Maternal and perinatal outcomes of patients with prenatal diagnosis of gastroschisis in a center in Medellin

Abstract

Objective: To describe the outcomes of maternal and perinatal in patients diagnosed with prenatal gastroschisis that received medical care at an obstetric reference center in Medellin. Method: Observational, descriptive and retrospective study in fetuses with a prenatal diagnosis of gastroschisis performed in the Clínica Universitaria Bolivariana between January 1st 2010 and July 31st 2021. Results: Were included 54 pregnant women with prenatal diagnosis of gastroschisis. The 63% were their first pregnancy and 27, 8% were adolescents. The average duration of gestation was 35 weeks and 6 days. Cesarean section was the most common way of delivery (98, 1%) and the most frequent indication was suffering from loop (66, 7%). The 55, 6% of neonates required more than one surgical intervention for closure of the abdominal wall. The most frequent complications were anemia (66, 7%) and postoperative ileus (72, 2%). A mortality of 13% was presented. Conclusions: Some characteristics like reported in other series are evident.The greatest presentation was in the first pregnancy, the cause of termination of pregnancy was suffering from loops (demonstrating the importance of ultrasound monitoring) and the most frequent complications were anemia and postoperative ileus presented by prematurity. Mortality, compared to other local institutions, was lower.