GastroschisisShara L.Ke!eyEnglish 12 CP

Pd.2Mrs. Reiger

Thesis

Gastroschisis is a disease that has affected newborns all over the world for thousands of years. As a student who has know someone who had gastroschisis I know the life long affects it can have and wanted to make an impact on a young child’s life.

Personal relevanceThis project has a very important relevance to my life because of the little boy i know who has been through this. My god son Jeriah was born on July 13th 2010 and the second he was born he was taken away to a team of medical professionals. From the beginning of my best friends pregnancy we knew that her son would be born with a life threatening illness. After having a long line of surgeries they finally were able to give him a perfect life!!

Video/jeriah playing.

Research slides/what is Gastroschisis is a birth defect in which an infant's intestines stick out of the body through a defect on one side of the umbilical cord.

Gastroschisis is a type of hernia. Hernia means "rupture.” Babies with this condition have a hole in the abdominal wall. The child's intestines usually stick out (protrude) through the hole.

Video Of doctor

How common is it?

Gastroschisis occurs in approximately 1 in 5,000 births. It does not appear to run in families, and there is no increased risk of recurrence in future pregnancies.

. However, it is often associated with younger mothers (under 20 years of age) and is unrelated to anything the mother ate or did before or during her pregnancy.

Gastroschisis usually occurs as an isolated defect and is not typically seen in conjunction with other health problems.

Research/symptom

Lump in the abdomen

• Baby can have trouble breathing or even functioning as a normal baby.

• Intestines become discolored.

• Intestine sticks through the abdominal wall near the umbilical cord

Signs and Tests

Physical examination of the infant is enough for the health care provider to diagnose gastroschisis. The baby will have problems with movement and absorption in the gut, because the unprotected intestine is exposed to irritating amniotic fluid.

The mother may have shown signs of too much amniotic fluid (polyhydramnios). A prenatal ultrasound often identifies the gastroschisis.

video of ultrasound

TreatmentIf gastroschisis is found before birth, the mother will need special monitoring to make sure her unborn baby remains healthy. Plans should be made for careful delivery and immediate management of the problem after birth.

Treatment for gastroschisis is surgery to repair the defect. A surgeon will put the bowel back into the abdomen and close the defect, if possible.

Over time, the herniated intestine falls back into the abdominal cavity, and the defect can be closed.

Video of surgery

Treatments cont.

Other treatments for the baby include nutrients by IV and antibiotics to prevent infection. The baby's temperature must be carefully controlled, because the exposed intestine allows a lot of body heat to escape.

The intestines can be put into a suction bag which will slowly push the intestines back into the abdomen.

treatment

Since gastroschisis exposes the fetal intestines to the amniotic fluid and are unprotected during pregnancy, there is an increased risk for third trimester complications, such as bowel dilatation, decreased fetal growth and amniotic fluid volume, preterm delivery, as well as the slight risk of fetal death.

close surveillance of gastroschisis in the third trimester using a combination of sonography and fetal surveillance testing (biophysical profile, Doppler ultrasound, amniotic fluid volume) is important to monitoring fetal well-being and determining the appropriate time of delivery.

surgeryGastroschisis repair or surgical correction of gastroschisis involves the return of the extra-abdominal bowel back into the abdominal cavity followed by abdominal wall closure

performed with an immediate primary gastroschisis repair, or more commonly, a staged repair approach, depending upon postnatal assessment of the condition of the exposed bowel.

Prenatal exposure of the fetal intestines to the amniotic fluid can be associated with bowel dilatation and inflammation, thus making primary repair not feasible.

gastroschisis repair entails reduction of the bowel and complete abdominal wall closure in one operation.

Jeriahs surgeyinterview

Complications

The misplaced abdominal contents can make it difficult for the baby to expand the lungs, leading to breathing problems.

Bowel death is another complication.

Bowel death is when the child’s bows stop working to their fullest extent and this can begin to cause many complications and infections.

Most cases of gastroschisis involve the small intestine and a portion of the large intestine spilling out into the amniotic fluid space around the fetus.

Prognosis

The child has a good chance of recovering if the abdominal cavity is large enough. A very small abdominal cavity may result in complications that require additional surgery.

Some children that do not have a large enough cavity to fit all of the intestines may be able to live with their intestines on the outside,

Newborns would only have a 30% chance of living if their abdomen is not large enough.

You and your Dr.

This condition is apparent at birth and will be detected in the hospital at delivery. It may also be detected on routine fetal ultrasound exams

Your Dr. can give you a monthly blood test to continue testing for any infections that may be affecting you or your child.

Many Dr’s give more then the normal amount of ultrasounds if it has been pre-determined that your child will be born with Gastroschisis.

Dr. cont

Families coming to the Center for Fetal Diagnosis and Treatment with a diagnosis of gastroschisis undergo a detailed level II ultrasound evaluation

For proper counseling and management, it is important to distinguish gastroschisis from other abdominal wall defects, such as omphalocele, which is a membrane covered herniation of the intestine into the base of the umbilical cord.

Families then consult with a multidisciplinary team, including a pediatric surgeon and an obstetrician to discuss prenatal management, delivery and postnatal surgical options.

Unborn Baby’s Health

During the third trimester, the baby is at risk for gastroschisis-related complications such as bowel dilatation (stretching), decreased fetal growth rate, oligohydramnios (low volume of amniotic fluid, indicating reduced fetal kidney function), and, in only very rare cases, death.

Videos

Imbed videos into your slides as needed(videos off of youtube need a citation.)

will break up some of your information and speaking.( Each video should be no longer then 3min.)

Video of Jeriah’s Family

5 min interview about their experience.

Video from Dr.

I interviewed Dr.

Application

Card Drive: As a part of my application I gathered a large group of students from the PAL center in Norristown to create cards for the sick children of children’s hospital.

Card drive cont.

I will be holding a card drive in the library during all lunches. I will hope to get at least another hundred cards made.

Application cont.

Selling Bracelet’s: As a huge part of raising money for the Gastroneurology department at the Children’s hospital, I ordered bracelet’s and sold them within my church, and Grandmother’s Job.

I made a total of $400.00 just by selling bracelets.

Application cont.

Dinner/ i will be selling dinner platters from out o my house to raise money. Each platter will be $7.00

application

Bake sale: I have already done one bake sale and I raised a total of $65.00. I will be doing another one and hope to raise the same amount if not more.

Class Activity

Instructions: Get construction paper, markers,crayons,and manila envelopes. Decorate any card however you would like and return it to Mrs. Reiger.

I will be having the class all make a get well card for a specific child from the children’s hospital.

Work cited

All research sources, without annotations. (www.org, www.gov, www.edu. www.com isn’t a good resource.)

Conclusion

This project brought upon the importance of Gastroschisis and how it can affect a child’s life. Being aware of this disease/birth defect can save a child’s life to know how to deal with it.