| Modern obstetric management and outcome of infants with gastroschisis. | |
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MedLine Citation:
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PMID: 10389729 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine whether outcomes of infants with gastroschisis differed by mode or site of delivery, diagnostic method, or when maternal-fetal medicine consultation was given. METHODS: Charts of 32 infants born at the University of Mississippi Medical Center or admitted to the neonatal intensive care unit between September 1992 and June 1998 were reviewed for maternal demographic characteristics and neonatal outcomes. Statistical analysis was done using Student t test, analysis of variance, chi2, and Kruskal-Wallis test with P<.05 considered statistically significant. RESULTS: There were no statistically significant differences in neonatal outcomes by method or site of delivery, diagnostic method, or maternal-fetal medicine consultation before delivery. Infants delivered vaginally had higher Apgar scores at 1 and 5 minutes (9 versus 7 and 9 versus 8, respectively, P<.05). Vaginally delivered infants required more days of antibiotic therapy than those delivered abdominally (10 versus 3 days, P<.05) but had a shorter interval to enteral feedings (15 versus 30 days, P<.05). CONCLUSION: Outcomes of infants with isolated gastroschisis were not significantly affected by method or site of delivery, diagnostic method, or maternal-fetal surveillance. Although the findings of this investigation were largely negative and the statistical power limited due to the rarity of this fetal disruption, small series of cases of gastroschisis need to be analyzed to resolve current controversies surrounding optimal treatment of gastroschisis. |
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Authors:
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B K Rinehart; D A Terrone; C M Isler; J E Larmon; K G Perry; W E Roberts |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Obstetrics and gynecology Volume: 94 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 1999 Jul |
Date Detail:
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Created Date: 1999-07-28 Completed Date: 1999-07-28 Revised Date: 2009-10-26 |
Medline Journal Info:
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Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 112-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Delivery, Obstetric* Female Gastroschisis / epidemiology* Humans Infant, Newborn Pregnancy Pregnancy Outcome Prenatal Care Ultrasonography, Prenatal |
| Comments/Corrections | |
Comment In:
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Obstet Gynecol. 1999 Oct;94(4):638-9
[PMID:
10511376
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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