Document Detail

Gastroschisis: the effect of labor and ruptured membranes on neonatal outcome.
MedLine Citation:
PMID:  14710097     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: The purpose of this study was to examine the relationship between labor and ruptured membranes on the neonatal outcome of infants with gastroschisis. STUDY DESIGN: We reviewed the outcomes of 60 neonates who were prenatally diagnosed with gastroschisis and who were delivered at the University of North Carolina Hospitals between June 1989 and April 1999. RESULTS: The mean gestational age at delivery was 36 weeks. Four infants (7%) died in the neonatal period, and 19 infants (32%) had a major morbidity. No significant differences appeared in any of the neonatal outcomes when they were stratified by the presence or absence of labor and presence or absence of ruptured membranes. After being controlled for confounding variables, the risk of neonatal death or major neonatal morbidity because of exposure to either labor or ruptured membranes was no different than the risks caused by no labor or intact membranes, respectively. CONCLUSION: Labor and ruptured membranes do not appear to be associated with increased neonatal morbidity or mortality rates in neonates with gastroschisis.
Robert A Strauss; Rukmini Balu; Jeffrey A Kuller; Michael J McMahon
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  189     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2004-01-07     Completed Date:  2004-01-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1672-8     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina at Chapel Hill, CB #7516, Chapel Hill, NC 27599-7516, USA.
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MeSH Terms
Confidence Intervals
Delivery, Obstetric / adverse effects,  methods
Fetal Membranes, Premature Rupture*
Follow-Up Studies
Gastroschisis / diagnosis,  ultrasonography*
Gestational Age
Infant Mortality / trends*
Infant, Newborn
Infant, Premature, Diseases / diagnosis,  epidemiology
Obstetric Labor, Premature*
Odds Ratio
Pregnancy Outcome
Retrospective Studies
Risk Assessment
Sampling Studies
Ultrasonography, Prenatal*

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

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