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Postnatal outcomes of infants with gastroschisis: a 5-year follow-up in a tertiary referral center in Brazil
- Source :
- The Journal of Maternal-Fetal & Neonatal Medicine. 29:418-422
- Publication Year :
- 2015
- Publisher :
- Informa UK Limited, 2015.
-
Abstract
- The aim of this study was to evaluate postnatal outcomes in fetuses with gastroschisis.This is a retrospective study (2009-2013) of patients with gastroschisis at the Hospital São Paulo (Federal University of São Paulo, Brazil).A total of 44 infants with gastroschisis were examined. The mean maternal age was 21.1 years and mean gestational age at delivery was 36.1 weeks. Delivery occurred before 34 weeks in 13.6%, between 34 and 36 weeks and 6 d in 40.9%, and after 37 weeks in 45.5%. The mean birth weight was 2349 g, with 37.2% small-for-gestational age infants. The mean umbilical cord blood pH was 7.32. Bowel resection and delayed fascial closure was performed in 14.6% and 19.5%, respectively. The mean hospitalization time in the neonatal intensive care unit was 52.7 d. Neonatal infection was detected in 52.4%, with a positive blood culture; 77.3% of those cases were coagulase negative staphylococci. The overall rate of mortality was 25%; 18.2% before birth, 45.4% during the neonatal period, and 36.4% in infants. The main cause of postnatal death was septicemia (55.5%).Despite advances in perinatal care and surgical techniques, infants with gastroschisis still present high rates of complications and death.
- Subjects :
- Adult
Pediatrics
medicine.medical_specialty
Neonatal intensive care unit
Adolescent
Birth weight
Umbilical cord
Tertiary Care Centers
Young Adult
03 medical and health sciences
0302 clinical medicine
Pregnancy
Sepsis
030225 pediatrics
parasitic diseases
Humans
Medicine
Retrospective Studies
Gastroschisis
Fetus
030219 obstetrics & reproductive medicine
business.industry
Obstetrics
Infant, Newborn
Infant
Obstetrics and Gynecology
Gestational age
Retrospective cohort study
medicine.disease
Neonatal infection
medicine.anatomical_structure
Pediatrics, Perinatology and Child Health
Female
business
Brazil
Follow-Up Studies
Subjects
Details
- ISSN :
- 14764954 and 14767058
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- The Journal of Maternal-Fetal & Neonatal Medicine
- Accession number :
- edsair.doi.dedup.....460e413fea60f8a148e53fa2bbc29a53