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http://childrens.memorialhermann.org/services/gastroschisis/
Gastroschisis does not always require cesarean delivery. The delivery plan should be carefully discussed between the mother and her obstetrician. Place of Delivery. The baby should be delivered at a hospital that is well prepared to handle the intensive care and surgery required of infants with gastroschisis.
https://www.ncbi.nlm.nih.gov/pubmed/28947324
METHODS: A meta-analysis of publications describing timing of delivery in gastroschisis from 1/1990 to 8/2016 was performed, including studies where either elective preterm delivery (group 1, G1) or preterm gestational age (GA) (group 2, G2) were evaluated against respective comparators.Author: Rachel M. Landisch, Ziyan Yin, Melissa Christensen, Aniko Szabo, Amy J. Wagner
https://www.cochrane.org/CD009394/PREG_early-birth-for-babies-with-gastroschisis
Jun 05, 2013 · Gastroschisis is an uncommon congenital defect of the anterior abdominal wall that results in herniation of intestinal loops outside the abdominal cavity. Babies with gastroschisis generally do well, but there remains a mortality rate of 5% to 10% and some require prolonged parenteral nutrition and intensive care.Significant injury to the exposed bowel may occur in-utero, and earlier birth may ...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2827699/
Aug 24, 2009 · Moir et al. prospectively studied 16 fetuses with gastroschisis on high resolution ultrasound. They scanned fetuses on a weekly schedule, beginning at a gestational age of 26 weeks, with well defined criteria based on characteristics of the fetal bowel and established indications for preparing for an early delivery.Author: Henrique Soares, Ana Silva, Gustavo Rocha, Susana Pissarra, Jorge Correia-Pinto, Hercília Guimarães
https://www.choc.org/wp/wp-content/uploads/2018/06/GastroschisisClinicalGuideline.pdf
Gastroschisis Clinical Guideline. Inclusion Criteria: o All infants born with gastroschisis ... o Routine preterm delivery (less than 37 weeks) or induction is not recommended ... o Early initiation of trophic feeding (≤ 20 ml/kg/day) and ≤ 48 hrs. after gastric output becomes
https://www.obgproject.com/2019/12/27/is-early-delivery-for-gastroschisis-beneficial/
BACKGROUND AND PURPOSE: Shamshirsaz et al. (Ultrasound in Obstetrics & Gynecology, 2019) assessed whether elective preterm delivery at 34 weeks for gastroschisis to limit bowel exposure to amniotic fluid was of benefit compared with routine obstetric care METHODS: Randomized controlled trial (RCT) Participants Sonographic diagnosis of fetal gastroschisis Referred <34 weeks Exposures Early ...
https://www.sciencedirect.com/science/article/pii/S0022346817305651
However, early delivery has its own potential set of complications, including increased mortality, respiratory morbidity, cholestasis and cognitive deficits [, , ]. Currently, there is no consensus on the ideal timing of delivery in cases of fetal gastroschisis, resulting in practice variations; for this reason, data-driven conclusions are ...Author: Rachel M. Landisch, Ziyan Yin, Melissa Christensen, Aniko Szabo, Amy J. Wagner
https://www.cdc.gov/ncbddd/birthdefects/gastroschisis.html
Gastroschisis occurs early during pregnancy when the muscles that make up the baby’s abdominal wall do not form correctly. A hole occurs which allows the intestines and other organs to extend outside of the body, usually to the right side of belly button. Because the intestines are not covered in a protective sac and are exposed to the ...
https://www.cincinnatichildrens.org/health/g/gastroschisis
May 01, 2016 · Some women are referred to us for gastroschisis late in pregnancy. We see them within two weeks of their referral. It is important to make a diagnosis and delivery plan as early as possible. In babies with gastroschisis, the ultrasound will show loops of bowel floating freely.
https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1002/uog.21871
objective was to evaluate whether early delivery would decrease the incidence of intrauterine fetal demise in fetuses with gastroschisis. PATIENTS AND METHODS This was a non-blinded, single-center, randomized con-trolled trial of elective preterm delivery (ED) at 34weeks’ gestation in pregnancies with isolated fetal gastroschisis.Author: A. A. Shamshirsaz, T. C. Lee, A. B. Hair, H. Erfani, J. Espinoza, K. A. Fox, M. Gandhi, A. A. Nassr,...
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