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Related Experiment Video

Updated: Jun 12, 2026

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs

Published on: December 22, 2023

Emergency EXIT for preterm labour after FETO.

J E Berrington¹, F W Stafford, S Macphail

¹Newcastle Neonatal Services, Royal Victoria Infi rmary, Newcastle, UK. janet.berrington@nuth.nhs.uk

Archives of Disease in Childhood. Fetal and Neonatal Edition

|June 10, 2010

Summary

Tracheal occlusion can improve outcomes for fetuses with congenital diaphragmatic hernia. A novel ex utero intrapartum treatment procedure allowed successful balloon deflation during emergency delivery, saving a baby when planned deflation was impossible.

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Last Updated: Jun 12, 2026

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Published on: October 25, 2015

Area of Science:

Medical research
Fetal surgery
Neonatal care

Background:

Congenital diaphragmatic hernia (CDH) poses significant risks to newborns.
Tracheal occlusion is a key intervention for CDH, typically performed around 24 weeks gestation.
Planned balloon deflation at 34 weeks is crucial for fetal lung development.

Observation:

Preterm labor occurring away from the treating center complicates planned tracheal occlusion deflation.
An emergency delivery necessitated an innovative approach to manage the occluding device.
The ex utero intrapartum treatment (EXIT) procedure was employed for intrapartum balloon deflation.

Findings:

Successful deflation of the tracheal balloon was achieved during an emergency delivery using the EXIT procedure.
This intervention prevented potential complications associated with an undilated balloon at birth.
The baby survived due to the timely and successful management of the tracheal occlusion device.

Implications:

The EXIT procedure can be a life-saving option for managing tracheal occlusion in complex CDH cases.
This case highlights the adaptability of fetal surgical techniques in critical obstetric situations.
Effective management of tracheal occlusion, even in emergencies, improves survival rates for CDH fetuses.