Abstract

MARTINS, Diana  and  RAMALHO, Carla. Gastroschisis: timing and route of delivery. Acta Obstet Ginecol Port [online]. 2015, vol.9, n.5, pp.400-408. ISSN 1646-5830.

Gastroschisis is a congenital abdominal wall defect in which bowel and other abdominal contents are herniated. The eviscerated loops are directly exposed to amniotic fluid which causes intestinal damage and neonatal mortality. Unless there is an obstetrical contraindication, delivery timing of gastroschisis foetuses should be extended at least to 37 weeks of gestation. Early elective delivery may result in prolonged time to enteral feeding and length of hospital stay as well as prematurity-related complications. There is no evidence that vaginal delivery results in additional morbidity in gastroschisis foetuses and caesarean section is recommended only for obstetrical indications.

Keywords : Gastroschisis; Delivery.

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