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December 2014 Moms
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Has anyone gave birth vaginally to a gastroschisis baby ?

valaquinovalaquino member
in December 2014 Moms
At 14 weeks my fiancée and I found out our baby has gastroschisis, a defect involving the babies large and small intestines. I will hopefully be delivering full term in December and have gotten many different opinions regarding whether or not a c- section is safer . Anyone ? Help ?
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Re: Has anyone gave birth vaginally to a gastroschisis baby ?

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  • valaquinovalaquino member
    Thank you :)
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  • AllTheTeaInChinaAllTheTeaInChina member
    I had to look it up, but in my completely uneducated opinion a vaginal birth seems risky.  A vaginal birth could cause trauma to the exposed organs.  Best to discuss birthing options with your OB.
    BabyFruit Ticker

    Thing 1: 6/2012 Thing 2: Due 12/2014
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  • valaquinovalaquino member
    I've been researching as well and that is exactly what my old obgyn had discussed with me , but since I moved almost 2 hrs. Away and had to get a new obgyn he believes otherwise . I have an appt. today with a specialists, will get an update . Thank you !
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  • jayellekayjayellekay member
    Good luck. I'm certainly no expert, but I read a blog recently of a mom whose baby had this, and her doctors strongly recommended a c-section so that the intestines weren't traumatized further during a vaginal delivery.
    Jimmie, mama to Zoey (March 2011)
    Losses 5/13, 8/13, and 3/14. 
    Expecting another GIRL! Carter Grace due on 12/25.

    image

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  • soulcupcakesoulcupcake member
    I've known mamas of babies with gastrochisis that delivered vaginally and c-section. A vaginal birth of a baby with omphalocele is more risky.

    What does your perninatologist suggest? This is a study done on the mode of delivery.

    OBJECTIVE:

    The aim of the study was to examine the short-term outcome of infants with gastroschisis by route of delivery, comparing vaginal delivery vs elective and emergency cesarean delivery (CD).

    METHODS:

    Six hundred thirty-one infants with gastroschisis (International Classification of Diseases, 10th Revision: Q79.3) were admitted to the Australian and New Zealand Neonatal Network during 1997 to 2005. Multivariate Cox proportional hazards regression analysis was performed to adjust for case-mix and significant baseline characteristics.

    RESULTS:

    During the study period, 631 infants with gastroschisis were admitted to the collaborating centers. Of these, 343 (54.4%) infants were delivered vaginally, whereas 288 (45.6%) were delivered by cesarean birth. Of the latter, 148 (23.4%) were elective and 140 (22.2%) were emergency. There was an increasing trend of CD from 41.1% in 1997 to 69.0% in 2005. Forty-seven (7.4%) infants died; 30 (8.7%) in the vaginal, 9 (6.4%) in the emergency, and 8 (5.4%) in the elective CD group. There was no difference in rate of proven infection, duration of ventilation, or length of neonatal intensive care unit stay between the 3 groups. After controlling for prematurity, low birth weight, and outborn birth, the risk for neonatal demise was similar in both the vaginal and CD infants (adjusted hazard ratio, 1.486; 95% confidence interval, 0.814-2.713; P = .197). Stratifying the CD (emergency vs elective) gave similar results.

    CONCLUSION:

    Infants with gastroschisis appear to be safely delivered vaginally.

    G 12.04 | E 11.06 | D 11.08  | H 12.09 | R 11.14 | Expecting #6 2.16.18.



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  • melanchittymelanchitty member
    My little sister (she's 19 but I still consider her little) had a baby last October with this condition. She (her baby) remained in the hospital until just 2 months ago (almost a year basically). The doctors told her it was detrimental to deliver by c section as soon as they knew. She ended up having an emergency c section a month before her due date. You may have complications later on that are unforeseen. My sis had really great doctors and she recovered very well. Baby still has tubes and a line in for her intestines, but other than that she is pretty normal and happy! Good luck with everything.
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  • katysmith0509katysmith0509 member

    Everyone always tells you the birth of your child never goes as planned. I thought, my little boy has gastrochisis, my OBGYN said the best thing was a C-section. So we scheduled it. One week before that date, I went in to labor (37 weeks). Everything went absolutely crazy (his doctor was in surgery, there was an abnormal surge of babies being born that day) and WE decided the best thing for both myself and my baby was to labor it out, with the probability that I would have to have a C-section. I delivered at 37 weeks vaginally, got to kiss my little man and they took him off to NICU. 5 weeks in the hospital and he's now a smart and thriving 4 year old. No one said it's going to be easy, but you'll make it through. As far as your birth plan, ask your doctor a LOT of questions. That's what they're there for! Good luck to you and your fiancé!

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  • BrittandBunBrittandBun member
    I am 25 weeks and my baby has gastroschisis. I was told by specialists at regional hospitals that they would give me a c-section and I didnt feel comfortable not potentially having options. I then went to Childrens Hospital of Philadelphia, which is one of the best in the country for treating gastroschisis and has a level 4 nicu and they reassured me that majority of babies with gastroschisis can be delivered safely vaginally and that a c-section is set in case of an emergency, but that the natural process of birth supports the premature babies lung function and and alertness as well as immunity and is also a much quicker recovery for mothers. Because most gastroschisis babies spontaneously deliver at 36 weeks the baby is still small enough that there is space for the intestines without too much pressure during labor.

    Talk with your healthcare provider, but ultimately, if you are not comfortable with the options you are given, get a second opinion. You should never feel uncomfortable with the care your baby and you are given.
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  • HayleyLynn2482HayleyLynn2482 member
    My daugher is now 6 and was born with gastroschisis. My doctor originally told me that I would have to have a c section and I came to accept it. After I met with 3 pediatric surgeons, they all told me that vaginally was best. They induced me at 37 weeks, I pushed twice and everything went great. The doctor said It was one of the easiest deliveries. I was only able to see my daughter for a minute then they rushed her to surgery. Surgery went well and she was only in the NICU for less then 3 weeks. She has a perfect little belly button they made for her and has never had any complications. Hope all goes well!
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