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Objective To identify perinatal variables associated with adverse outcomes in infants prenatally diagnosed with gastroschisis. Methods A retrospective review was conducted of all inborn pregnancies complicated by gastroschisis within the five institutions of the University of California Fetal Consortium from 2007 to 2012. The primary outcome was a composite adverse neonatal outcome comprising death, re-operation, gastrostomy, and necrotizing enterocolitis. Variables collected included antenatal ultrasound findings, maternal smoking or drug use, gestational age at delivery, preterm labor, elective delivery, mode of delivery, and birth weight. Univariate and multivariate analysis was utilized to assess factors associated with adverse outcomes. We also evaluated the e association of preterm delivery with neonatal outcomes such as total parenteral nutrition (TPN) cholestasis and length of stay. Results There were 191 infants born with gastroschisis in University of California Fetal Consortium institutions at a mean gestational age of 36 3/7 ± 1.8 weeks. Within the cohort, 27 (14%) had one or more major adverse outcomes including three deaths (1.6%). Early gestational age at delivery was the only variable identified as a significant predictor of adverse outcomes on both univariate and multivariate analysis (OR 1.4; 95% CI 1.1-1.8 for each earlier week of gestation). TPN cholestasis was significantly more common in infants delivered < 37 weeks of gestational age (38/115 (33%) compared with 11/76 (15%); p<0.001). Conclusions In this contemporary cohort, earlier gestational age at delivery is associated with adverse neonatal outcomes in infants with gastroschisis. Other variables such as antenatal ultrasound findings and mode of delivery did not predict adverse neonatal outcomes.