Outcome of fetuses with gastroschisis after modification of prenatal management strategies : Prenatal management and outcome of gastroschisis
| Autor: | Kerstin Hammer, Walter Klockenbusch, Mareike Möllers, A Bauseler, Ralf Schmitz, V Müller, Matthias Borowski, K Funke, Johannes Steinhard |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Prenatal diagnosis Prenatal care Outcome (game theory) Ultrasonography Prenatal 03 medical and health sciences 0302 clinical medicine Fetus Obstetrics and gynaecology Pregnancy Intestine Small Medicine Humans Retrospective Studies Ultrasonography Gastroschisis 030219 obstetrics & reproductive medicine business.industry Obstetrics Obstetrics and Gynecology Retrospective cohort study Prenatal Care General Medicine medicine.disease Intestinal Diseases 030220 oncology & carcinogenesis Female business |
| Zdroj: | Archives of gynecology and obstetrics. 294(2) |
| ISSN: | 1432-0711 |
| Popis: | To improve the outcome of fetuses with gastrochisis several studies evaluated prenatal predictors. But there are different guidelines established and therefore the prenatal care is not standardized. With our study we wanted to evaluate the outcome of fetuses with gastroschisis after modification of prenatal management strategies at the Department of Obstetrics and Gynecology of the University Hospital Münster.In this explorative retrospective study of 39 fetuses with gastroschisis, we compare the clinical outcome between two management groups. In the first group (group 1, n = 14) prenatal indication for delivery was confirmed by a subjective evaluation of the small bowel diameter and the wall thickness without established cut-off values for these parameters. In the second group (group 2, n = 25) certain limits for the small bowel diameter (25 mm) and the wall thickness (2.5 mm) were used for fetal surveillance.Noticeable differences between the two groups regarding birth weight, weight centile, arterial pH, small bowel diameter, wall thickness, adverse bowel condition and re-operations could not be observed. In group 2, delivery was earlier (p = 0.011), and a lower rate of prenatal complications was observed (p = 0.016).To avoid adverse prenatal complications we recommend the observation of fetuses with gastroschisis by sonographic monitoring of the small bowel diameter and the wall thickness. |
| Databáze: | OpenAIRE |
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