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The influence of bowel atresia in gastroschisis on fetal growth, cardiotocograph abnormalities and amniotic fluid staining
Author(s) -
Dixon James C.,
Penman David M.,
Soothill Peter W.
Publication year - 2000
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.2000.tb13264.x
Subject(s) - gastroschisis , amniotic fluid , atresia , medicine , fetus , staining , abnormality , obstetrics , gastroenterology , pathology , pregnancy , biology , genetics , psychiatry
Objectives To investigate the relationship between intestinal atresia and fetal growth, intrapartum cardiotocograph abnormalities and staining of the amniotic fluid in gastroschisis pregnancies. Design Observational study of 115 gastroschisis pregnancies conceived between 1980 and 1996. Setting South West Region of England. Main outcome measures Birthweight, intrapartum cardiotocograph abnormality, staining of amniotic fluid and Apgar score. Results There was no statistically significant difference between the Apgar scores or the frequency of amniotic fluid staining of gastroschisis cases with or without atresia. Patent bowel gastroschisis was associated significantly with more cardiotocograph abnormalities (61% vs 26%, P = 0.026 ) and reduced growth ( P = 0.02 ), when compared with cases with intestinal atresia. Conclusions Bile vomiting may be an important cause of amniotic fluid staining. Bowel atresia protects against the increased incidence of cardiotocograph and growth abnormality found in cases of gastroschisis which may reflect their aetiology.