Risk stratification in gastroschisis: can prenatal evaluation or early postnatal factors predict outcome?

Abstract

Prenatal bowel wall dilation and/or thickness did not predict complex patients or adverse outcome. Complex gastroschisis patients can be identified postnatally and have substantial morbidity.

Delivery planning for pregnancies with gastroschisis: findings from a prospective national registry

“…The potential for more severe gastroschisis cases to be assigned systematically to 1 group (most likely, delivery at 36-37 weeks' gestation or after induction of labor) is further reduced because the ability to predict neonatal risk based on ultrasound findings has not been established consistently. [16][17][18][19][20] Nevertheless, a randomized trial would be needed to rule out the potential for residual bias. Our study provides some of the strongest available evidence in the absence of a randomized trial and could inform the design of trials in the future.…”

Effects of multidisciplinary prenatal care and delivery mode on gastroschisis outcomes

“…Prenatal interventions to reliably predict or improve gastroschisis outcomes have proven elusive [3,4]. In the current era of routine obstetric ultrasound in the United States, most gastroschisis cases are prenatally diagnosed [5].…”

Antenatal diagnosis of bowel dilatation in gastroschisis is predictive of poor postnatal outcome

“…The results have been varied and inconsistent [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26]. Consequently, there is still a degree of uncertainty as to whether antenatal sonographic variables are useful in prognostification.…”