Abstract
OBJECTIVE: Our purpose was to determine the impact of delivery site, delivery mode, and delivery-to-surgery
interval on outcomes for neonates diagnosed with gastroschisis. STUDY DESIGN: Data were obtained retrospectively by chart review on 56 newborns diagnosed with
gastroschisis. Outcome measures examined included primary closure, days to enteral
feeding, days in intensive care, total length of stay, and hospital charges. RESULTS: Inborn infants experienced fewer days to enteral feeding (p < 0.01), shorter total lengths of hospital stay (p < 0.01), and lower hospital charges (p < 0.01). Newborns delivered by cesarean section tended to have longer lengths of
stay (p = 0.07), greater hospital charges (p = 0.06), and significantly longer lengths of stay in intensive care (p = 0.05). Shorter intervals from delivery to surgery were observed for inborn neonates
(p < 0.01) and for those delivered by cesarean section (p < 0.05). No relationships between hours from delivery to surgery and neonatal outcomes
were observed. CONCLUSIONS: Delivery at a regional center is associated with improved outcomes, whereas cesarean
deliveries were associated with worse outcomes. We observed no salutary effect related
to the interval between delivery and initial surgical repair. (AM J OBSTET GYNECOL 1996;174:1134-40.)
Keywords
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Article info
Footnotes
☆From the Departments of Obstetrics and Gynecology,aSurgery,bPediatrics,cand Psychiatrydand The Center for Outcomes Research and Effectiveness,eUniversity of Arkansas for Medical Sciences.
☆☆Reprint requests: J. G. Quirk, Jr., MD, PhD, UAMS, Slot 518, 4301 W. Markham St., Little Rock, AR 72205-7199.
★0002-9378/96 $5.00 + 0 6/6/71138
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Copyright
© 1996 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
