Gastroschisis in Brazil within a Global Context

Abstract

Introduction: global disparity in outcomes of gastroschisis is visible. Survival rates in high-income countries have improvedsince 1960, and are currently around 100%, due to progressin pediatric surgery and neonatal intensive care. However, inlow and middle-income countries mortality rates can reach allcases.Objective: this study aims to map the existing literature ongastroschisis in Brazil within a global context.Methods: scoping Review. PubMed, Scielo Brazil, BibliotecaVirtual em Saúde (BVS) and Google Scholar, were searchedfrom January 2000 to May 2020.Results: eight studies met the inclusion criteria. Theconsolidated data of 912 patients were: Mean maternal ageof 20.7 years, antenatal diagnosis rate of 80.2%, cesareansection rate of 77.7%. Mean of hospital stay of 40.8 days.Mean mortality rate of 25.3 %. Risk factors associated withdeath were: prematurity, low birth weight, low APGAR score,reinterventions, sepsis, birth-to-surgery interval greater than 4hours, fewer prenatal visits, delayed prenatal diagnosis.Conclusion: studies on gastroschisis in Brazil were scarce,most of carried out in southeast of country. This study suggeststhat there are regional contrasts on gastroschisis outcomesin Brazil. The worst results are in regions with low economicresources, a similar situation found in international literature.This review should be validated with future studies to investigatethe situation of pregnant women with fetuses with gastroschisis,especially in low-resource regions, in Brazil