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NeoReviews Vol.8 No.6 2007 e254
© 2007 American Academy of Pediatrics

Index of Suspicion in the Nursery

The first 20% of the full text of this article appears below.


   Case Presentation
 
A 3,420-g infant was born at term to a 21-year-old G2P0 female who had a history of abortion with a previous pregnancy. Prenatal ultrasonography at 32 weeks’ gestation had revealed gastroschisis. The mother's blood type was O positive, and results of rapid plasma reagin, hepatitis B surface antigen, human immunodeficiency virus, group B Streptococcus, gonorrhea, and chlamydia tests were negative. The mother was positive for rubella titers. She had regular antenatal visits and received ferrous sulfate and prenatal vitamins during the pregnancy. After assessing for pulmonary maturity, elective cesarean section was performed at 37-6/7 weeks. Membranes were ruptured at delivery, and amniotic fluid was clear.

Apgar scores were 8 at 1 minute and 9 at 5 minutes. As noted on ultrasonography, the infant had a gastroschisis, and his bowel and the intestinal contents were examined and placed in a silo. He was transferred to the neonatal intensive care unit for further care, where he was started on parenteral nutrition (PN). He remained stable. A percutaneously inserted central catheter (PICC) was placed on the second postnatal day, and its position was confirmed with a radiograph. The gastroschisis . . . [Full Text of this Article]

Syed Asif Masood, MD
Guillermo Sangster, MD
Richard Krouskop, MD
Hassan Ibrahim, MD

Louisiana State University Health Science Center, Shreveport, La






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