Stomach Birth Defect Rate Doubled Over 2 Decades
Gastroschisis, a hole in the abdominal wall, more common in babies born to teen mothers
Conditions: High Risk Pregnancy; Congenital Heart Disease; Fetal Hydrops; Twin Monochorionic Monoamniotic Placenta; Gastroschisis; Fetal Demise; Stillbirth; Fetal Arrhythmia; Long QT Syndrome; Intrauterine Fetal Death; Sudden Infant Death; Pregnancy Loss; Twin Twin Transfusion Syndrome; Birth Defect; Fetal Cardiac Anomaly; Fetal Cardiac Disorder; Fetal Death; Brugada ...
Chris Zeman didn't plan to be a physician, but when his daughter was born with gastroschisis, he was inspired to go back to school at age 31.
No abstract available
ConclusionThe incidence of respiratory failure requiring ECMO is remarkably higher in patients with GC than in the general population and much higher in the subgroup of term GC. While infrequent, the possibility of this event supports the concept that fetuses with GC benefit from being delivered at tertiary centers with immediate pediatric surgery and ECMO capabilities.
Conclusion(s)DH is common in patients with gastroschisis and is unlikely to be associated with pathology aside from PN. Additional work-up may lead to unnecessary resource utilization.Levels of evidenceCase series with no comparison group, Level IV.
In a recent paper published in your Journal, Dr. Koehler et al. showed that meconium stained amniotic fluid (MSAF) is associated with worse outcomes in infants born with gastroschisis . Most probably this is the result of direct damage by meconium to eviscerated intestines. This is not surprising, considering the injury that meconium causes once it enters the airways, causing meconium aspiration syndrome (MAS) . The mechanisms of damage by meconium are not entirely understood, but there is a generally accepted understanding that it is capable of causing significant direct damage .
Clinical Case Reports, EarlyView.
AbstractPurposeRecently, plastic closure of abdominal defect in infants with gastroschisis has been used. Timing of gastroschisis closure can be mainly divided into two groups: primary closure and delayed closure after silo forming. Safety and usefulness of plastic closure in gastroschisis remains unclear. We aimed to evaluate the current evidence for plastic closure in infants with gastroschisis.MethodsThe analysis was done for primary closure as well as closure after silo. Outcomes were mortality, wound infection, duration of ventilation, time to feeding, and length of hospital stay (LOS). The quality of evidence was sum...
Condition: Gastroschisis Interventions: Combination Product: Pre-hospital interventional care bundle; Combination Product: In-hospital interventional care bundle Sponsors: King's College London; Korle-Bu Teaching Hospital, Accra, Ghana; Komfo Anokye Teaching Hospital; Tamale Teaching Hospital, Tamale, Ghana; University Teaching Hospital, Lusaka, Zambia; Arthur Davison Children's Hospital, Zambia; Kamuzu Central Hospital; Muhimbili Nat...