The influence of bowel atresia in gastroschisis on fetal growth, cardiotocograph abnormalities and amniotic fluid staining
Article first published online: 12 AUG 2005
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 107, Issue 4, pages 472–475, April 2000
How to Cite
Dixon, J. C., Penman, D. M. and Soothill, P. W. (2000), The influence of bowel atresia in gastroschisis on fetal growth, cardiotocograph abnormalities and amniotic fluid staining. BJOG: An International Journal of Obstetrics & Gynaecology, 107: 472–475. doi: 10.1111/j.1471-0528.2000.tb13264.x
- Issue published online: 12 AUG 2005
- Article first published online: 12 AUG 2005
- Accepted 30 November 1999
Objectives To investigate the relationship between intestinal atresia and fetal growth, intrapartum cardiotocograph abnormalities and staining of the amniotic fluid in gastroschisis pregnancies.
Design Observational study of 115 gastroschisis pregnancies conceived between 1980 and 1996.
Setting South West Region of England.
Main outcome measures Birthweight, intrapartum cardiotocograph abnormality, staining of amniotic fluid and Apgar score.
Results There was no statistically significant difference between the Apgar scores or the frequency of amniotic fluid staining of gastroschisis cases with or without atresia. Patent bowel gastroschisis was associated significantly with more cardiotocograph abnormalities (61%vs 26%, P= 0.026) and reduced growth (P= 0.02), when compared with cases with intestinal atresia.
Conclusions Bile vomiting may be an important cause of amniotic fluid staining. Bowel atresia protects against the increased incidence of cardiotocograph and growth abnormality found in cases of gastroschisis which may reflect their aetiology.