Obstetric and Delivery Characteristics Associated with Gastroschisis
ACOG ePoster. Rossi R. Apr 27, 2018; 211930; 14C
Robert Rossi
Robert Rossi
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Introduction: Gastroschisis is a congenital abdominal wall defect associated with complications such as cesarean delivery (CD). Previous studies have reported greater than 30% of these pregnancies having fetal intolerance of labor (FIOL). We sought to characterize obstetric factors associated with gastroschisis.

Methods: Population-based retrospective cohort study of livebirths in Ohio (2006-2015). Frequency of gastroschisis was obtained from birth certificate data. Obstetric characteristics were compared between women who delivered an infant with gastroschisis compared to those who without gastroschisis. Multivariate logistic regression estimated the influence of gastroschisis on the outcomes of FIOL and CD.

Results: Of 1,428,125 live births in Ohio during the 10-year study period, 620 (0.04%) women delivered an infant with a isolated gastroschisis. The CD rate was 45.7% vs 31.0% (p
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