Document Detail


Gastroschisis: can antenatal ultrasound predict infant outcomes?
MedLine Citation:
PMID:  8090384     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To test previously proposed but unproven antenatal ultrasound prognostic criteria in fetal gastroschisis. METHODS: Thirty consecutive gastroschisis-affected pregnancies and their outcomes were reviewed retrospectively. Data were tabulated by review of antenatal ultrasound videotapes, with blinded comparison to indicators of short- and long-term infant outcomes obtained from the medical records. Criteria of previous reports were applied to these data, focusing on their ability to prognosticate effectively. RESULTS: Applying a criterion of 10 mm bowel dilatation proved minimally useful in prognosticating infant outcomes. However, a stricter 17-mm criterion for clinically important bowel dilatation provided prognostic information, with remarkable improvement in specificity (75 versus 37%) and positive predictive value (55 versus 37%) for infant morbidity, with comparatively little loss of sensitivity (71 versus 85%). CONCLUSIONS: Bowel dilated more than 17 mm on antenatal ultrasound appears to be associated with increased short- and long-term infant morbidity. Whether this finding warrants obstetric intervention in the preterm gastroschisis-affected pregnancy with substantial bowel dilatation remains to be determined.
Authors:
P G Pryde; M Bardicef; M C Treadwell; M Klein; N B Isada; M I Evans
Related Documents :
19858524 - Academic, social, and behavioral outcomes at age 12 of infants born preterm.
8057984 - Prelabour rupture of membranes and neonatal morbidity in level ii nursery in kelantan.
2586954 - Survival and morbidity of extremely premature infants based on obstetric assessment of ...
8258204 - Predictors of mortality, morbidity, and disability in a cohort of infants < or = 28 wee...
9565444 - School-age follow-up of prophylactic versus rescue surfactant trial: pulmonary, neurode...
19429574 - The association of birth weight with arterial stiffness at mid-adulthood: the bogalusa ...
Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  84     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1994 Oct 
Date Detail:
Created Date:  1994-10-20     Completed Date:  1994-10-20     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  505-10     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Hutzel Hospital/Wayne State University, Detroit, Michigan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Congenital Abnormalities / epidemiology
Female
Gestational Age
Humans
Infant, Newborn
Predictive Value of Tests
Pregnancy
Prognosis
Retrospective Studies
Sensitivity and Specificity
Stomach / abnormalities*,  ultrasonography*
Treatment Outcome
Ultrasonography, Prenatal*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  The sonographic assessment of twin growth discordancy.
Next Document:  Aldosterone concentration in normal, growth-retarded, anemic, and hydropic fetuses.