Gastroschisis

Why Does it Happen?

Massiel Coronado
Independent Study Mentorship
Spring semester 2017
Mrs. Click
 Disclaimer
 Some of this information is from outside sources
 All of the pictures and research are cited in my works cited
 My Mentor
My mentor’s name is Valerie
Gray, RN
Has a bachelors in nursing and
has been a nurse for over 20
years
Works in the NICU at Clear Lake
Regional Medical Center
Clear Lake Regional Medical Center
 Address: 500 Medical Center Blvd. Webster, TX 77598
 Was founded in 1972
 Named five star recipient in Cardiac, orthopedics,
pulmonary, Labor and Delivery and many other surgeries
 Was ranked among the top 10 best hospitals in Houston in
2012 by U.S. News and World Report
 Also ranked the safest hospital in Houston and the fourth
safest hospital in 2012 by Consumer reports
 In 2011, it was one of the top 25 most profitable hospitals
 What is ISM?
ISM is an advanced Course
course designed for Requirements
students wishing to
 Document a minimum of 3 hours
mentor an adult of mentorship each week
professional in a chosen  Complete a journal each week
course documenting mentorship
experiences
 Complete an ISM professional
portfolio, a mid-term presentation,
and all of the required
assignments
 Create a product and a
presentation at the professional
level and present to a panel of
graders
 What is Gastroschisis?
 Babies abdominal wall is weak allowing for the intestines
to grow outside the body
 Occurs when there is small opening in abdominal wall
 Spleen is sometimes seen outside the body along with
ovaries in girls
Project
 I chose this topic because I find it interesting how this
happens and also how it is treated.
 Key Points
 Causes and Risk Factors

 Treatment

 Gastroschisis vs Omphalocele

 Development and Diagnosis

 How Gastroschisis affects the

baby
 Causes
 Exact causes are still unknown
 Some people believe it happens due to
abnormal changes in chromosomes or
genes
 Exposure to environmental toxins or
medications Risk Factors
 Younger mothers
 White teens are more likely to give
birth to child with Gastroschisis than
African American teens
 Lower income families
Treatment

 Baby is intubated
 A silo is put around the intestines
 Everyday the silo squeezes the intestines a little
more in order to push them back into the
abdomen
 The operation takes place when the intestines are
squeezed enough to fit in abdomen
 Usually happens on day 3
 During operation the skin isn’t closed completely
 Gastroschisis vs Omphalocele
Similarities
• Present themselves in similar
way
• Similar treatments
• Both are considered rare

Gastroschisis Omphalocele
Hole next to belly button Hole inside belly button
Intestines are not covered by a Intestines are covered by a protective
protective sac sac
Amniotic fluid can irritate the intestines Organs extend into the umbilical cord
due to no protective covering
Occurs more often, 2-6 out of every Occur in 2 out of every 10,000
10,000 newborns newborns
Development
 Develops early in pregnancy
 4th – 8th week
Diagnosis
 Can be seen as early as 14 weeks on an
ultrasound
 If the mother has elevated alpha- fetoprotein
(AFP) can also indicate Gastroschisis
 The mother will require more frequent
ultrasounds to monitor the fetus after
diagnosis
How Gastroschisis Affects the Baby
Short Term Long Term
 Relatively long hospital  Gastroschisis usually
stay doesn’t lead to future
 Baby will not be able to problems
eat food for a while  The malrotation can
cause short gut syndrome
 This can lead to future
problems
 Current Event

Article: Students Design Specialty Bag for Treating Children Born

with Gastroschisis
 Poorly resourced countries don’t have the funds to pay for the
silo
 Students at Rice University created a bag that was cheaper
 The bag diameter can be adjusted so that one model is
applicable to all patients
 This bag is being used for limited trials in Uganda
CPAP Machine
Isolette
Milk Warmer
Monitor
NG Tube
Patient Board
Level 2 NICU Crib
Ventilator
 Product
Educational booklet
 Includes many of the things in this
presentation
 It also mentions different conditions that
are commonly associated with
Gastroschisis
 Weebly
 https://massielcoronadoism2.weebly.com/
 Conclusion
 I learned a lot about the NICU this semester. I learned
many of the different reasons why babies need to be in
the NICU.
 This project helped me learn a lot about the different
factors that can cause Gastroschisis and also how it is
treated so that the baby will live a normal life in the
future.
 I would like to thank…
Valerie for being my mentor and
teaching me throughout this semester
Mrs. Moss and Mrs. Herrera for taking
time and coming to my presentation
Mrs. Click for choosing me to be in this
class and giving me this opportunity
My Mom and Dad for helping through
this process
 Works Cited
A, Renee. “Sonography.” Pinterest, 30 Jan. 2016, www.pinterest.com/pin/553802085408444930/.
“Birth Defects.” Centers for Disease Control and Prevention, Centers for Disease Control and
Prevention, 27 June 2017, www.cdc.gov/ncbddd/birthdefects/gastroschisis.html.
Children's Hospital. “Gastroschisis.” Children's Hospital of Philadelphia, The Children's Hospital of
Philadelphia, 26 Mar. 2014, www.chop.edu/conditions-diseases/gastroschisis.
“Click Here to Support Teagan's Gastroschisis Medical Fund Organized by Sean
Christlieb.” Gofundme.com, www.gofundme.com/teagans-gastroschisis- medical- fund.
“Differential Diagnosis of Abdominal Wall Defects - Omphalocele versus Gastroschisis.” Semantic
Scholar, www.semanticscholar.org/paper/Differential-diagnosis-of-abdominal-wall-defects-
Ionescu-Mocanu/878d9071399740c3e0f91f218139bfaaf4f1f2fc.
Editors. “Students Design Specialty Bag for Treating Children Born with Gastroschisis |.”Medgadget, 26
Apr. 2018, www.medgadget.com/2018/04/students-design-specialty-bag-for-treating-children-
born-with-gastroschisis.html.
“Emily's Stamp.” Emily's Stamp, www.emilystamp.com/.
“Gastroschisis Birth Story.” Netmums, www.netmums.com/coffeehouse/advice- support-
40/premature-scbu-babies-564/991626-gastroschisis-birth-story.html.
“Gastroschisis Diagnosis & Treatment | Children's Pittsburgh.” Children's Hospital of Pittsburgh,
www.chp.edu/our-services/transplant/intestine/education/intestine-disease-states/gastroschisis.
“Having One Twin In The NICU.” Twiniversity, 10 June 2017, www.twiniversity.com/2016/09/1-twin-in-
nicu/.
Mihaila, Georgiana. “Clear Lake Regional Medical to Offer Enhanced Care after $92M
Expansion.” Commercial Property Executive, Commercial Property Executive, 9 July 2013,
www.cpexecutive.com/post/clear-lake-regional-medical- to-offer- enhanced-care-after-92m-
expansion/.