Gastroenteritis is one of the most common congenital malformations and is, in turn, completely unknown to most people. This defect occurs early in pregnancy, when the baby’s abdominal muscles do not develop properly.
A hole is formed in the abdomen and the baby’s intestines and other organs exit. Gastroenteritis usually occurs on the right side of the navel. As the intestines are exposed to amniotic fluid, irritation can occur. Because of this, the intestines may contract, swell, or twist.
As soon as the baby is born, she will need surgery to put the organs in their right place as well as repair the abdominal wall. Despite surgery, children with gastroenteritis may have difficulty eating, digesting, and absorbing nutrients.
Gastritis – causes and risk factors
Some cases of evisceration are caused by changes in genes. In other cases, it may be a combination of genetic and other maternal factors that occur during pregnancy. As for the factors that increase the risk of having a baby with gastroenteritis, they are:
- Being a mother at an early age : Teen mothers are far more likely to give birth to babies with gastroenteritis than older mothers.
- Tobacco and alcohol consumption : Women who smoke and consume alcohol during pregnancy are at a higher risk of having a baby with gastroenteritis.
Diagnosis and treatment
Diagnosis can be made either before or after the baby is born. During pregnancy, malformation tests are performed so that they can be detected with specific tests. In addition, it is observed on ultrasound.
When it comes to treatment, gastroenteritis is a life-threatening condition. She needs immediate treatment as soon as possible right after birth. This is important for your baby’s organs to develop and be protected in the abdomen.
If the defect is minor, it will be repaired in one operation. However, if the defect is large and multiple organs have been dislodged, the operation may be performed in several stages. After the operation is completed, the child is placed in the intensive care unit for newborns.
Risk of gastroenteritis surgery
The risks of anesthesia and general surgery are:
- Allergic reactions to drugs
- Breathing problems
- Infection and bleeding
Regarding the risks associated with the surgery to correct gastroschisis :
- Breathing problems: These can occur if the baby’s abdominal space is smaller than normal. A newborn baby may need an endotracheal tube and prolonged artificial ventilation for several days or weeks after surgery.
- Inflammation of the tissue that lines the abdominal wall
- Organ trauma
- Temporary paralysis of the small intestine
- Hernia of the abdominal wall
In addition to surgery, children with gastroenteritis often also need other treatments, such as:
- Nutrition through a nasogastric tube. It is inserted through the nose to empty the stomach and keep it there.
- Fluids and nutrients supplied through the vein
- Antibiotics to prevent infection
When the bowel function returns to normal after surgery, feeding via the nasogastric tube is started. However, oral feeding will be very slow. You leave the hospital 15 to 25 days after surgery.
Prevention of degeneration
Prevention is about providing adequate prenatal care with healthy habits and the necessary consultations to avoid complications. After diagnosis, specialist care and appropriate medical treatment are needed.
In such cases, ultrasound tests play a significant role. After the 30th week of pregnancy, weekly ultrasound is recommended.
Basically, newborns with gastroenteritis have a low body weight. About 10 to 20% of the intestines are affected. The degree of the intestinal defect largely determines the prognosis of the newborn.
The percentage of newborns who have survived has increased significantly in recent years. This is due to early detection and prenatal control protocols as well as adequate intensive care.