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Perinatal Outcome in the Live-Born Infant with Prenatally Diagnosed Omphalocele

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Title: Perinatal Outcome in the Live-Born Infant with Prenatally Diagnosed Omphalocele
Author(s): Kominiarek, Michelle A.; Zork, Noelia; Pierce, Sara Michelle; Zollinger, Terrell
Abstract: Objective: To compare perinatal outcomes between liveborn non-isolated and isolated omphaloceles diagnosed during a prenatal ultrasound. Study Design: Fetuses (n=86) with omphalocele were identified between 1995-2007 at a single institution. Inclusion criteria were an omphalocele >14 weeks gestation, available fetal and/or neonatal karyotype, and a liveborn infant (n=46). Perinatal outcomes were compared in non-isolated (n=23) and isolated omphaloceles (n=23). Results: For all omphaloceles, the majority delivered after 34 weeks by cesarean. Mean birth weight (2782 vs. 2704g), median length of stay (27 vs. 25 days), and mortality (2 in each group) was not different between the non-isolated and isolated groups, P>0.05. In the non-isolated group, 7 major anomalies were not confirmed postnatally. Of the prenatally diagnosed isolated omphaloceles, 8(35%) were diagnosed with a syndrome or other anomalies after birth. Conclusion The outcomes were similar in non-isolated and isolated prenatally diagnosed omphaloceles, but ultrasound did not always accurately determine the presence or absence of associated anomalies.
Issue Date: 2011
Publisher: Georg Thieme Verlag
Citation Info: Kominiarek, M. A., Zork, N., Pierce, S. M., & Zollinger, T. 2011. Perinatal Outcome in the Live-Born Infant with Prenatally Diagnosed Omphalocele. American Journal of Perinatology, 28(8): 627-634. DOI: 10.1055/s-0031-1276737
Type: Article
Description: © 2011 by Georg Thieme Verlag, American Journal of Perinatology DOI: 10.1055/s-0031-1276737
URI: http://hdl.handle.net/10027/8516
ISSN: 0735-1631
Date Available in INDIGO: 2012-08-17
 

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