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Published on: November 20, 2015
A case report of gastroschisis: Prenatal diagnosis in primary care settings matters
Abdul Hadi Said1, Mohd Zamir Md Nor2, Mohd Daud Che Yusof3
1M.D (USM), MMed (Family Medicine), Department of Family Medicine, International Islamic University of Malaysia (IIUM), Kuantan, Pahang, Malaysia.
Insights
Early detection of gastroschisis, a congenital disability, is crucial. Primary care physicians play a key role in identifying this condition before the third trimester to improve outcomes and reduce mortality.
Area of Science:
- Medical Science
- Obstetrics
- Neonatology
Background:
- Gastroschisis is a congenital defect causing serious disability due to fetal intestinal wall irritation and compromised blood flow.
- Potential consequences include preterm birth, growth restriction, and fetal demise, highlighting the need for timely intervention.
- High mortality rates are associated with delayed or inadequate initial management of gastroschisis.
Abstract:
Gastroschisis may lead to serious congenital disability, as prolonged exposure to the amniotic fluid could compromise the mesenteric blood flow and irritate the foetal intestinal wall. The consequences of gastroschisis include spontaneous preterm birth, growth restriction and foetal demise. Awareness of this disease is essential, as a high mortality rate is linked to inadequate initial therapy. Early detection of the disease, mainly by primary care physicians as the initial point of contact, is crucial to improve the course of the condition through early monitoring and referral to tertiary care centres. With this case report, we hope to highlight the need of detecting gastroschisis before to the third trimester of pregnancy for better readiness, especially in primary care settings located far from tertiary centres.
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