Importância do diagnóstico pré-natal de gastrosquise

Abstract

Purpose: to evaluate the role of prenatal diagnosis of gastroschisis in the quality of assistance to and in the evolution of neonates with gastroschisis. Methods: a retrospective survey of 25 charts of neonates with gastroschisis treated at the State University of Campinas, between January 1989 and June 1998. Results: comparing the groups with prenatal (PN) and neonatal (NN) diagnosis, no differences regarding incidence of prematurity, birth weight and relations hip between weight and gestational age were observed. The median time from birth to surgery was 5 h. Such interval was shorter in the PN than the NN group (2.25 h versus 13 h; p<0.05). Primary closure of the defect was achieved in 17 neonates (68%) of both groups. Although this difference was not statistically significant, survival was higher among infants of the PN group (85.7% versus 45.5%). Conclusions: prenatal diagnosis of gastroschisis contributes favorably to improve perinatal assistance, resulting in reduced mortality of these children.

Assistência ao recém-nascido portador de cardiopatia congênita

“…O ecocardiograma fetal, em casos suspeitos identificados durante a ultrassonografia, e ecocardiográfica fetal é frequentemente realizada para uma avaliação mais detalhada do coração do feto. Esse exame especializado pode identificar com precisão defeitos cardíacos, como septo interventricular, tetralogia de Fallot, transposição das grandes artérias, entre outros, essa precisão é cerca de 97,7% (Pinheiro et al, 2019).…”

El catéter percutáneo en la unidad de cuidados intensivos neonatales: una tecnología del cuidado de enfermería

“…Esos dos casos ocurrieron en la neoquirúrgica (tabla 5), con recién nacidos con el diagnóstico de gastrosquisis, que consiste en una anomalía congénita caracterizada por la extrusión del intestino, secundaria a un defecto en la pared abdominal anterior. 18 Uno de los factores de riesgo más importantes para el desarrollo de la enfermedad invasiva es la colonización previa por Candida. Cerca de 10% de los recién nacidos prematuros se tornan colonizados en la primera semana de vida, y el tracto gastrointestinal es uno de los primeros sitios en presentar colonización.…”

Gastroschisis annual incidence, mortality, and trends in extreme Southern Brazil

“…Studies on gastroschisis conducted in Brazil have frequently presented a relatively small number of cases, with populations localized to a specific hospital and almost always with fewer than 50 cases. 10 , 11 …”