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Exploring professionals' views regarding prenatal counselling in congenital diaphragmatic hernia

Celeste R S De Groot1, Esther J C Konings1, Willem P de Boode1

  • 1Department of Neonatology, Radboud University Medical Center, Radboud Institute for Health Sciences, Amalia Children's Hospital, Nijmegen, The Netherlands.

Journal of Perinatal Medicine
|August 10, 2023
PubMed

Insights

Healthcare professionals recommend timely prenatal counseling for congenital diaphragmatic hernia (CDH), covering diagnosis, prognosis, and parental needs. Tailored support and clear communication are vital for families facing CDH.

Area of Science:

  • Medical Genetics
  • Pediatric Surgery
  • Neonatology

Background:

  • Congenital diaphragmatic hernia (CDH) is a severe birth defect impacting diaphragm and lung development.
  • CDH necessitates comprehensive care, including crucial prenatal counseling for affected families.

Purpose of the Study:

  • To explore healthcare professionals' perspectives on prenatal counseling for congenital diaphragmatic hernia (CDH).

Main Methods:

  • Qualitative study utilizing semi-structured interviews with 18 healthcare professionals involved in CDH patient care.
  • Thematic analysis of interview transcripts to identify key themes in counseling views.

Main Results:

  • Professionals advocated for early and ongoing counseling sessions post-CDH diagnosis.
  • Essential counseling content includes diagnosis explanation, prognosis, consequences, treatment, and practicalities.
  • Parental involvement in decision-making is crucial, though preferred levels vary; counseling should be parent-centered.

Conclusions:

  • Gained insights into professional consensus on optimal timing, content, and delivery of prenatal CDH counseling.
  • Highlights the importance of a multidisciplinary approach and tailored support for families facing CDH.
Abstract

Keywords:
congenital diaphragmatic herniaprenatal counsellingqualitative study

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