Which factor influences the choice of delivery mode in cases of gastroschisis?

In cases of gastroschisis, the choice of delivery mode is significantly influenced by the presence of herniated liver. If the liver is herniated through the abdominal wall defect, it suggests a more complex condition that may require specialized surgical intervention immediately following birth. In such situations, a cesarean delivery may be preferred to allow for better surgical access and to minimize potential trauma to the liver and other herniated organs during the delivery process. This is crucial in ensuring that the infant receives appropriate care right after birth, especially given the potential for significant complications associated with the herniated liver.

While other factors such as the location of the herniation and the presence of other anomalies can impact management, they typically do not dictate the delivery mode to the same extent as the presence of herniated liver. A previous history of preterm birth also does not inherently determine the delivery mode in cases specific to gastroschisis. Therefore, the presence of herniated liver is a decisive factor in guiding clinicians toward the safest mode of delivery in these cases.