Timing is everything: study tests best delivery week for gastroschisis babies
NCT ID NCT02774746
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether delivering babies with gastroschisis at 35 weeks is better than waiting until 38 weeks. Gastroschisis is a birth defect where the baby's intestines stick out of a hole in the belly. The study will track 300 pregnant people and compare risks like stillbirth, newborn death, infection, and breathing problems. The goal is to find the safest delivery timing for these babies.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 300 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2018
- Expected to finish
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Mar 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria: To be eligible for study inclusion, subjects are required to meet the following criteria: 1. Speak English or Spanish 2. Age of ≥18 years old 3. Have a diagnosis of an isolated fetal gastroschisis confirmed via sonogram at ≤33 weeks gestation 4. Have a singleton pregnancy 5. Capable of providing written informed consent for study participation 6. Established Estimated Date of Confinement (EDC) prior to 22 0/7 weeks GA by last menstrual period (LMP) with ultrasound confirmation or ultrasound dating when LMP is unknown. Exclusion criteria: Subjects will be excluded from enrollment for any of the following criteria 1. Fetal anomaly unrelated to gastroschisis, such as a chromosomal abnormality or another congenital structural abnormality (if known; no additional testing required for research participation) 2. Severe intrauterine growth restriction / fetal growth restriction (defined as growth below the 5th percentile for gestational age) 3. Maternal history of previous stillbirth (intrauterine fetal demise) 4. Maternal history of spontaneous preterm (\<36 weeks) delivery 5. Maternal cervical length \< 25 mm prior to 24 weeks of gestation if documented 6. Maternal hypertension 7. Maternal insulin-dependent diabetes 8. Prenatal care initiated after 24 weeks of gestation 9. An active case of COVID-19 (confirmed by a positive test for COVID-19) that is not recovered (confirmed by a negative test for COVID-19) by the date of randomization 10. Unstable pregnancy defined as meeting any of the following criteria 1. Abnormal amniotic fluid volume defined as oligohydramnios or polyhydramnios where the maximal vertical pocket (MVP) is \< 2 cm or \> 8 cm in the third trimester, respectively 2. Umbilical artery Dopplers with S/D ratio or resistive index (RI) \> 97th percentile for age with or without absent or reversed end diastolic flow 3. Non-stress test (NST) or biophysical profile (BPP) deemed non-reassuring by treating clinician 11. Concurrent enrollment in another study that requires either a treatment or intervention which would either alter the delivery plan or potentially influence the maternal, fetal, and neonatal outcomes of this study 12. Traditional surrogacy, gestational surrogacy, gestational carrier, or gestational surrogate 13. Incapable of providing informed consent 14. Are not their own legally authorized representative.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
36 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Ann & Robert H. Lurie Children's Hospital of Chicago
RECRUITINGChicago, Illinois, 60611, United States
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Beth Israel Deaconess Medical Center
RECRUITINGBoston, Massachusetts, 02215, United States
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Brigham and Women's Hospital & Boston Children's Hospital
RECRUITINGBoston, Massachusetts, 02115, United States
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CS Mott Children's & Von Voigtlander Women's Hospital, Michigan Medicine
RECRUITINGAnn Arbor, Michigan, 48109, United States
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Children's Hospital of Colorado
RECRUITINGAurora, Colorado, 80045, United States
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Children's MN, Midwest Fetal Care Center
RECRUITINGMinneapolis, Minnesota, 55404, United States
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Children's Mercy Hospital
RECRUITINGKansas City, Missouri, 64108, United States
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Christus Children's / Baylor College of Medicine
RECRUITINGSan Antonio, Texas, 78207, United States
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Cleveland Clinic
RECRUITINGCleveland, Ohio, 44195, United States
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Columbia University Irving Medical Center
RECRUITINGNew York, New York, 10032, United States
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Connecticut Children's Medical Center
RECRUITINGHartford, Connecticut, 06106, United States
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Cook Children's Medical Center
RECRUITINGFort Worth, Texas, 76104, United States
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Emory University
RECRUITINGAtlanta, Georgia, 30322, United States
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Johns Hopkins Hospital
RECRUITINGBaltimore, Maryland, 21287, United States
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Loma Linda University Children's Hospital
RECRUITINGLoma Linda, California, 92354, United States
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Lucile Packard Children's Hospital Stanford
RECRUITINGStanford, California, 94305, United States
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Medical College of Wisconsin & Children's Wisconsin
RECRUITINGMilwaukee, Wisconsin, 53226, United States
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Nemours Children's Hospital, Delaware
RECRUITINGWilmington, Delaware, 19803, United States
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New York Presbyterian - Weill Cornell Medicine
RECRUITINGNew York, New York, 10065, United States
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Norton Healthcare, Inc.
RECRUITINGLousiville, Kentucky, 40207, United States
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OSF St. Francis Medical Center
RECRUITINGPeoria, Illinois, 61637, United States
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Oregon Health and Science University
RECRUITINGPortland, Oregon, 97239, United States
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Phoenix Children's Hospital
WITHDRAWNPhoenix, Arizona, 85016, United States
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Riley Children's Hospital
RECRUITINGIndianapolis, Indiana, 46202, United States
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St. Louis University, SSM Health Cardinal Glennon Children's Hospital & SSM Health St. Mary's Hospital
RECRUITINGSt Louis, Missouri, 63104, United States
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The University of Texas Health Science Center at Houston
RECRUITINGHouston, Texas, 77030, United States
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The Woman's Hospital of Texas / Obstetrix Maternal-Fetal Medicine Specialists of Houston
WITHDRAWNHouston, Texas, 77054, United States
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University of Maryland, Baltimore
RECRUITINGBaltimore, Maryland, 21201, United States
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University of North Carolina Hospitals
RECRUITINGChapel Hill, North Carolina, 27599, United States
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University of Rochester Medical Center
RECRUITINGRochester, New York, 14642, United States
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University of South Florida & Tampa General Hospital
RECRUITINGTampa, Florida, 33606, United States
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University of Texas Medical Branch Galveston
RECRUITINGGalveston, Texas, 77555, United States
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University of Utah & Primary Children's Hospital
RECRUITINGSalt Lake City, Utah, 84123, United States
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University of Virginia
RECRUITINGCharlottesville, Virginia, 22903, United States
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University of Wisconsin - Madison
RECRUITINGMadison, Wisconsin, 53715, United States
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Vanderbilt University Medical Center
RECRUITINGNashville, Tennessee, 37232, United States
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Washington University in St. Louis & St. Louis Children's Hospital
RECRUITINGSt Louis, Missouri, 63110, United States
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Women & Infants Hospital/Rhode Island Hospital (Hasbro Children's)
RECRUITINGProvidence, Rhode Island, 02905, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Breast milk may speed up feeding in newborns with gut defects
- New fetal heart monitor could unlock secrets of stillbirth
- Can early milk feeds help babies born with intestines outside the body?
- Pioneering fetal surgery aims to fix birth defect before birth
- Arginine supplement may boost immunity in newborns after bowel surgery
- Breast milk mouth care may boost gut health in rare birth defect