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Fetal gastroschisis: a report of 2 cases
Munir A Nazir1, Martin L Gimovsky, Joseph Vaydovsky
1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Newark Beth Israel Medical Center, Newark, New Jersey 07112, USA. dnazir@sbhcs.com
Background:
The risk of stillbirth in fetuses diagnosed with gastroschisis may range from 6% to 12%. Currently there is no agreement on the role of antepartum fetal surveillance, as fetal death within days of reassuring antepartum fetal testing has been reported.
Cases:
In 2 cases of fetal gastroschisis, fetal gastric distension was associated with decreased fetal movements and nonreactive nonstress tests. Despite reassuring biophysical profile and normal umbilical artery Doppler sonograms, 1 fetus underwent intrauterine death.
Conclusion:
Poor prognostic factors in fetal gastroschisis may include a new finding of persistent fetal gastric distension in association with decreased fetal movements or a nonreactive nonstress test.