Perinatal outcomes and hospital costs in gastroschisis based on gestational age at delivery. Is early delivery beneficial in gastroschisis? J Pediatr Surg. Expectant management compared with elective delivery at 37 weeks for gastroschisis.

Outcomes in infants with prenatally diagnosed gastroschisis and planned preterm delivery. Mesas Burgos C, Svenningsson A, Vejde JH, et al. Influence of location of delivery on outcome in neonates with gastroschisis. Nasr A, Langer JC, Canadian Paediatric Surgery Network. 581: the use of chromosomal microarray analysis in prenatal diagnosis. 2015 136:e159вЂ“e169.ДЄmerican College of Obstetricians and Gynecologists Committee on Genetics. Prenatal risk factors and outcomes in gastroschisis: a meta-analysis. Journal of pregnancy 2014(12):239406Д¬hristison-Lagay ER, Kelleher CM, Langer JC. Gastroschisis: antenatal sonographic predictors of adverse neonatal outcome. Prenatal sonographic ultrasound predictors for the outcome in fetal gastroschisis: a retrospective analysis. StГјber TN, Frieauff E, WeiГџ C, Zollner U, WГ¶ckel A, Meyer T, Rehn M. Evolution of management of gastroschisis. Gastroschisis in a premature infant: a case report and review of literature. 2012.Д®ricki VS, Mert M, Ozdemir T, Koyluoglu G. dalam makalah: Bagian/SMF Bedah FK Unud/RSUP Sanglah Denpasar. Proporsi penggunaan teknik bedah dan mortalitas penyakit gastroschisis di RSUP Sanglah pada tahun 2010-2012. dalam makalah: Bagian/SMF Anestesiologi FK Undip/RSUP dr.Kariadi Semarang. Non-viable neonatal gastroschisis: case report. Morazan AF, Andrade DS, Torres SJ, Zelaya WP, Izaguirre RE, Molina FA. Case report and management in primary care services. Key words: Congenital Defect, Gastroskisis, Prenatal DiagnosisД¬alderon RI, Montufar OG, Torres JS, Ceron LF. Neonatal management includes delivery in tertiary health facilities and management of postnatal surgery namely primary surgical closure, staged reduction with silo and sutureless umbilical closure. The recommended method of delivery and labor time is 37 weeks gestational age with the sectio caesarea method. If the abnormality is isolated, the clinical results will be better than Gastroskisis with chromosomal abnormalities. Prenatal diagnosis is done by assessing other congenital defects so that clinical results are better with earlier management, in addition assessment is also done to determine whether there is a chromosome abnormality or not. An optimal prenatal diagnosis is needed so that the labor can be prepared as well as possible. Mortality in infants born with Gastroskisis has declined over the years but morbidity is still high. Events reported throughout the world range from 4-5 per 10,000 live births. Gastroskisis is a congenital defect that occurs in the fetal abdominal wall. Prenatal Diagnosis and Management of Gastroschisis

Manajemen neonatal meliputi persalinan di fasilitas kesehatan tersier dan manajemen bedah paska kelahiran yaitu penutupan bedah primer, penutupan bertahap dengan silo, atau penutupan umbilikal tanpa jahitan. Metode persalinan dan waktu persalinan yang direkomendasikan yaitu pada usia kehamilan 37 minggu dengan metode sectio caesarea. Apabila kelainan tersebut bersifat isolated, maka hasil klinis akan lebih baik dibandingkan gastroschisis dengan kelainan kromosom.

Pada prenatal diagnosis dilakukan penilaian defek kongenital lainnya agar hasil klinis lebih baik dengan manajemen lebih awal, selain itu dilakukan juga penilaian untuk menentukan adanya kelainan kromosom atau tidak. Diperlukan prenatal diagnosis yang optimal agar proses melahirkan bisa dipersiapkan sebaik mungkin. Mortalitas pada bayi yang lahir dengan gastroschisis telah menurun selama bertahun-tahun tetapi morbiditas masih tetap tinggi. Kejadian yang dilaporkan di seluruh dunia berkisar antara 4-5 per 10.000 kelahiran hidup. Gastroskisis merupakan defek kongenital yang terjadi pada dinding abdomen janin.

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