Abstract
Objective: The purpose of this study was to determine whether dilation of the fetal stomach is associated with increased perinatal complications in infants with prenatally diagnosed gastroschisis. Study design: From 34 newborn infants with gastroschisis who were delivered at our institution over a 10-year period, 2 groups were analyzed on the basis of the presence or absence of a dilated fetal stomach. Reactive versus nonreactive nonstress test results were recorded, when performed. Neonatal outcomes were compared. Results: Twenty-one fetuses had no evidence of gastric dilation. Thirteen fetuses had a dilated fetal stomach that was identified by ultrasound scanning. Within this group there was a higher incidence of nonreactive nonstress tests (P = .01). Infants with a prenatally dilated stomach had a higher incidence of volvulus and neonatal death, a significantly delayed time to full oral feeds, and a longer hospitalization than those infants who did not have a prenatally dilated stomach (P ≤ .05). Conclusion: Postnatal morbidity and mortality rates are increased in infants with gastroschisis who have a prenatally dilated stomach. These fetuses, although not acidotic at delivery, also had a higher incidence of nonreactive nonstress test results.
Original language | English (US) |
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Pages (from-to) | 1326-1330 |
Number of pages | 5 |
Journal | American journal of obstetrics and gynecology |
Volume | 190 |
Issue number | 5 |
DOIs | |
State | Published - May 2004 |
Keywords
- Dilated fetal stomach
- Gastroschisis
- Nonstress test
- Postnatal morbidity
- Volvulus
ASJC Scopus subject areas
- Obstetrics and Gynecology