Going out of the intestine through an opening just next to
the baby's cord is called gastroschisis. It has nothing to do with chromosomal
abnormalities. However, it can cause problems such as knotting of the
intestines or failure of part of the intestine to develop. These babies have a
high chance of living. (80-100%). Gastroschisis occurs every 10 thousand
pregnancies. The probability of recurrence in the next pregnancy is 3-5%.
With ultrasound, omphalocele and gastroschisis can be
recognized. They can be detected at the earliest after the third month, it is
normal for the intestines to appear outside until this month, this is called
"physiological hernia". In gastroschisis and omphalocele, maternal
blood AFP (alphafetoprotein) measurement is high and polyhydramnios can be
seen.
Gastroschisis can cause premature birth, growth retardation
or death in the baby. Therefore, ultrasound monitoring is required.
These babies are recommended by cesarean delivery. Delivery
should take place in a center where the baby can have surgery.
For treatment, the baby needs to be operated after birth.
Omphalocele
Unlike gastrochisis in omphalocele, the intestines of the
baby are covered with peritoneum. The problem is that the muscles in the abdominal
wall do not close well. Unlike gastrochisis, babies with omphalocele may have
other problems in about 25-50%. These can be genetic problems (chromosomal
abnormalities), congenital diaphragmatic hernia and heart anomalies. Therefore,
it is important to distinguish it from gastroschisis. Amniocentesis is required
in omphalocele. Fetal echocardiography should also be done.
Omphalocele can be of different sizes. The small ones only
have intestines inside the sac that herniated from the abdomen, while the
larger ones may also have a liver or spleen.
All the tests and the results of amniocentesis and
accompanying anomalies are discussed with the family and the decision of the
family to terminate or continue the pregnancy is made.
These babies are recommended by cesarean delivery. Delivery
should take place in a center where the baby can have surgery.
For the treatment, surgery is required after the baby is
born.
The surgery is usually successful, but if the baby has other
accompanying anomalies, the condition of the baby depends on what these
anomalies are and the severity. If the baby has no other abnormalities other
than omphalocele, there is a 90% chance of survival. If it is accompanied by
oligohydramnios or polyhydramnois (the baby's water is low or high), the risk
of chromosomal anomaly increases and the baby's chance of surviving decreases.
-PYELECTASIS OR HYDRONEPHROSIS
-SPINA BIFIDA
-SINGLE UMBLIKAL ARTERY
-TRISOMY 18
-VENTRICULOMEGALY
-CLEFT PALATE - LIP
