The Zavanelli maneuver for relief of abdominal dystocia associated with gastroschisis
Article Abstract:
Pushing the head back inside and performing an immediate cesarean can permit successful delivery in cases where abdominal swelling prevents the birth of the baby. In one case, an ultrasound scan had shown an abdominal wall defect with a protruding loop of bowel in an 18 week fetus. Periodic scans showed normal growth and no complications through 31 weeks gestation. At 34 weeks, the mother was admitted in active labor. The head was born, but the rest of the body remained wedged inside despite maneuvers to free it. The arm and head were replaced while the mother was placed under general anesthesia and an emergency cesarean was performed. The baby was born in poor condition but responded to resuscitation. Marked abdominal swelling had caused the problem. Swelling had constricted the abdominal wall defect, cutting off circulation to the external loop of bowel. Extensive surgery was performed to remove the diseased bowel, but the baby died five days later.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1995
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Outcomes of newborns with gastroschisis: the effects of mode of delivery, site of delivery, and interval from birth to surgery
Article Abstract:
Cesarean delivery may not improve the survival of infants born with gastroschisis but place of birth may. Gastroschisis is a developmental defect which results in protrusion of bowel and other organs through the abdomen. Researchers analyzed the medical records of 56 infants born with gastroschisis. Infants who were born in a regional medical center were able to eat by mouth much sooner and spent less time in the hospital than infants who were born at other hospitals. Infants who were diagnosed with gastroschisis before birth were delivered at the regional medical center. The cesarean delivery rate of 68% was higher among infants diagnosed before birth than among those diagnosed at delivery (28%), but cesarean delivery did not decrease length of intensive care or hospital stay.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1996
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Fetal protein loss in gastroschisis as an explanation of associated morbidity
Article Abstract:
Fetuses affected by gastroschisis appear to lose protein, which may cause some of the problems these fetuses have. Gastroschisis is a type of hernia caused by the baby's intestines protruding through a hole in the abdomen.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 2001
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