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Related Experiment Video

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Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs

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Published on: December 22, 2023

Gastroschisis: preterm or term delivery?

Henrique Soares¹, Ana Silva, Gustavo Rocha

¹Neonatology Department, São João Hospital and Porto Medical School - Porto/Portugal.

Clinics (Sao Paulo, Brazil)

|February 27, 2010

Summary

This summary is machine-generated.

This study found that premature delivery does not accelerate full enteral feeding in newborns with gastroschisis. Anticipating delivery did not show benefits for feeding outcomes or hospital stay.

Keywords:

Enteral feeding Gastroschisis Newborn Perinatal outcome Preterm

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Area of Science:

Neonatalogy
Pediatric Surgery
Gastroenterology

Background:

Gastroschisis is a congenital abdominal wall defect requiring surgical repair.
Nutritional support, specifically enteral feeding, is crucial for neonatal outcomes.
The optimal timing of delivery for fetuses diagnosed with gastroschisis remains a topic of clinical interest.

Purpose of the Study:

To evaluate the association between prematurity and the time to achieve full enteral feeding in newborns with gastroschisis.
To analyze the impact of delivery mode, birth weight, and surgical approach on feeding progression and hospital stay.

Main Methods:

Retrospective review of medical records for newborns with gastroschisis (1997-2007).
Comparison of outcomes between infants delivered before 37 weeks (preterm) and after 37 weeks (term).
Analysis of gestational age, birth weight, delivery mode, time to full enteral feeding, and length of hospital stay.

Main Results:

Premature infants (Group A) showed a trend towards longer time to full enteral feeding (30.1 days) compared to term infants (Group B, 17.0 days), though not statistically significant (p=0.09).
No significant differences in time to full enteral feeding were observed based on low birth weight (<2500g) or mode of delivery.
Infants with birth weight over 2500g had a shorter hospital stay (22.9 days) compared to those under 2500g (35.7 days).

Conclusions:

The findings do not support the practice of anticipating the delivery of fetuses with gastroschisis to expedite enteral feeding.
Gestational age at delivery does not appear to be a primary determinant for earlier achievement of full enteral feeding in this population.
Birth weight may influence length of hospital stay, but not necessarily feeding progression directly.