1. Gastroschisis
Shara L.Ke!ey
English 12 CP
Pd.2
Mrs. Reiger

2. 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.

3. Personal relevance
This 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!!

4. Video/jeriah playing.

5. 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.

6. Video Of doctor

7. 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.

8. 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

9. 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.

10. video of ultrasound

11. Treatment
If 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.

12. Video of surgery

13. 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.

14. 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.

15. surgery
Gastroschisis 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.

16. Jeriahs surgeyinterview

17. 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.

18. 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.

19. 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.

20. 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.

21. 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.

22. 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.)

23. Video of Jeriah’s Family
5 min interview about their experience.

24. Video from Dr.
I interviewed Dr.

25. 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.

26. 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.

27. 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.

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

29. 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.

30. 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.

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

32. 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.