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ISSN: 2572-4983

Neonatal and Pediatric Medicine
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  • Research Article   
  • Neonat Pediatr Med 2017, Vol 3(2): 144
  • DOI: 10.4172/2572-4983.1000144

Neonatal Outcome of Abdominal Wall Defects at a Tertiary Center in Oman

Abdellatif M1*, Ahmad A1, Ur Rahman A1, Al Riyami N2, Al Dughaishi T2, Niranjan Joshi11, Zainab Al Balushi1 and Abdelrahman N1
1Department of Child Health, Sultan Qaboos University Hospital, , Oman
2Department of Obstetrics and Gynecology, Sultan Qaboos University Hospital, , Oman
*Corresponding Author : Abdellatif M, Department of Child Health, Senior Consultant Neonatologist and Head of Neonatal Unit, Sultan Qaboos University Hospital, Oman, Tel: 0096897870366, Email: [email protected]

Received Date: Dec 12, 2017 / Accepted Date: Dec 19, 2017 / Published Date: Dec 29, 2017

Abstract

Objective: The aims of this paper are, to evaluate the birth prevalence some of the epidemiological risk factors and neonatal outcomes of newborns with gastroschisis and omphalocele.

Methods: This retrospective descriptive study was conducted between January 2010 and December 2015 at the Sultan Qaboos University Hospital (SQUH) neonatal intensive care unit (NICU).

Results: Ten cases of omphalocele and two cases of gastroschisis were examined. The birth prevalence of gastrsochisis and omphalocele was 1.39 in 10000 and 0.28 in 10000 respectively. Antenatal diagnoses were available in six cases (50%). Fifty percent of the cases were inborn. Eight (66.67%) infants were delivered by caesarean section. The median gestational age and birth weight for newborns with gastroschisis at birth were 35 weeks and 2100 g, respectively; for newborns with omphalocele, these values were 37 weeks and 2583 g respectively. The median maternal age for mothers of newborns with gastroschisis was 22.5 y; for mothers of babies with omphalocele, the mean age was 28 y. The median times to full feeding for newborns with gastroschisis and omphalocele were 19 days and 6 days, respectively. The median length of stay in the neonatal unit for newborns with gastroschisis was 35 days; for newborns with omphalocele, the duration was 8.5 days. Fifty percent of all patients exhibited intrauterine growth retardation (IUGR). Primary surgical closure was performed in 10 (83.33%) patients. Associated cardiac anomalies were detected in seven babies (58.33%). Chromosomal anomalies were only documented in two patients with omphalocele. Mortality was documented in three infants (25%). Conclusion: There were more admissions for patients with omphalocoele in comparison with gastroschisis with low birth prevalence compared to reports from western countries. The majority of patients were delivered by cesarean section. Mortality occurred only among patients with omphalocele.

Keywords: Omphalocle, Gastroschisis, Abdominal wall defects

Citation: Abdellatif M, Ahmad A, Ur Rahman A, Al riyami N, Al dughaishi T, et al. (2017) Neonatal Outcome of Abdominal Wall Defects at a Tertiary Center in Oman. Neonat Pediatr Med 3: 144. Doi: 10.4172/2572-4983.1000144

Copyright: © 2017 Abdellatif M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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