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[Fetal diaphragmatic hernia. Concomitant anomalies]

R Ruseva, V Koleva

    Akusherstvo I Ginekologiia
    |January 1, 1997
    PubMed

    Insights

    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.

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