Abstract

Background Gastroschisis is a common congenital anterior abdominal wall defect With the advancement of neonatal care outcome of gastroschisis is improving worldwide but the result is disappointing in our center Several factors adversely affect the outcome The aim of this study was to identify the factors influencing the adverse outcome and where to focus to improve the situation Materials and methods It was a retrospective analytical study done in Dhaka Shishu Children Hospital from March 2014 to April 2017 Data were collected from hospital record All patients admitted with gastroschisis during the study period were included and grouped into A survived and B expired Factors influencing the outcome were compared between two groups Statistical analysis was done using SPSS version 22 Results Out of 75 neonates 43 were male and 32 were female Only 14 patients survived 18 7 Prenatal diagnosis was done in only 3 patients Mean gestational age mean birth weight mean time from delivery to surgery between two groups found statistically significant Type of surgery was also found significantly affecting outcome Conclusion Awareness regarding prenatal diagnosis planning of delivery should be developed Intensive perinatal care and earliest possible surgery are the key factor for better outcome in gastroschisis