Ultrasound prediction of growth abnormalities in fetuses with gastroschisis

The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Funminiyi A AjayiRichard O'Shaughnessy

Abstract

We seek to determine whether (1) mean abdominal circumference (AC) of fetuses with gastroschisis is smaller than published normative values, (2) diagnosis of AC ≤ 2.5th percentile is supported by postnatal diagnosis of small-for-gestational age (SGA) and (3) adverse neonatal outcomes are more common in fetuses affected by gastroschisis with a sonographically measured small AC. Retrospective review of pregnancies complicated with gastroschisis between 2000 and 2008. Patient demographics, method of closure, length of stay, use of ventilator support and gastrointestinal complications were compared. Seventy-four fetuses were identified with 368 ultrasound observations. Mean AC of fetuses with gastroschisis fell between the 2.5th and 50th percentile for gestational age. Thirty patients had AC measurements ≤ 2.5th of which 50% were SGA at delivery. Eleven of the 74 fetuses were diagnosed with intrauterine growth restriction (IUGR) and all were SGA. Birth weight was lower in those with a small AC (2104 g vs. 2665 g, p<0.001). There were no other differences in outcomes. AC values fell within the normal range of normative curves. Fifty percent of fetuses with small AC were SGA at birth. Neonatal outcomes in patients with small AC are s...Continue Reading

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Citations

Jan 15, 2013·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·C C M M LapG T R Manten
Oct 11, 2015·American Journal of Obstetrics and Gynecology·Rachel G SinkeyCarri R Warshak
Sep 25, 2015·Pediatric Surgery International·Carmen Mesas BurgosPeter Conner
Jan 24, 2015·Prenatal Diagnosis·Anna I GirsenYair J Blumenfeld
Jan 15, 2015·Journal of Pregnancy·Rachael PageKaren Fung Kee Fung
May 1, 2013·American Journal of Obstetrics and Gynecology·Andrew P SouthJareen Meinzen-Derr
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Nov 1, 2015·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·David B NelsonJodi S Dashe
Jan 27, 2017·Journal of Perinatology : Official Journal of the California Perinatal Association·Y J BlumenfeldH C Lee
Aug 21, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Tatiane BouteLiliam Cristine Rolo
Mar 8, 2020·Journal of Neonatal-perinatal Medicine·Shilpi ChabraEdith Y Cheng
Apr 27, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Rui Gilberto FerreiraRodrigo Ruano
Oct 6, 2021·Archives of Disease in Childhood. Fetal and Neonatal Edition·Raphael C SunAlireza A Shamshirsaz

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