African Journal of Paediatric Surgery About APSON | PAPSA  
Home About us Editorial Board Current issue Search Archives Ahead Of Print Subscribe Instructions Submission Contact Login 
Users Online: 939Print this page  Email this page Bookmark this page Small font size Default font size Increase font size 
 
 
ORIGINAL ARTICLE
Ahead of Print

Prevalence of gastroschisis and its neonatal mortality in the Eastern Cape Province tertiary institutions


1 Department of Paediatric Surgery, Walter Sisulu University, Mthatha, South Africa
2 Department of Paediatrics, University of Cape Town, Cape Town, South Africa

Correspondence Address:
Sello S Machaea,
16 Phezula Views, Nahoon Valley Park, East London 5247
South Africa
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajps.ajps_178_21

Context: Gastroschisis is a common abdominal wall defect faced by paediatric surgeons worldwide. Early gastroschisis detection, access to improved neonatal intensive care, parenteral nutrition and surgical techniques have led to a reported improvement in mortality of between 4% and 8% in high-income countries. In low to middle income countries, such as in Southern Africa, however, there is as much as 84% mortality among patients with gastroschisis. This is thought to be due to factors such as lack of antenatal screening, access to neonatal intensive care services and parenteral nutrition. Aims: The purpose of this study was to calculate the prevalence of gastroschisis and report on its neonatal mortality in the Eastern Cape Province of South Africa. Settings and Design: A retrospective observational study on all neonates with gastroschisis, presenting to a tertiary facility offering paediatric surgical services within the Eastern Cape Province from 1 January 2016 to 31 December 2018. Subjects and Methods: A convenience sampling method was used in retrieving patient files for the study period. Statistical analysis used: Stata version 13. Results: Thirty-seven neonates were included in the study. The prevalence of gastroschisis ranged from 0.07% to 0.18% throughout the 3-year study. The majority (81%) of the neonates were outborn and delivered by mode of caesarean section. Nearly 60% (n = 22) were female. 54% (n = 20) of neonates died within the neonatal period. Conclusions: The majority of the neonates in this study were outborn and female. Although their mortality rate was higher than reported in high-income countries, it was much improved from what is reported in the low to middle income countries.


[Full text not available ] [PDF]
Print this article
Search
 Back
 
  Search Pubmed for
 
    -  Machaea SS
    -  Chitnis MR
    -  Nongena P
 Citation Manager
 Article Access Statistics
 Reader Comments
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed115    
    PDF Downloaded4    

Recommend this journal