Fetal gastroschisis: a report of 2 cases
Nazir, M.A.; Gimovsky, M.L.; Vaydovsky, J.; Kappy, K.A.; Polcaro, J.
Journal of Reproductive Medicine 50(4): 287-290
2005
ISSN/ISBN: 0024-7758 PMID: 15916214 Document Number: 594615
The risk of stillbirth in fetuses diagnosed with gastroschisis may range from 6% to 12%. Currently there is no agreement on the role of antepartum fetal surveillance, as fetal death within days of reassuring antepartum fetal testing has been reported. In 2 cases of fetal gastroschisis, fetal gastric distension was associated with decreased fetal movements and nonreactive nonstress tests. Despite reassuring biophysical profile and normal umbilical artery Doppler sonograms, 1 fetus underwent intrauterine death. Poor prognostic factors in fetal gastroschisis may include a new finding of persistent fetal gastric distension in association with decreased fetal movements or a nonreactive nonstress test.