Vaginal birth vs caesarean delivery: impact on gastroschisis anatomy in newborns (a 33-year experience)

Authors

DOI:

https://doi.org/10.18370/2309-4117.2021.61.15-19

Keywords:

gastroschisis, delivery, vaginal delivery, caesarean section, gastroschisis anatomy

Abstract

Background. Despite the existence of numerous studies on the optimal delivery mode in gastroschisis (GS), their results remain controversial. Therefore, the presented study is focused on establishing the delivery mode impact on GS anatomy in newborns.
Research objective. The study was conducted to determine the impact of the delivery mode on the features of GS anatomy in newborns.
Materials and methods. A retrospective analysis of medical records of 135 pregnant women and 135 their newborns with GS born between 1987 and 2020 was conducted. All newborns are divided into 3 groups. Newborns delivered by caesarean section are included in group I (n = 80); children born exclusively naturally are included in groups II (n = 25) and III (n = 30). The following anatomical features of GS in newborns were studied: localization and size of the anterior abdominal wall defect, confluence with the abdominal cavity, the nature and frequency of the eventrated organs.
Results. The size of the anterior abdominal wall defect was significantly smaller in children with GS delivered by caesarean section (3.02 ± 0.58 cm; p < 0.01) than in children born naturally (4.17 ± 0.3 cm in group II, 4.7 ± 0.29 cm in group III). The frequency of retroperitoneal organs eventration was significantly less (20.0%; p < 0.01) in caesarean delivery grope than in II and III groups (52% and 63.3%, respectively). There was no significant difference in frequency of other abdominal organs eventration, localization of the anterior abdominal wall defect and confluence with the abdominal cavity. Level of evidence – III. Conclusions. The mode of delivery affects the size of abdominal wall defect and frequency of the abdominal organs eventration in newborns with GS.

Author Biographies

O.K. Sliepov, SI “O.M. Lukyanova Institute of Pediatrics, Obstetrics and Gynecology of the NAMS of Ukraine”, Kyiv

MD, professor, head of the Neonatal Surgery Center for Congenital Malformations and their Rehabilitation

N.Y. Zhylka, P.L. Shupyk National University of Health of Ukraine, Kyiv

MD, professor, senior researcher, Department of Obstetrics, Gynecology and Perinatology

V.L. Veselskyi, National Academy of Medical Sciences of Ukraine, Kyiv

PhD, assistant to the President

N.Y. Skrypchenko, SI “O.M. Lukyanova Institute of Pediatrics, Obstetrics and Gynecology of the NAMS of Ukraine”, Kyiv

MD, professor, head of the Department of Implementation and Study of the Effectiveness of Modern Medical Technologies in Obstetrics and Perinatology

T.V. Avramenko, SI “O.M. Lukyanova Institute of Pediatrics, Obstetrics and Gynecology of the NAMS of Ukraine”, Kyiv

MD, professor, head of the Department of Obstetric Endocrinology and Fetus Congenital Malformations

M.Y. Myhur, SI “O.M. Lukyanova Institute of Pediatrics, Obstetrics and Gynecology of the NAMS of Ukraine”, Kyiv

PhD, research fellow, Department of Surgical Correction of Congenital Malformations in Children, Neonatal Surgery Center for Congenital Malformations and their Rehabilitation

O.P. Ponomarenko, SI “O.M. Lukyanova Institute of Pediatrics, Obstetrics and Gynecology of the NAMS of Ukraine”, Kyiv

PhD, head of the Department of Thoracic and Abdominal Surgery, Neonatal Surgery Center for Congenital Malformations and their Rehabilitation

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Published

2021-11-25

How to Cite

Sliepov, O., Zhylka, N., Veselskyi, V., Skrypchenko, N., Avramenko, T., Myhur, M., & Ponomarenko, O. (2021). Vaginal birth vs caesarean delivery: impact on gastroschisis anatomy in newborns (a 33-year experience). REPRODUCTIVE ENDOCRINOLOGY, (61), 15–19. https://doi.org/10.18370/2309-4117.2021.61.15-19

Issue

No. 61 (2021)

Section

Pregnancy and childbirth

License

Copyright (c) 2021 О.К. Слєпов, Н.Я. Жилка, В.Л. Весельський, Н.Я. Скрипченко, Т.В. Авраменко, М.Ю. Мигур, О.П. Пономаренко

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