Abstract | BACKGROUND/PURPOSE: It has been proposed that preterm and prelabor cesarean section may improve the outcome of infants with gastroschisis. The purpose of this study is to examine the impact of gestation and delivery method on infants with gastroschisis. METHODS: The medical records of 60 infants with gastroschisis treated at a tertiary care center from 1985 through 1995 were reviewed retrospectively. The gestational age, the mode of delivery, the type of operative repair, and the length of hospital stay were recorded for each patient. RESULTS: Infants born vaginally were more likely to require silo stage repair than those delivered by cesarean section (21 of 29 v. 11 of 31, P<.01). Infants born vaginally also had longer hospital stay than those delivered by cesarean section (53 v. 39 days, P = .19). Infants born before 33 weeks' of gestation stayed longer in the hospital than those born after 33 weeks. After 33 weeks' gestation, infants had similar hospital stay regardless of the gestational age. CONCLUSIONS:
|
Authors | J C Dunn, E W Fonkalsrud, J B Atkinson |
Journal | Journal of pediatric surgery
(J Pediatr Surg)
Vol. 34
Issue 9
Pg. 1393-5
(Sep 1999)
ISSN: 0022-3468 [Print] United States |
PMID | 10507435
(Publication Type: Journal Article)
|
Topics |
- Cesarean Section
- Delivery, Obstetric
- Female
- Gastroschisis
(surgery)
- Gestational Age
- Humans
- Infant, Newborn
- Intestinal Obstruction
(prevention & control)
- Length of Stay
- Male
- Postoperative Complications
(prevention & control)
|