To date, four studies have attempted to evaluate the effect of delivery timing on neonatal outcomes. In a retrospective review of 57 cases, Huang was unable to demonstrate an association between earlier delivery and shorter time to surgical repair or oral feeds. Logge and colleagues performed a randomized controlled trial of delivery at 36 weeks (early) versus awaiting spontaneous labor (later). Although the study did demonstrate a trend toward improved outcomes in the earlier group, it was underpowered especially considering that the mean gestational age for delivery in the early versus later groups differed by only a week and were 35.8 and 36.7 weeks, respectively. In a recent report by Serra, 13 patients were delivered electively at 34 weeks and compared to historical controls. The early delivery group demonstrated shorter time to oral feeds and closure, along with decreased acute and late complications. This corroborated similar findings by Peiro where 6 patients were delivered at 34 weeks. In the latter, the morphology of the bowel demonstrated no evidence of inflammation or thickening, which was uniformly seen in those delivered at term.