Diagnosis and evolution of faults with defects on the abdominal wall

Abstract

Objectives: To determine the clinical profile of pregnant women and to describe the prevalence of major congenital anomalies (CA) related to abdominal wall defects diagnosed in a fetal medicine service. Methods: A descriptive, prospective, analytical study was carried out between 2014 and 2018. Results: 483 cases were diagnosed during the investigation period, with malformation sof the abdominal wall representing 8.07% (39/483) .Ofthe 39 cases of abnormalities in the abdominal wall, gastroschisis 66,67% (26/39), omphalocele 15,38% (6/39), diaphragmatichernia 12,83% (5/39), tetralogy of Cantrell2 , 56% (1/39) and Body Stalk Syndrome 2.56% (1/39). The mean age of the pregnant women was 23.41 years, browns corresponded to 66.67% (26/39), white 23.08% (9/39) and black 10.25% (4/39). Predominance of multigestas 51.29% (20/39), of which 40% (08/20) had abortion in previous pregnancies. 84.82% (33/39) did not have a family history of CA. In relation to the Body Mass Index (BMI), 38.46% (15/39) are of adequate weight, mean gestational age of 28.41 weeks. Regarding the use ofter atogenic substances, 78.26% (18/23) reported having ingested alcohol, 8.69% (2/23) tobacco and 13.05% (3/23) marijuana. The most common fetal sex was female 58.98% (23/39), 35.89% (14/39) male and 5.13% (2/39) were not visualized. After birth, 69.24% (27/39) were born and had surgery, 10.25% (4/39) intrauterineloss and 20.51% (8/39) neonatal mortality. Conclusion: The clinical profile of the pregnant woman with alterations in the abdominal wall, pregnant young, brown, adequate weight and multigestive. Since gastroschisis is the most common abdominal wall defect.