Document Detail

Gastroschisis: what part can the obstetrician play?
MedLine Citation:
PMID:  1386816     Owner:  NLM     Status:  MEDLINE    
In order to assess the contribution of antenatal diagnosis to the management of gastroschisis, the antenatal and postnatal data from 24 cases of gastroschisis observed between 1974 and 1990 were re-examined. The frequency of antenatal diagnosis (29%), polyhydramnios (21%), atresia of the small intestine (29%), length of pregnancy (36.6 +/- 2 weeks of amenorrhea), proportion of cesarean sections (21%), birth weight (2230 +/- 430 g) and the Apgar score after 5 min (9.0 +/- 1.5) were comparable to findings reported elsewhere. The overall mortality rate for the period studied was high (41%), and was not influenced by any antenatal parameter or by the mode of delivery; its recent fall (P = 0.01) is explained by the development of therapeutic methods. These results are consistent with other recent studies and suggest that antenatal diagnosis does not enable an accurate assessment of the prognosis to be made and has no major influence on the mortality rate in gastroschisis.
R Gabriel; B Leroux; C Quéreux; S Daoud; P Wahl
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  45     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  1992 Jul 
Date Detail:
Created Date:  1992-09-15     Completed Date:  1992-09-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  101-5     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Hopital Maison Blanche, Reims, France.
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MeSH Terms
Abdominal Muscles / abnormalities*,  surgery
Cesarean Section
Gestational Age
Infant Mortality
Infant, Newborn
Intestinal Atresia / complications,  diagnosis,  surgery
Polyhydramnios / complications,  diagnosis
Prenatal Diagnosis*
Ultrasonography, Prenatal

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