Postnatal outcomes of infants with gastroschisis: a 5-year follow-up in a tertiary referral center in Brazil

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dc.citation.issue3
dc.citation.volume29
dc.contributor.authorCarvalho, Natalia Silva [UNIFESP]
dc.contributor.authorHelfer, Talita Micheletti [UNIFESP]
dc.contributor.authorSerni, Priscila de Oliveira [UNIFESP]
dc.contributor.authorTerasaka, Ohanna Ana [UNIFESP]
dc.contributor.authorBoute, Tatiane [UNIFESP]
dc.contributor.authorAraujo Junior, Edward [UNIFESP]
dc.contributor.authorNardozza, Luciano Marcondes Machado [UNIFESP]
dc.contributor.authorMoron, Antonio Fernandes [UNIFESP]
dc.contributor.authorRolo, Liliam Cristine [UNIFESP]
dc.coverageAbingdon
dc.date.accessioned2020-11-03T14:40:40Z
dc.date.available2020-11-03T14:40:40Z
dc.date.issued2016
dc.description.abstractObjective: The aim of this study was to evaluate postnatal outcomes in fetuses with gastroschisis.Methods: This is a retrospective study (2009-2013) of patients with gastroschisis at the Hospital SAo Paulo (Federal University of SAo Paulo, Brazil).Results: A total of 44 infants with gastroschisis were examined. The mean maternal age was 21.1 years and mean gestational age at delivery was 36.1 weeks. Delivery occurred before 34 weeks in 13.6%, between 34 and 36 weeks and 6d in 40.9%, and after 37 weeks in 45.5%. The mean birth weight was 2349g, with 37.2% small-for-gestational age infants. The mean umbilical cord blood pH was 7.32. Bowel resection and delayed fascial closure was performed in 14.6% and 19.5%, respectively. The mean hospitalization time in the neonatal intensive care unit was 52.7d. Neonatal infection was detected in 52.4%, with a positive blood culture; 77.3% of those cases were coagulase negative staphylococci. The overall rate of mortality was 25%; 18.2% before birth, 45.4% during the neonatal period, and 36.4% in infants. The main cause of postnatal death was septicemia (55.5%).Conclusions: Despite advances in perinatal care and surgical techniques, infants with gastroschisis still present high rates of complications and death.en
dc.description.affiliationUniv Fed Sao Paulo, Paulista Sch Med, Dept Obstet, EPM UNIFESP, BR-05041120 Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Paulista Sch Med, Dept Obstet, EPM UNIFESP, BR-05041120 Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.format.extent418-422
dc.identifierhttps://doi.org/10.3109/14767058.2014.1002764
dc.identifier.citationJournal Of Maternal-Fetal & Neonatal Medicine. Abingdon, v. 29, n. 3, p. 418-422, 2016.
dc.identifier.doi10.3109/14767058.2014.1002764
dc.identifier.issn1476-7058
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/58667
dc.identifier.wosWOS:000366744500013
dc.language.isoeng
dc.publisherTaylor & Francis Ltd
dc.relation.ispartofJournal Of Maternal-Fetal & Neonatal Medicine
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectFetal malformationen
dc.subjectgastroschisisen
dc.subjectinfantsen
dc.subjectoutcomesen
dc.subjectpostnatalen
dc.subjectreferral centeren
dc.titlePostnatal outcomes of infants with gastroschisis: a 5-year follow-up in a tertiary referral center in Brazilen
dc.typeinfo:eu-repo/semantics/article
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