The effect of mode of delivery on the perinatal outcome in fetuses with abdominal wall defects.

Abstract:

:A descriptive study of 125 infants with abdominal wall defects was undertaken to determine the effect of mode of delivery on outcome. Fifty-six infants had gastroschisis and 69 had omphalocele. Overall, there were no differences between the omphalocele and the gastroschisis groups in either cesarean section rate (22% vs 26%) or prematurity rate (26% vs 30%). However, the omphalocele group had a significantly higher infant death rate (22% vs 7%, p less than 0.001), a significantly higher incidence of associated major congenital anomalies (29% vs 5%, p less than 0.001), and a higher incidence of long-term infant morbidity (14.5% vs 8.9%). Within either group there was no significant difference between vaginal and cesarean delivery regarding either infant mortality, acute or long-term infant outcome, or frequency of associated major anomalies. We conclude that vaginal delivery of infants with abdominal wall defects does not adversely affect infant outcome.

journal_name

Am J Obstet Gynecol

authors

Moretti M,Khoury A,Rodriquez J,Lobe T,Shaver D,Sibai B

doi

10.1016/0002-9378(90)91079-r

subject

Has Abstract

pub_date

1990-09-01 00:00:00

pages

833-8

issue

3

eissn

0002-9378

issn

1097-6868

pii

0002-9378(90)91079-R

journal_volume

163

pub_type

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