publications

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“…A recent retrospective observational study by a tertiary hospital in Brisbane, analysed the role of prenatal ultrasound features in predicting intrapartum fetal distress. Although concentrating on intrapartum events, this study aligned with our conclusion regarding the importance of extra‐abdominal dilatation as a predictor of fetal outcome …”

Section: Discussionsupporting

confidence: 86%

Antenatal ultrasound features in fetuses with gastroschisis and its prediction in neonatal outcome

Robertson

Kimble

Stockton

et al. 2016

Aust NZ J Obst Gynaeco

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Section: Discussionsupporting

confidence: 86%

Antenatal ultrasound features in fetuses with gastroschisis and its prediction in neonatal outcome

Robertson

Kimble

Stockton

et al. 2016

Aust NZ J Obst Gynaeco

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“…Seven of these patients were also noted to have US changes of bowel dilatation or stomach herniation. There is some evidence in the literature that these findings may be associated with intrapartum and postnatal complications . Due to conflicting findings in the literature and a lack of large‐scale prospective studies, however, these findings were not used alone to dictate timing of delivery and instead led to increased frequency of CTG monitoring, including as inpatients in some circumstances.…”

Section: Resultsmentioning

confidence: 99%

Intrauterine death rate in gastroschisis following the introduction of an antenatal surveillance program: Retrospective observational study

Perry

Healy²,

Wellesley

et al. 2017

J of Obstet and Gynaecol

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Aim To investigate whether an antenatal surveillance protocol including ultrasound and cardiotocograph monitoring reduces intrauterine death (IUD) in cases of gastroschisis. Secondary outcomes included neonatal death rate, mode of delivery and rate of intervention before planned time of delivery. Methods This was a retrospective observational study of all women with antenatally diagnosed gastroschisis who were managed according to the surveillance program between 2002 and 2015 in a tertiary fetal medicine and pediatric surgical center covering the Wessex region of England. We reviewed and analyzed data from the Wessex Antenatally Detected Anomalies (WANDA) database as well as prospectively managed maternity, ultrasound and neonatal databases over the given time period. Case notes were reviewed when delivery was expedited. Results The IUD rate was 2.2%, a 58% reduction since the introduction of the surveillance protocol. Delivery was expedited in 35.4% of cases, and in 86% of these, delivery was by cesarean section. In women being induced as planned at 38 weeks, the vaginal delivery rate was 88%, and for those in spontaneous labor before 38 weeks it was 75%. Conclusions An antenatal surveillance program appears to reduce the IUD in gastroschisis. In one‐third of cases, delivery was indicated before the planned date of delivery. When expedited delivery was indicated, the chance of cesarean section was high.

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“…The presence of thickened bowel wall (>3 mm), and intra-or extra abdominal bowel dilatation (intra-lumen diameter from inner wall to inner wall >6 mm) on prenatal ultrasound has been suggested as a predictor of poor postnatal outcome. [15][16][17][18] In our case, although we did not find any extra-intestinal anomalies, the fetal health course was troublesome, and we do not know if it was due to the associated intestinal atresia or the localization of the defect.…”

Section: Discussionmentioning

confidence: 59%

A Case of Superior Sided Gastroschisis

Kırbaş¹,

Dağlar²,

Biberoğlu³

et al. 2015

Turkiye Klinikleri J Gynecol Obst

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astroschisis (Greek for "belly cleft") is a full-thickness defect in the abdominal wall characterized by protruding abdominal organs without an overlying sac. 1 The reported incidence of gastroschisis is 1 in 5-10 000 live births and it is associated with young maternal age, smoking and exposure to certain drugs (such as methamphetamines and salicylates). 2,3 Gastroschisisis nearly always located to the right of the umbilicus; leftsided gastroschisis is extremely rare and is associated with a higher incidence of extraintestinal anomalies. 4 Only one case of inferior gastroschisis

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Prenatal extra-abdominal bowel dilatation is a risk factor for intrapartum fetal compromise for fetuses with gastroschisis

Abstract: Extra-abdominal bowel dilatation is a risk factor for intrapartum fetal compromise (OR 2.2; 95%CI 1.03-4.7) and emergent delivery.

Cited by 14 publications

References 32 publications

Antenatal ultrasound features in fetuses with gastroschisis and its prediction in neonatal outcome

Antenatal ultrasound features in fetuses with gastroschisis and its prediction in neonatal outcome

Intrauterine death rate in gastroschisis following the introduction of an antenatal surveillance program: Retrospective observational study

A Case of Superior Sided Gastroschisis

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