RESUMO
BACKGROUND: The risk of stillbirth in fetuses diagnosed with gastroschisis may range from 6% to 12%. Currently there is no agreement on the role of antepartum fetal surveillance, as fetal death within days of reassuring antepartum fetal testing has been reported. CASES: In 2 cases of fetal gastroschisis, fetal gastric distension was associated with decreased fetal movements and nonreactive nonstress tests. Despite reassuring biophysical profile and normal umbilical artery Doppler sonograms, 1 fetus underwent intrauterine death. CONCLUSION: Poor prognostic factors in fetal gastroschisis may include a new finding of persistent fetal gastric distension in association with decreased fetal movements or a nonreactive nonstress test.
Assuntos
Gastrosquise/complicações , Gastrosquise/diagnóstico por imagem , Diagnóstico Pré-Natal , Adolescente , Adulto , Feminino , Morte Fetal , Sofrimento Fetal , Movimento Fetal , Humanos , Gravidez , Prognóstico , Estômago/diagnóstico por imagem , Estômago/embriologia , Estômago/patologia , Ultrassonografia Pré-NatalRESUMO
Variable decelerations of the fetal heart rate are the most common changes noted during continuous fetal monitoring. In general, they are presumed to represent a normal response to fetal baroceptor stimulation. When atypical features are present, other considerations are warranted.