ABSTRACT
OBJECTIVE: The purpose of this study was to determine whether dilation of the fetal stomach is associated with increased perinatal complications in infants with prenatally diagnosed gastroschisis. STUDY DESIGN: From 34 newborn infants with gastroschisis who were delivered at our institution over a 10-year period, 2 groups were analyzed on the basis of the presence or absence of a dilated fetal stomach. Reactive versus nonreactive nonstress test results were recorded, when performed. Neonatal outcomes were compared. RESULTS: Twenty-one fetuses had no evidence of gastric dilation. Thirteen fetuses had a dilated fetal stomach that was identified by ultrasound scanning. Within this group there was a higher incidence of nonreactive nonstress tests (P=.01). Infants with a prenatally dilated stomach had a higher incidence of volvulus and neonatal death, a significantly delayed time to full oral feeds, and a longer hospitalization than those infants who did not have a prenatally dilated stomach (P Subject(s)
Gastric Dilatation/diagnostic imaging
, Gastroschisis/complications
, Gastroschisis/diagnostic imaging
, Intestinal Volvulus/etiology
, Ultrasonography, Prenatal
, Adult
, Apgar Score
, Birth Weight
, Cohort Studies
, Delivery, Obstetric
, Female
, Fetal Diseases/diagnostic imaging
, Follow-Up Studies
, Gestational Age
, Humans
, Incidence
, Infant, Newborn
, Intestinal Volvulus/diagnosis
, Intestinal Volvulus/epidemiology
, Male
, Postnatal Care
, Predictive Value of Tests
, Pregnancy
, Probability
, Retrospective Studies
, Risk Assessment
