Am J Perinatol
DOI: 10.1055/a-1673-0409
Original Article

Comparison of perinatal outcomes between patients with suspected complex and simple gastroschisis

Perinatal outcomes of patients with gastroschisis
Virginia Medina Jiménez
1  Maternofetal, Instituto Nacional de Perinatologia, Mexico, Mexico (Ringgold ID: RIN37768)
,
Sandra Acevedo-Gallegos
2  Maternal Fetal Medicine, National Institute of Perinatal Medicine (Mexico), Mexico City, Mexico
,
Monica Aguinaga Rios
3  Genetics, Instituto Nacional de Perinatologia, Mexico, Mexico (Ringgold ID: RIN37768)
,
Juan Manuel Gallardo-Gaona
4  Maternal Fetal Medicine, Instituto Nacional de Perinatologia, Mexico, Mexico (Ringgold ID: RIN37768)
5  Maternofetal, Instituto Nacional de Perinatologia, Mexico, Mexico (Ringgold ID: RIN37768)
› Author Affiliations

Objective: The aim of this study was to compare perinatal outcomes between patients with and without prenatal ultrasound markers predictive of complex gastroschisis. Method: A prospective cohort of 98 patients with isolated fetal gastroschisis underwent antenatal ultrasound and delivered in a tertiary referral center. Patients were classified according to eight ultrasonographic markers predictive of complexity, and perinatal outcomes were assessed accordingly. The primary outcome was the presence of fetal growth restriction and staged SILO reduction postnatally. Results: Of all fetuses, 54.1% (n = 53) displayed ultrasonographic markers predictive of complexity at 32.7 ± 4.3 weeks of gestation. Gastric dilatation was the most frequent marker followed by extra-abdominal bowel dilatation. The presence of ultrasound markers predictive of complexity, was not associated with intrauterine growth restriction but its absence was less associated with staged SILO reduction of the abdominal wall postnatally with a RR of 0.79 (CI95% 0.17-0.53) Conclusion: Fetuses with ultrasound markers that predict complexity were not associated with fetal growth restriction but its absence was less associated with staged SILO reduction of the abdominal wall postnatally. It is necessary to unify criteria, establish cut-off points and the optimal moment to measure these markers.



Publication History

Received: 19 October 2020

Accepted after revision: 08 October 2021

Publication Date:
19 October 2021 (online)

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