Impact of the Mode of Delivery on Gastroschisis Anatomical Features in the Newborn Children
| Autor: | O.P. Ponomarenko, O.P. Gladyshko, V. Soroka, I.Y. Gordienko, O. K. Slepov |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Fetus business.industry Gastroschisis newborn children anatomical features lcsh:R gastroschisis lcsh:Medicine Prenatal diagnosis medicine.disease Delivery mode Natural mode Surgery Abdominal wall Mode of delivery medicine.anatomical_structure c-section medicine Duodenum business |
| Zdroj: | Galician Medical Journal; Vol. 23 No. 3 (2016) Galician Medical Journal; Том 23 № 3 (2016) Galician Medical Journal; Vol 23, No 3 (2016) Galician Medical Journal, Vol 23, Iss 3 (2016) |
| ISSN: | 2414-1518 2306-4285 |
| Popis: | Introduction. The mode of delivery for gravidas with fetuses with GS plays an important role among the factors influencing the results of gastroschisis (GS) treatment. More researchers come to univocal conclusion that elective and early cesarean section has positive impact on elimination (prevention) of GS complications compared to previous experience in natural deliveries in term. However, the impact of the mode of delivery to anatomical features of GS remains still not investigated.The objective of the research was to determine the impact of the delivery mode on anatomical characteristics of newborn children with GS.Materials and methods. Retrospective analysis of 100 patients’ case histories was conducted. Infants were born naturally or via C-section during the period from 1987 to 2015. All newborns were divided into 3 clinical groups according to prenatal diagnosis, mode of delivery, transportation, place and term of surgical treatment of GS.Results. Localization of penetration defect of anterior abdominal wall (AAW) remains constant and typical for GS in every clinical group; therefore the mode of delivery did not have any impact upon the localization of defects in case of this malformation. The size of the penetration defect was significantly smaller in children after C-section than those born via vaginal deliveries. Thus, in Group I (children born via C-section) the defects sizes were 3.15 ± 0.09 cm, while in Groups II and III (after vaginal deliveries) the sizes were 4.17 ± 0.3 cm, p |
| Databáze: | OpenAIRE |
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