Prenatal Diagnosis and Perinatal Management of Gastroschisis: A Case Report

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Published Dec 25, 2025
https://doi.org/10.25077/jom.10.2.72-77.2025
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Vol. 10 No. 2 (2025): Published on Desember 2025

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Rina Gustuti
Fetomaternal Division, Obstetrics and Gynecology Departement, Medical Faculty of Universitas Andalas , Padang
Farah Mutiara
Obstetrics and Gynecology Residency Program, Faculty of Medicine, Universitas Andalas, Dr. M. Djamil General Hospital, Padang
Yusrawati
Fetomaternal Division, Obstetrics and Gynecology Departement, Medical Faculty of Universitas Andalas , Padang

Abstract

Background: Gastroschisis is a congenital abdominal wall defect characterized by herniation of abdominal organs through a paraumbilical defect without a protective membrane. Prenatal detection plays a crucial role in planning delivery and optimizing neonatal management. Case Presentation: We report a case of a 39-year-old pregnant woman, G4P2A1L2, who presented at 36–37 weeks of gestation with latent phase of labor and a history of two previous cesarean sections. Antenatal ultrasonography revealed a singleton live intrauterine fetus with suspected gastroschisis, demonstrated by herniation of fetal bowel outside the abdominal cavity without a covering membrane. Fetal well-being assessment using cardiotocography showed a category I tracing. Delivery was performed by cesarean section due to maternal obstetric indications. A male neonate was delivered with a birth weight of 2415 grams, and postnatal Ballard scoring indicated a gestational age of approximately 36 weeks. The neonate was planned for further management according to clinical condition. Conclusion: Prenatal diagnosis of gastroschisis allows for appropriate delivery planning and early neonatal management. A multidisciplinary approach involving obstetricians, neonatologists, and pediatric surgeons is essential to improve outcomes in neonates with congenital


 abdominal wall defects.

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