Document Detail


Gastroschisis: determinants of neonatal outcome.
MedLine Citation:
PMID:  12682747     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This retrospective study elicits information regarding the dependence of neonatal outcome in gastroschisis upon: (1) the mode of delivery, (2) place of birth, (3) time for birth to surgery, (4) method of closure, (5) time from operation to commencement of first enteral feeds. The neonatal intensive care database from five major tertiary centres was used to identify 181 neonates with gastroschisis from 1990 to 2000. There were 8 deaths. There were no significant differences in outcome for infants delivered vaginally (102) versus Caesarean section (79), those born near the tertiary centre (133) as compared to infants born away (48), ones operated within 7 hours (125) compared with those operated after 7 hours (56), with delayed closure (30) versus primary closure (151). Neonates fed within 10 days of operation (85) had significantly lower incidence of sepsis, duration of TPN and hospital stay when compared to those fed after 10 days (96). Early commencement of feeds decreases the incidence of sepsis, duration of total parenteral nutrition (TPN) and hospital stay. Place of delivery, mode of delivery, time to surgery and type of closure do not influence neonatal outcome.
Authors:
S J Singh; A Fraser; J F Leditschke; K Spence; R Kimble; J Dalby-Payne; S Baskaranathan; P Barr; R Halliday; N Badawi; J K Peat; M Glasson; D Cass
Related Documents :
2772767 - Chorio-amnionitis in relation to mode of delivery at term.
15387857 - Induction of labour for women with a previous caesarean birth: a systematic review of t...
11451007 - Case-control study of etiologic factors in the development of severe pelvic organ prola...
18207437 - Fecal microflora of greek healthy neonates.
24708507 - Infants' monitoring of social interactions: the effect of emotional cues.
21720537 - Maternal neural responses to infant cries and faces: relationships with substance use.
Publication Detail:
Type:  Journal Article     Date:  2003-04-03
Journal Detail:
Title:  Pediatric surgery international     Volume:  19     ISSN:  0179-0358     ISO Abbreviation:  Pediatr. Surg. Int.     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-07-01     Completed Date:  2003-11-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8609169     Medline TA:  Pediatr Surg Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  260-5     Citation Subset:  IM    
Affiliation:
Consultant Paediatric Surgeon, Department of Paediatric Surgery, University Hospital, Queen's Medical Centre, Nottingham, NG7 2UH, UK. shailinder@aol.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Delivery, Obstetric
Female
Gastroschisis / surgery*
Humans
Infant, Newborn
Length of Stay
Male
Parenteral Nutrition, Total
Retrospective Studies
Treatment Outcome

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


Previous Document:  Sharing of the same embryogenic pathway in anorectal malformations and anterior sacral myelomeningoc...
Next Document:  Epithelial splenic cysts in children: surgical treatment by cyst-wall "peeling".