Ethnic variation of gastroschisis and omphalocele in the United States of America

Rocha, Frederico G.; Žalud, Ivica; Dye, Timothy D.

doi:10.3109/14767058.2013.876002

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…The incidence of gastroschisis has been reported to be rising all over the world and varies between 2 and 4 of 10 000 liveborns . The incidence for omphalocele is estimated to be around 1 to 2.5 of 10 000 liveborns . Gastroschisis involves herniation of the bowel through the abdominal wall without covering of the amniotic membrane .…”

Section: Introductionmentioning

confidence: 99%

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Prenatal examination and postmortem findings in fetuses with gastroschisis and omphalocele

et al. 2014

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Objectives: We studied the rate of chromosomal cytogenetic abnormalities of fetuses with abnormal sonographic findings detected in the late second or third trimester. Methods: Retrospective analysis of all women at or beyond 23 gestational weeks at a single medical centre, who underwent amniocentesis during January 2012 to December 2015, indicated for abnormal sonographic findings that first appeared and were diagnosed at late second or third trimester. Primary endpoints were the results of fetal karyotype and chromosomal microarray analysis (CMA). Results: 102 women with 103 fetuses underwent amniocentesis due to late onset abnormal sonographic findings. All fetuses had a normal karyotype. Ninety-five women also had CMA performed. The detection rate of abnormal CMA (5/95, 5.3%) was similar to that of women who underwent amniocentesis due to abnormal early onset ultrasound findings detected at routine prenatal screening tests during the 1st or early 2nd trimester (7.3%, p=.46) and significantly higher than that for women who performed amniocentesis and CMA upon request, without having any fetal abnormal sonographic findings or medical indication for CMA (0.99%, p<.0001). Conclusions: Late onset sonographic findings are an indication for amniocentesis. We suggest that if amniocentesis is performed, CMA should be applied to evaluate fetuses with late onset abnormal sonographic findings. Objectives: To assess the value of genetic testing and morphological examination in a cohort of patients with gastroschisis.

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Section: Introductionmentioning

confidence: 99%

“…[1][2][3] The incidence for omphalocele is estimated to be around 1 to 2.5 of 10 000 liveborns. 1,[3][4][5] Gastroschisis involves herniation of the bowel through the abdominal wall without covering of the amniotic membrane. 6 The bowel herniates just lateral and usually to the right of the normally closed umbilical ring.…”

Section: Introductionmentioning

confidence: 99%

Prenatal examination and postmortem findings in fetuses with gastroschisis and omphalocele

et al. 2014

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Gastroschisis

O'Connell

Dotters‐Katz

Kuller

et al. 2016

Obstetrical &Amp; Gynecological Survey

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We performed an evidence-based review of the obstetrical management of gastroschisis. Gastroschisis is an abdominal wall defect, which has increased in frequency in recent decades. There is variation of prevalence by ethnicity and several known maternal risk factors. Herniated intestinal loops lacking a covering membrane can be identified with prenatal ultrasonography, and maternal serum α-fetoprotein level is commonly elevated. Because of the increased risk for growth restriction, amniotic fluid abnormalities, and fetal demise, antenatal testing is generally recommended. While many studies have aimed to identify antenatal predictors of neonatal outcome, accurate prognosis remains challenging. Delivery by 37 weeks appears reasonable, with cesarean delivery reserved for obstetric indications. Postnatal surgical management includes primary surgical closure, staged reduction with silo, or sutureless umbilical closure. Overall prognosis is good with low long-term morbidity in the majority of cases, but approximately 15% of cases are very complex with complicated hospital course, extensive intestinal loss, and early childhood death.

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Gastroschisis: A review of practice

Wright

Geraghty

2017

British Journal of Midwifery

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Gastroschisis is an abdominal wall defect in the fetus, affecting as many as 1 in 2000 pregnancies. This is a complex medical condition that is growing in prevalence worldwide, and one to which midwives will inevitably be exposed. There is a lack of consensus in the literature as to the cause of gastroschisis and for clear evidence-based treatment regarding indication and timing of birth. While it is agreed that specialist multidisciplinary collaboration is needed from pre-conception, through antenatal surveillance, and into labour, birth and postnatal care, the research is medically led, with no description of a midwifery role. In acknowledging that gastroschisis is a complex medical issue, specific medical and surgical interventions are not examined, but instead a midwifery plan of care within the multidisciplinary approach is derived from the available literature.

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Ethnic variation of gastroschisis and omphalocele in the United States of America

Abstract: Women of indigenous origin from North America and the Pacific had the highest rates of AWD. Within this group, women of Hawaiian descent had the highest point estimate of AWD when compared with other ethnic groups, though not significant.

Cited by 4 publications

References 15 publications

Prenatal examination and postmortem findings in fetuses with gastroschisis and omphalocele

Prenatal examination and postmortem findings in fetuses with gastroschisis and omphalocele

Gastroschisis

Gastroschisis: A review of practice

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