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Preterm elective caesarean section and early enteral feeding in gastroschisis.
MedLine Citation:
PMID:  20626366     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Reigstad, I, Reigstad, H, Kiserud, T, Berstad, T. Gastroschisis in western Norway. Aims: To evaluate the effect of elective caesarean section before term and early enteral nutrition on length of parenteral nutrition and hospital stay in infants with gastroschisis Methods: Retrospective review of all infants with gastroschisis treated in a regional level III hospital from 1993 to 2008. During 1993-97 there was no established standard for management of pregnancy or delivery while a protocol on close foetal monitoring and early elective caesarean section was adhered to for 1998-2008. Introduction of human milk on the first day after complete closure of the abdominal wall and rapid increase was the policy during the whole period. Results: With early elective caesarean section no foetal deaths occurred after 28 weeks' gestational age (GA). Ten infants were born during the first and 20 during the second period at a median GA (range) of 36.5 (34-40) and 35 (34-37) weeks (p=0.013). Seven and 20, respectively, were born by caesarean section. Median (range) days before full enteral feeds and hospital stay were 11.5 (7-39) and 13.0 (7-46) (p= 0.85), and 17.5 (12-36) and 22.5 (13-195) (p=0.67), respectively. One child died of volvolus after discharge. Conclusion: Close surveillance of pregnancy, elective preterm caeserean section, early surgery and active approach to primary closure and early enteral feeds appears to be a safe and effective line of management in gastroschisis.
Authors:
I Reigstad; H Reigstad; T Kiserud; T Berstad
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2010-7-08
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  -     ISSN:  1651-2227     ISO Abbreviation:  -     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-7-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Clinical Medicine, University of Bergen, Bergen.
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