{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:59Z","timestamp":1740126839598,"version":"3.37.3"},"reference-count":6,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:p>\n            Objective\u2003Gastroschisis is a full-thickness congenital defect of the abdominal wall through which intestines and other organs may herniate. In a prior analysis, attempted vaginal delivery with fetal gastroschisis appeared to increase through 2013, although cesarean delivery remained common. The objective of this analysis was to update current trends in attempted vaginal birth among pregnancies complicated by gastroschisis.<\/jats:p><jats:p>\n            Study Design\u2003We performed an updated cross-sectional analysis of live births from 2014 and 2020 using data from the U.S. National Vital Statistics System and evaluated trends in attempted vaginal deliveries among births with gastroschisis. Trends were evaluated using joinpoint regression. We constructed logistic regression models to evaluate the association between demographic and clinical variables and attempted vaginal delivery in the setting of gastroschisis.<\/jats:p><jats:p>\n            Results\u2003Among 5,355 deliveries with gastroschisis meeting inclusion criteria, attempted vaginal delivery increased significantly from 68.9% to 75.1%, an average annual percent change of 1.7% (95% confidence interval [CI], 0.8\u20132.5). Among gastroschisis-complicated pregnancies, patients 35 to 39 years old (adjusted odds ratio [aOR], 0.53; 95% CI, 0.37\u20130.79) and Hispanic race\/ethnicity (aOR, 0.69; 95% CI, 0.58\u20130.62) were at lower likelihood of attempted vaginal delivery in adjusted analyses.<\/jats:p><jats:p>\n            Conclusion\u2003These findings suggest that vaginal delivery continues to increase in the setting of gastroschisis. Further reduction of surgical delivery for this fetal defect may be possible.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/a-1990-8668","type":"journal-article","created":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T07:28:11Z","timestamp":1669879691000},"page":"543-547","source":"Crossref","is-referenced-by-count":0,"title":["Trends in Attempted Vaginal Delivery among Pregnancies Complicated by Gastroschisis, 2014 to 2020"],"prefix":"10.1055","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1787-2417","authenticated-orcid":false,"given":"Christina N.","family":"Schmidt","sequence":"additional","affiliation":[{"name":"School of Medicine, University of California, San Francisco, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy","family":"Wen","sequence":"additional","affiliation":[{"name":"Division of Maternal Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander M.","family":"Friedman","sequence":"additional","affiliation":[{"name":"Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary E.","family":"D'Alton","sequence":"additional","affiliation":[{"name":"Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5458-2822","authenticated-orcid":false,"given":"Maria","family":"Andrikopoulou","sequence":"additional","affiliation":[{"name":"Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,1,16]]},"reference":[{"key":"ref1","first-page":"867","article-title":"Fetal abdominal wall defects and mode of delivery: a systematic review","volume":"98","author":"S Y Segel","year":"2001","journal-title":"Obstet Gynecol"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"F355","DOI":"10.1136\/archdischild-2016-312394","article-title":"Mode of delivery and outcomes of infants with gastroschisis: a meta-analysis of observational studies","volume":"103","author":"D W Kirollos","year":"2018","journal-title":"Arch Dis Child Fetal Neonatal Ed"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"348.e1","DOI":"10.1016\/j.ajog.2016.03.039","article-title":"Gastroschisis: epidemiology and mode of delivery, 2005-2013","volume":"215","author":"A M Friedman","year":"2016","journal-title":"Am J Obstet Gynecol"},{"issue":"01","key":"ref6","first-page":"1","article-title":"Births: final data for 2016","volume":"67","author":"J A Martin","year":"2018","journal-title":"Natl Vital Stat Rep"},{"issue":"11","key":"ref8","doi-asserted-by":"crossref","first-page":"e02515","DOI":"10.1016\/j.heliyon.2019.e02515","article-title":"The utility of joinpoint regression for estimating population parameters given changes in population structure","volume":"5","author":"D Gillis","year":"2019","journal-title":"Heliyon"},{"issue":"12","key":"ref9","first-page":"700","article-title":"Interpreting estimates of treatment effects: implications for managed care","volume":"33","author":"S V Faraone","year":"2008","journal-title":"P&T"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1990-8668.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T14:33:13Z","timestamp":1730817193000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1990-8668"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,30]]},"references-count":6,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2024,3,20]]},"published-print":{"date-parts":[[2024,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1990-8668","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"type":"print","value":"0735-1631"},{"type":"electronic","value":"1098-8785"}],"subject":[],"published-other":{"date-parts":[[2022,11,30]]},"published":{"date-parts":[[2022,11,30]]}}}