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Gastroschisis--what should be told to parents?
Karine Lepigeon1, Tim Van Mieghem, Sabine Vasseur Maurer
1Materno-fetal & Obstetrics Research Unit, Department of Obstetrics and Gynecology, University Hospital, 1011, Lausanne, Switzerland.
Prenatal Diagnosis
|December 31, 2013
Summary
Gastroschisis, a common birth defect, is typically diagnosed before birth. While newborns may face challenges, most infants with gastroschisis experience good long-term outcomes with proper care.
Area of Science:
- Pediatric Surgery
- Maternal-Fetal Medicine
- Neonatology
Background:
- Gastroschisis is a frequent congenital anomaly involving the abdominal wall.
- Prenatal diagnosis is highly effective through maternal screening and ultrasounds.
- Most cases are isolated, without other significant anomalies.
Purpose of the Study:
- To review evidence on antenatal, neonatal, and long-term outcomes of gastroschisis.
- To address common parental concerns regarding fetal diagnosis.
- To guide healthcare professionals in counseling expectant parents.
Main Methods:
- Literature review focusing on evidence-based practices.
- Structured around common parental questions and concerns.
- Analysis of antenatal monitoring, delivery strategies, and long-term prognosis.
Main Results:
- Prenatal diagnosis allows for delivery planning.
- Elective delivery at 37 weeks in a specialized center is recommended.
- Bowel injury is a key prognostic factor, though difficult to assess prenatally.
Conclusions:
- Infants with gastroschisis often have a challenging neonatal period.
- Long-term complications are infrequent despite initial difficulties.
- Effective prenatal counseling is crucial for managing parental expectations.

