After birth, what is the appropriate intervention for a baby with gastroschisis?

The appropriate intervention for a baby with gastroschisis is to place the newborn in a sterile, clear plastic bowel bag. This method is essential for protecting the exposed intestines that protrude from the abdominal wall due to the condition. The plastic bag helps maintain a moist environment around the exposed bowel, reducing the risk of infection and facilitating proper handling of the extrusion until surgical intervention can be performed.

This approach supports the integrity of the bowel and assists in managing the situation before surgical repair. Keeping the bowel moist and protected is crucial in preventing damage to the tissue, which can occur if the bowel is exposed to air. After surgical correction, the baby can then transition to proper feedings and other care protocols.

The other options, while they may be part of supportive care in different contexts, do not address the immediate needs of a newborn with gastroschisis effectively. For example, inserting a feeding tube would not be appropriate due to the risk of feeding the baby without addressing the underlying issue. Similarly, keeping the baby flat on their back does not provide the necessary protective measure for the exposed bowel. Administering intravenous fluids is important for hydration and nutrition but is secondary to ensuring the protective measures for the bowel are implemented first.