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[Fetal diaphragmatic hernia. Concomitant anomalies]
Akusherstvo I Ginekologiia
|January 1, 1997
Summary
Congenital diaphragmatic hernia (CDH) often presents with other anomalies, particularly affecting the nervous system, heart, and kidneys. This study highlights a higher incidence of severe CDH cases in specialized neonatal centers.
Area of Science:
- Perinatology
- Neonatalogy
- Pediatric Surgery
Context:
- Congenital diaphragmatic hernia (CDH) is a serious birth defect with variable reported rates of associated anomalies (29-53%).
- Prenatal diagnosis and understanding associated anomalies are crucial for patient management and outcomes.
- Tertiary neonatal centers manage a significant proportion of severe CDH cases.
Purpose:
- To report on the prenatal diagnosis of CDH.
- To analyze the types and frequency of associated anomalies in fetuses with CDH.
- To evaluate the concentration of severe CDH cases in specialized neonatal centers.
Summary:
- A 10-year review identified 18 fetuses diagnosed with CDH after 24 weeks gestation.
- Associated anomalies were present in 66.7% of cases, most commonly involving the nervous system, heart, and kidneys.
- Findings indicate that severe CDH cases with poorer prognoses are concentrated in tertiary neonatal centers.
Impact:
- Improved understanding of CDH-associated anomalies aids in prenatal counseling and management strategies.
- Highlights the importance of specialized neonatal care for optimizing outcomes in severe CDH cases.
- Contributes to the body of evidence guiding the referral and management pathways for congenital diaphragmatic hernia.