ArticleAmerican journal of obstetrics and gynecology2016
Gastroschisis: epidemiology and mode of delivery, 2005-2013.
Article in American journal of obstetrics and gynecology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Gastroschisis: diagnosis, prognosis and treatment options.Frontiers in pediatrics · 2025Review
- Use of a new vertical traction device for early traction-assisted staged closure of congenital abdominal wall defects: a prospective series of 16 patients.Pediatric surgery international · 2024Article
- Gastroschisis: embriology, pathogenesis, risk factors, prognosis, and ultrasonographic markers for adverse neonatal outcomes.Journal of ultrasound · 2024Review
- Factors associated with infant sex and preterm birth status for selected birth defects from the National Birth Defects Prevention Study, 1997-2011.Birth defects research · 2024Article
- Prenatal repair of gastroschisis using partial carbon dioxide insufflation fetoscopy: lessons learned.Einstein (Sao Paulo, Brazil) · 2023Article
- Maternal periconceptional alcohol consumption and gastroschisis in the National Birth Defects Prevention Study, 1997-2011.Paediatric and perinatal epidemiology · 2022Article
- Improved Mortality of Patients with Gastroschisis: A Historical Literature Review of Advances in Surgery and Critical Care from 1960-2020.Children (Basel, Switzerland) · 2022Review
- Left congenital diaphragmatic hernia and gastroschisis in a term male infant.BMJ case reports · 2021Article
- Challenge of diagnosing splenic torsion in a paediatric patient with gastroschisis.BMJ case reports · 2021Article
- Abdominal Wall Defects-Current Treatments.Children (Basel, Switzerland) · 2021Review
- Sutureless closure for the management of gastroschisis.Translational gastroenterology and hepatology · 2021Review
- Relationship between volume and outcome for gastroschisis: a systematic review protocol.Systematic reviews · 2020Article
- Major birth defects in the Brazilian side of the triple border: a population-based cross-sectional study.Archives of public health = Archives belges de sante publique · 2020Article
- Increasing prevalence, time trend and seasonality of gastroschisis in São Paulo state, Brazil, 2005-2016.Scientific reports · 2019Article
- Bioinformatic Analysis of Gene Variants from Gastroschisis Recurrence Identifies Multiple Novel Pathogenetic Pathways: Implication for the Closure of the Ventral Body Wall.International journal of molecular sciences · 2019Article
- Evaluation of Clinical Outcomes of Sutureless vs Sutured Closure Techniques in Gastroschisis Repair.JAMA surgery · 2019Article
- Fetal anterior abdominal wall defects: prenatal imaging by magnetic resonance imaging.Pediatric radiology · 2018Review
- Gastroschisis and late-onset neonatal sepsis in a tertiary referral center in Southeastern Brazil.Jornal de pediatriaArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundGastroschisis is a severe congenital anomaly the etiology of which is unknown. Research evidence supports attempted vaginal delivery for pregnancies complicated by gastroschisis in the absence of obstetric indications for cesarean delivery.
objectiveThe objectives of the study evaluating pregnancies complicated by gastroschisis were to determine the proportion of women undergoing planned cesarean vs attempted vaginal delivery and to provide up-to-date epidemiology on the risk factors associated with this anomaly. STUDY
designThis population-based study of US natality records from 2005 through 2013 evaluated pregnancies complicated by gastroschisis. Women were classified based on whether they attempted vaginal delivery or underwent a planned cesarean (n = 24,836,777). Obstetrical, medical, and demographic characteristics were evaluated. Multivariable log-linear regression models were developed to determine the factors associated with the mode of delivery. Factors associated with the occurrence of the anomaly were also evaluated in log-linear models.
resultsOf 5985 pregnancies with gastroschisis, 63.5% (n = 3800) attempted vaginal delivery and 36.5% (n = 2185) underwent a planned cesarean delivery. The rate of attempted vaginal delivery increased from 59.7% in 2005 to 68.8% in 2013. Earlier gestational age and Hispanic ethnicity were associated with lower rates of attempted vaginal delivery. Factors associated with the occurrence of gastroschisis included young age, smoking, high educational attainment, and being married. Protective factors included chronic hypertension, black race, and obesity. The incidence of gastroschisis was 3.1 per 10,000 pregnancies and did not increase during the study period.
conclusionAttempted vaginal delivery is becoming increasingly prevalent for women with a pregnancy complicated by gastroschisis. Recommendations from the research literature findings may be diffusing into clinical practice. A significant proportion of women with this anomaly still deliver by planned cesarean, suggesting further reduction of surgical delivery for this anomaly is possible.
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