Impact of the Mode of Delivery on Gastroschisis Anatomical Features in the Newborn Children


newborn children
anatomical features

How to Cite

Slepov, O. K., Gordienko, I. Y., Soroka, V. P., Gladyshko, O. P., & Ponomarenko, O. P. (2016). Impact of the Mode of Delivery on Gastroschisis Anatomical Features in the Newborn Children. Galician Medical Journal, 23(3).


Introduction. The mode of delivery for gravidas with fetuses with GS plays an important role among the factors influencing the results of gastroschisis (GS) treatment. More researchers come to univocal conclusion that elective and early cesarean section has positive impact on elimination (prevention) of GS complications compared to previous experience in natural deliveries in term. However, the impact of the mode of delivery to anatomical features of GS remains still not investigated.

The objective of the research was to determine the impact of the delivery mode on anatomical characteristics of newborn children with GS.

Materials and methods. Retrospective analysis of 100 patients’ case histories was conducted. Infants were born naturally or via C-section during the period from 1987 to 2015. All newborns were divided into 3 clinical groups according to prenatal diagnosis, mode of delivery, transportation, place and term of surgical treatment of GS.

Results. Localization of penetration defect of anterior abdominal wall (AAW) remains constant and typical for GS in every clinical group; therefore the mode of delivery did not have any impact upon the localization of defects in case of this malformation. The size of the penetration defect was significantly smaller in children after C-section than those born via vaginal deliveries. Thus, in Group I (children born via C-section) the defects sizes were 3.15 ± 0.09 cm, while in Groups II and III (after vaginal deliveries) the sizes were 4.17 ± 0.3 cm, p<0.01, and 4.7 ± 0.29 cm, p<0.01, respectively. The eventration rate of retroperitoneal organs (pancreas and duodenum) was significantly higher in children with GS born via natural mode of delivery (II and III clinical group) than in neonates born via C-section (I clinical group), constituting 56.0% and 63.3% to 25.0%, respectively, with p<0.01.

Conclusions. The mode of delivery (C-section or vaginal) has impact on anatomical features of GS in the newborns. The size of AAW defect is significantly greater in children with GS born vaginally than in infants born via C-section and eventeration rate of retroperitoneal organs (pancreas and duodenum) is higher.


Palamarchuk YP. Surgical correction of visceral-abdominal disproportion in newborns with congenital abdominal wall defects. Extended abstract of PhD dissertation. Vinnitsya; 2010. 20 p.

Perunskyi VP. The improvement of effectiveness of surgical treatment of children with gastroschisis and omphalocele. PhD dissertation. Donetsk; 2008. 149 p.

Plokhih DA. Surgical treatment of gastroschisis with visceral – abdominal disproportion. Extended abstract of PhD dissertation. Kemerovo; 2007. 22 p.

Sliepov OK, Veselskiy VL, Grasukova NI. The frequency and causes of death of newborns with gastroschisis. Khirurhiia yriachoho viku. 2014; 3-4: 81-87.

Fofanov OD. Treatment of the newborns and infants with congenital obstructive malformations of alimental canal. Extended abstract of MD dissertation. Vinnitsa; 2011. 36 p.

Moir CR, Ramsey PS, Ogburn PL. A prospective trial of elective preterm delivery for fetal gastroschisis. Am J Perinatol. 2004; 21: 289-294.

Bernstein P. Gastroschisis, rare teratological condition in the newborn. Arch Pediatr. 1940; 57: 505–513.

Bianchi A, Dickson A. Elective delayed reduction and no anesthesia: minimal intervention management for gastroschisis. J Pediatr Surg. 1999; 53(9): 1338–1340.

McDonnell R, Delany V, Dack P. Changing trend in congenital abdominal wall defects in eastern region of Ireland. I Med. 2002; 95: 236-238.

Chen CP. Ruptured omphalocele with extracorporeal intestines mimicking gastroschisis in a fetus with Turner syndrome. Prenat Diagn. 2007; 27: 1067-1068.

Molik KA, Giangalewki CA, Grosfeld JL. Gastroschisis: a plea for risk categorization. J Pediatr Surg. 2001; 36: 51-55.

Gibbin C, Touch S, Broth RE. Abdominal wall defects and congenital heart disease. Semin Pediatr Surg. 2003; 21: 334-337.

Holland A. Gastroschisis: an update. Pediatr Surg Int. 2004; 26: 871-878.

Islam S. Clinical care outcomes in abdominal wall defects. Curr Opin Pediatr. 2008; 20: 305-310.

Surver D, Lee S, Shekherdimian S. Left-sided gastroschisis: higher incidence of extraintestinal congenital anomalies. Am J Surg. 2008; 195: 633-666.

Gow KW, Bhatia A, Saad DF. Left-sided gastroschisis. Am Surg. 2006; 72: 637-640.

Lenke RR, Hatch EI. Fetal gastroschisis: a preliminary report advocating the use of cesarean section. Obstet Gynecol. 1986; 67: 395-398.

Loane M, Dolk H, Bradbury I. Increasing prevalence of gastroschisis in Europe 1980–2002: a phenomenon restricted to younger mothers?. Pediatr Perinat Epidemiol. 2007; 21: 363-369.

Nichol PF, Hayman A, Pryde PG. Meconium staining of amniotic fluid correlates with intestinal peel formation in gastroschisis. Pediatr Surg Int. 2004; 20(3): 211-214.

Moore TC. Elective preterm section for improved primary repair of gastroschisis. Pediatric Surgery International. 1988; 4 (1): 25-26.

Moore TC, Collins DL, Catanzarite V. Pre-term and particularly pre-labor cesarean section to avoid complications of gastroschisis. Pediatr Surg Int. 1999; 15: 97-104.

Sekabira J. Gastroschisis: a third world perspective. Pediatr Surg Int. 2009; 25: 327-329.

Stoll C, Alembik Y, Dott B. Omphalocele and gastroschisis and associated malformations. Am J Med Genet. 2008; 146 (20): 1280-1285.

Reid K, Reid J, Doherty D. The epidemiologic incidence of congenital gastroschisis in Western Australia. Am J Obstet Gynecol. 2003; 189 (3): 764-768.

Wilson RD, Johnson MP. Congenital abdominal wall defects: an update. Fetal Diagn Ther. 2004; 19: 385-398.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.