D'Antonio et al identified risk factors for postnatal complications in a neonate with a prenatal diagnosis of gastroschisis. These can help to identify a neonate who may require more aggressive management. The authors are from St. George's University of London, Universiita di Rome Tor Vergata, University Hospital Lausanne, Erasmus Medical Center, University of Paris Descartes, University of Chieti-Pescara CeSI Biotech.
Patient selection: gastroschisis diagnosed in utero by ultrasonography
The most important risk factor was intra-abdominal bowel dilatation (IABD) which was associated with:
(1) bowel atresia
(2) polyhydramnios
(3) neonatal death
Other findings associated with increased risk of postnatal complications:
(1) polyhydramnios (associated with bowel atresia)
(2) gastric dilatation (associated with neonatal death)
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