The role of antepartum surveillance in the management of gastroschisis
Objective: To evaluate the perinatal morbidity and mortality of fetuses diagnosed with gastroschisis at our Fetal Diagnosis and Treatment Center. Methods: A retrospective review of a regional prenatal diagnostic center. Twenty-nine cases of gastroschisis which were diagnosed, managed, delivered and...
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| Veröffentlicht in: | International journal of gynecology and obstetrics 1996-02, Vol.52 (2), p.141-144 |
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| container_title | International journal of gynecology and obstetrics |
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| creator | Adair, C.D. Rosnes, J. Frye, A.H. Burrus, D.R. Nelson, L.H. Veille, J.-C. |
| description | Objective: To evaluate the perinatal morbidity and mortality of fetuses diagnosed with gastroschisis at our Fetal Diagnosis and Treatment Center.
Methods: A retrospective review of a regional prenatal diagnostic center. Twenty-nine cases of gastroschisis which were diagnosed, managed, delivered and had corrective surgeries through the Fetal Diagnosis and Treatment Center were identified from 1985 to 1994. Perinatal morbidity and mortality were reviewed. Antepartum testing schemes were reviewed when available to determine whether morbidity or mortality could have potentially been prevented.
Results: Meconium occurrence, intrauterine growth retardation (IUGR) and oligohydramnios complicated 79%, 41% and 36% of the cases, respectively. The perinatal mortality of this series was
241
1000
. Significant differences in perinatal mortality were noted when fetal testing was incorporated (
200
1000
vs.
286
1000
, P ≤ 0.001
).
Conclusion: Gastroschisis is associated with a high incidence of IUGR, meconium, oligohydramnios and high perinatal mortality. Antenatal testing appears to significantly lower perinatal mortality in pregnancies complicated by gastroschisis. |
| doi_str_mv | 10.1016/0020-7292(95)02551-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_78406336</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>0020729295025510</els_id><sourcerecordid>78406336</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4361-c2174b71864f1e4d38f850923aee79bfae2e0c66ae1bed92dd932a12121d11413</originalsourceid><addsrcrecordid>eNqNkUtLxDAQx4Mouj6-gUIPInqoZtJHmosgi4-Vhb3oOaTpVCN9rEm74rc3tWWPIjnkML-Z_OcXQk6BXgOF9IZSRkPOBLsUyRVlSQIh3SEzyLgIo5iLXTLbIgfk0LkPSilwgH2yn2VJQgWbkYeXdwxsW2HQloFqOlwr2_V14Hq7QVNVqtEYmCboPFarRr1hjU03wG_KdbZ1-t04447JXqkqhyfTfUReH-5f5k_hcvW4mN8tQx1HKYSaAY9zDlkal4BxEWVlNuSIFCIXeamQIdVpqhByLAQrChExBcyfAiCG6IhcjHPXtv3s0XWyNk7jkBPb3kmexTSNotSD8Qhqn9FZLOXamlrZbwlUDvrk4EYObqRI5K8-SX3b2TS_z2sstk2TL18_n-rKaVWV1vsxbosxwTnlwmNixL5Mhd__elounh9X44q3Yy96jxuDVjpt0H9DYSzqThat-XuHH8mdm3U</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>78406336</pqid></control><display><type>article</type><title>The role of antepartum surveillance in the management of gastroschisis</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><source>Access via ScienceDirect (Elsevier)</source><creator>Adair, C.D. ; Rosnes, J. ; Frye, A.H. ; Burrus, D.R. ; Nelson, L.H. ; Veille, J.-C.</creator><creatorcontrib>Adair, C.D. ; Rosnes, J. ; Frye, A.H. ; Burrus, D.R. ; Nelson, L.H. ; Veille, J.-C.</creatorcontrib><description>Objective: To evaluate the perinatal morbidity and mortality of fetuses diagnosed with gastroschisis at our Fetal Diagnosis and Treatment Center.
Methods: A retrospective review of a regional prenatal diagnostic center. Twenty-nine cases of gastroschisis which were diagnosed, managed, delivered and had corrective surgeries through the Fetal Diagnosis and Treatment Center were identified from 1985 to 1994. Perinatal morbidity and mortality were reviewed. Antepartum testing schemes were reviewed when available to determine whether morbidity or mortality could have potentially been prevented.
Results: Meconium occurrence, intrauterine growth retardation (IUGR) and oligohydramnios complicated 79%, 41% and 36% of the cases, respectively. The perinatal mortality of this series was
241
1000
. Significant differences in perinatal mortality were noted when fetal testing was incorporated (
200
1000
vs.
286
1000
, P ≤ 0.001
).
Conclusion: Gastroschisis is associated with a high incidence of IUGR, meconium, oligohydramnios and high perinatal mortality. Antenatal testing appears to significantly lower perinatal mortality in pregnancies complicated by gastroschisis.</description><identifier>ISSN: 0020-7292</identifier><identifier>EISSN: 1879-3479</identifier><identifier>DOI: 10.1016/0020-7292(95)02551-0</identifier><identifier>PMID: 8855092</identifier><identifier>CODEN: IJGOAL</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Abdominal Muscles - abnormalities ; alpha-Fetoproteins - analysis ; Antepartum fetal surveillance ; Biological and medical sciences ; Diseases of mother, fetus and pregnancy ; Female ; Fetal Death - epidemiology ; Fetal Diseases - prevention & control ; Fetal Growth Retardation - epidemiology ; Fetal Monitoring ; Gastroschisis ; Gynecology. Andrology. Obstetrics ; Humans ; Meconium - metabolism ; Medical sciences ; Oligohydramnios - epidemiology ; Pregnancy ; Pregnancy. Fetus. Placenta ; Retrospective Studies</subject><ispartof>International journal of gynecology and obstetrics, 1996-02, Vol.52 (2), p.141-144</ispartof><rights>1996</rights><rights>1996 International Federation of Gynecology and Obstetrics</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4361-c2174b71864f1e4d38f850923aee79bfae2e0c66ae1bed92dd932a12121d11413</citedby><cites>FETCH-LOGICAL-c4361-c2174b71864f1e4d38f850923aee79bfae2e0c66ae1bed92dd932a12121d11413</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1016%2F0020-7292%2895%2902551-0$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://dx.doi.org/10.1016/0020-7292(95)02551-0$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,1417,3550,27924,27925,45574,45575,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2977079$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8855092$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Adair, C.D.</creatorcontrib><creatorcontrib>Rosnes, J.</creatorcontrib><creatorcontrib>Frye, A.H.</creatorcontrib><creatorcontrib>Burrus, D.R.</creatorcontrib><creatorcontrib>Nelson, L.H.</creatorcontrib><creatorcontrib>Veille, J.-C.</creatorcontrib><title>The role of antepartum surveillance in the management of gastroschisis</title><title>International journal of gynecology and obstetrics</title><addtitle>Int J Gynaecol Obstet</addtitle><description>Objective: To evaluate the perinatal morbidity and mortality of fetuses diagnosed with gastroschisis at our Fetal Diagnosis and Treatment Center.
Methods: A retrospective review of a regional prenatal diagnostic center. Twenty-nine cases of gastroschisis which were diagnosed, managed, delivered and had corrective surgeries through the Fetal Diagnosis and Treatment Center were identified from 1985 to 1994. Perinatal morbidity and mortality were reviewed. Antepartum testing schemes were reviewed when available to determine whether morbidity or mortality could have potentially been prevented.
Results: Meconium occurrence, intrauterine growth retardation (IUGR) and oligohydramnios complicated 79%, 41% and 36% of the cases, respectively. The perinatal mortality of this series was
241
1000
. Significant differences in perinatal mortality were noted when fetal testing was incorporated (
200
1000
vs.
286
1000
, P ≤ 0.001
).
Conclusion: Gastroschisis is associated with a high incidence of IUGR, meconium, oligohydramnios and high perinatal mortality. Antenatal testing appears to significantly lower perinatal mortality in pregnancies complicated by gastroschisis.</description><subject>Abdominal Muscles - abnormalities</subject><subject>alpha-Fetoproteins - analysis</subject><subject>Antepartum fetal surveillance</subject><subject>Biological and medical sciences</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Female</subject><subject>Fetal Death - epidemiology</subject><subject>Fetal Diseases - prevention & control</subject><subject>Fetal Growth Retardation - epidemiology</subject><subject>Fetal Monitoring</subject><subject>Gastroschisis</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Meconium - metabolism</subject><subject>Medical sciences</subject><subject>Oligohydramnios - epidemiology</subject><subject>Pregnancy</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Retrospective Studies</subject><issn>0020-7292</issn><issn>1879-3479</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUtLxDAQx4Mouj6-gUIPInqoZtJHmosgi4-Vhb3oOaTpVCN9rEm74rc3tWWPIjnkML-Z_OcXQk6BXgOF9IZSRkPOBLsUyRVlSQIh3SEzyLgIo5iLXTLbIgfk0LkPSilwgH2yn2VJQgWbkYeXdwxsW2HQloFqOlwr2_V14Hq7QVNVqtEYmCboPFarRr1hjU03wG_KdbZ1-t04447JXqkqhyfTfUReH-5f5k_hcvW4mN8tQx1HKYSaAY9zDlkal4BxEWVlNuSIFCIXeamQIdVpqhByLAQrChExBcyfAiCG6IhcjHPXtv3s0XWyNk7jkBPb3kmexTSNotSD8Qhqn9FZLOXamlrZbwlUDvrk4EYObqRI5K8-SX3b2TS_z2sstk2TL18_n-rKaVWV1vsxbosxwTnlwmNixL5Mhd__elounh9X44q3Yy96jxuDVjpt0H9DYSzqThat-XuHH8mdm3U</recordid><startdate>199602</startdate><enddate>199602</enddate><creator>Adair, C.D.</creator><creator>Rosnes, J.</creator><creator>Frye, A.H.</creator><creator>Burrus, D.R.</creator><creator>Nelson, L.H.</creator><creator>Veille, J.-C.</creator><general>Elsevier Ireland Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199602</creationdate><title>The role of antepartum surveillance in the management of gastroschisis</title><author>Adair, C.D. ; Rosnes, J. ; Frye, A.H. ; Burrus, D.R. ; Nelson, L.H. ; Veille, J.-C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4361-c2174b71864f1e4d38f850923aee79bfae2e0c66ae1bed92dd932a12121d11413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Abdominal Muscles - abnormalities</topic><topic>alpha-Fetoproteins - analysis</topic><topic>Antepartum fetal surveillance</topic><topic>Biological and medical sciences</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Female</topic><topic>Fetal Death - epidemiology</topic><topic>Fetal Diseases - prevention & control</topic><topic>Fetal Growth Retardation - epidemiology</topic><topic>Fetal Monitoring</topic><topic>Gastroschisis</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Meconium - metabolism</topic><topic>Medical sciences</topic><topic>Oligohydramnios - epidemiology</topic><topic>Pregnancy</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Adair, C.D.</creatorcontrib><creatorcontrib>Rosnes, J.</creatorcontrib><creatorcontrib>Frye, A.H.</creatorcontrib><creatorcontrib>Burrus, D.R.</creatorcontrib><creatorcontrib>Nelson, L.H.</creatorcontrib><creatorcontrib>Veille, J.-C.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Adair, C.D.</au><au>Rosnes, J.</au><au>Frye, A.H.</au><au>Burrus, D.R.</au><au>Nelson, L.H.</au><au>Veille, J.-C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of antepartum surveillance in the management of gastroschisis</atitle><jtitle>International journal of gynecology and obstetrics</jtitle><addtitle>Int J Gynaecol Obstet</addtitle><date>1996-02</date><risdate>1996</risdate><volume>52</volume><issue>2</issue><spage>141</spage><epage>144</epage><pages>141-144</pages><issn>0020-7292</issn><eissn>1879-3479</eissn><coden>IJGOAL</coden><abstract>Objective: To evaluate the perinatal morbidity and mortality of fetuses diagnosed with gastroschisis at our Fetal Diagnosis and Treatment Center.
Methods: A retrospective review of a regional prenatal diagnostic center. Twenty-nine cases of gastroschisis which were diagnosed, managed, delivered and had corrective surgeries through the Fetal Diagnosis and Treatment Center were identified from 1985 to 1994. Perinatal morbidity and mortality were reviewed. Antepartum testing schemes were reviewed when available to determine whether morbidity or mortality could have potentially been prevented.
Results: Meconium occurrence, intrauterine growth retardation (IUGR) and oligohydramnios complicated 79%, 41% and 36% of the cases, respectively. The perinatal mortality of this series was
241
1000
. Significant differences in perinatal mortality were noted when fetal testing was incorporated (
200
1000
vs.
286
1000
, P ≤ 0.001
).
Conclusion: Gastroschisis is associated with a high incidence of IUGR, meconium, oligohydramnios and high perinatal mortality. Antenatal testing appears to significantly lower perinatal mortality in pregnancies complicated by gastroschisis.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>8855092</pmid><doi>10.1016/0020-7292(95)02551-0</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | International journal of gynecology and obstetrics, 1996-02, Vol.52 (2), p.141-144 |
| issn | 0020-7292 1879-3479 |
| language | eng |
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| source | MEDLINE; Access via Wiley Online Library; Access via ScienceDirect (Elsevier) |
| subjects | Abdominal Muscles - abnormalities alpha-Fetoproteins - analysis Antepartum fetal surveillance Biological and medical sciences Diseases of mother, fetus and pregnancy Female Fetal Death - epidemiology Fetal Diseases - prevention & control Fetal Growth Retardation - epidemiology Fetal Monitoring Gastroschisis Gynecology. Andrology. Obstetrics Humans Meconium - metabolism Medical sciences Oligohydramnios - epidemiology Pregnancy Pregnancy. Fetus. Placenta Retrospective Studies |
| title | The role of antepartum surveillance in the management of gastroschisis |
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