Gastroschisis Shara L.Ke!ey English 12 CP Pd.2 Mrs. Reiger
ThesisGastroschisis is a disease that has affected newborns all overthe world for thousands of years. As a student who has knowsomeone who had gastroschisis I know the life long affects itcan have and wanted to make an impact on a young child’slife.
Personal relevance This project has a very important relevance to my life because of the little boy i know who has been through this. My god son Jeriah was born on July 13th 2010 and the second he was born he was taken away to a team of medical professionals. From the beginning of my best friends pregnancy we knew that her son would be born with a life threatening illness. After having a long line of surgeries they ﬁnally were able to give him a perfect life!!
Research slides/what isGastroschisis is a birth defect in which an infantsintestines stick out of the body through a defect on oneside of the umbilical cord.Gastroschisis is a type of hernia. Hernia means "rupture.”Babies with this condition have a hole in the abdominalwall. The childs intestines usually stick out (protrude)through the hole.
Video Of doctor
How common is it? Gastroschisis occurs in approximately 1 in 5,000 births. It does not appear to run in families, and there is no increased risk of recurrence in future pregnancies. . However, it is often associated with younger mothers (under 20 years of age) and is unrelated to anything the mother ate or did before or during her pregnancy. Gastroschisis usually occurs as an isolated defect and is not typically seen in conjunction with other health problems.
Research/symptom Lump in the abdomen• Baby can have trouble breathing or even functioning as a normal baby.• Intestines become discolored.• Intestine sticks through the abdominal wall near the umbilical cord
Signs and TestsPhysical examination of the infant is enough for the health careprovider to diagnose gastroschisis. The baby will have problemswith movement and absorption in the gut, because theunprotected intestine is exposed to irritating amniotic fluid.The mother may have shown signs of too much amniotic fluid(polyhydramnios). A prenatal ultrasound often identifies thegastroschisis.
video of ultrasound
Treatment If gastroschisis is found before birth, the mother will need special monitoring to make sure her unborn baby remains healthy. Plans should be made for careful delivery and immediate management of the problem after birth. Treatment for gastroschisis is surgery to repair the defect. A surgeon will put the bowel back into the abdomen and close the defect, if possible. Over time, the herniated intestine falls back into the abdominal cavity, and the defect can be closed.
Video of surgery
Treatments cont.Other treatments for the baby include nutrients by IV andantibiotics to prevent infection. The babys temperature must becarefully controlled, because the exposed intestine allows a lot ofbody heat to escape.The intestines can be put into a suction bag which will slowlypush the intestines back into the abdomen.
treatmentSince gastroschisis exposes the fetal intestines to the amniotic fluid and areunprotected during pregnancy, there is an increased risk for third trimestercomplications, such as bowel dilatation, decreased fetal growth and amniotic fluidvolume, preterm delivery, as well as the slight risk of fetal death.close surveillance of gastroschisis in the third trimester using a combination ofsonography and fetal surveillance testing (biophysical profile, Doppler ultrasound,amniotic fluid volume) is important to monitoring fetal well-being and determiningthe appropriate time of delivery.
surgery Gastroschisis repair or surgical correction of gastroschisis involves the return of the extra-abdominal bowel back into the abdominal cavity followed by abdominal wall closure performed with an immediate primary gastroschisis repair, or more commonly, a staged repair approach, depending upon postnatal assessment of the condition of the exposed bowel. Prenatal exposure of the fetal intestines to the amniotic fluid can be associated with bowel dilatation and inflammation, thus making primary repair not feasible. gastroschisis repair entails reduction of the bowel and complete abdominal wall closure in one operation.
ComplicationsThe misplaced abdominal contents can make it difficult for the baby to expand thelungs, leading to breathing problems.Bowel death is another complication.Bowel death is when the child’s bows stop working to their fullest extent and thiscan begin to cause many complications and infections.Most cases of gastroschisis involve the small intestine and a portion of the largeintestine spilling out into the amniotic fluid space around the fetus.
PrognosisThe child has a good chance of recovering if the abdominal cavityis large enough. A very small abdominal cavity may result incomplications that require additional surgery.Some children that do not have a large enough cavity to fit all ofthe intestines may be able to live with their intestines on theoutside,Newborns would only have a 30% chance of living if theirabdomen is not large enough.
You and your Dr.This condition is apparent at birth and will be detected in the hospital at delivery. Itmay also be detected on routine fetal ultrasound examsYour Dr. can give you a monthly blood test to continue testing for any infectionsthat may be affecting you or your child.Many Dr’s give more then the normal amount of ultrasounds if it has been pre-determined that your child will be born with Gastroschisis.
Dr. contFamilies coming to the Center for Fetal Diagnosis and Treatment with a diagnosisof gastroschisis undergo a detailed level II ultrasound evaluationFor proper counseling and management, it is important to distinguish gastroschisisfrom other abdominal wall defects, such as omphalocele, which is a membranecovered herniation of the intestine into the base of the umbilical cord.Families then consult with a multidisciplinary team, including a pediatric surgeonand an obstetrician to discuss prenatal management, delivery and postnatalsurgical options.
Unborn Baby’s HealthDuring the third trimester, the baby is at risk for gastroschisis-related complicationssuch as bowel dilatation (stretching), decreased fetal growth rate, oligohydramnios(low volume of amniotic fluid, indicating reduced fetal kidney function), and, in onlyvery rare cases, death.
VideosImbed videos into your slides as needed(videos off ofyoutube need a citation.)will break up some of your information and speaking.( Eachvideo should be no longer then 3min.)
Video of Jeriah’s Family5 min interview about their experience.
Video from Dr.I interviewed Dr.
ApplicationCard Drive: As a part of my application Igathered a large group of students from thePAL center in Norristown to create cards for thesick children of children’s hospital.
Card drive cont.I will be holding a card drive in the library during all lunches.I will hope to get at least another hundred cards made.
Application cont.Selling Bracelet’s: As a huge part of raising money for theGastroneurology department at the Children’s hospital, Iordered bracelet’s and sold them within my church, andGrandmother’s Job.I made a total of $400.00 just by selling bracelets.
Application cont.Dinner/ i will be selling dinner platters from out o my houseto raise money. Each platter will be $7.00
applicationBake sale: I have already done one bake sale and I raised atotal of $65.00. I will be doing another one and hope to raisethe same amount if not more.
Class Activity Instructions: Get construction paper, markers,crayons,andmanila envelopes. Decorate any card however you would likeand return it to Mrs. Reiger.I will be having the class all make a get well card for a speciﬁcchild from the children’s hospital.
Work citedAll research sources, without annotations. (www.org,www.gov, www.edu. www.com isn’t a good resource.)
Conclusion This project brought upon the importance of Gastroschisis and how it can affect a child’s life. Being aware of this disease/birth defect can save a child’s life to know how to deal with it.