Congenital Diaphragmatic Hernia ( CDH )
Congenital diaphragmatic hernia abbreviated to CDH is a condition in which the diaphragm has a hole that allows organs of the abdomen to move to the chest restricting lung development. This condition is a birth detect and it is said to occur in approximately one of 2,500 live births in the world. CDH is exemplified by development as well as very early in gestation of a diaphragm hole that is responsible for the separation of breathing muscles of the chest from those of the abdomen. This hole is in most cases on the left side.
This means that the intestines as well as other organs of the stomach or abdomen are able to move to the chest, thus compressing the growing lungs. This means that the lungs are averted from normal growing and development which can lead to minimized blood flow to the pulmonary hypertension and lungs. If this condition is not treated, it is life threatening.
Congenital Diaphragmatic Hernia Diagnosis
It is worth discovering this condition earlier to diagnose it. Just like any other birth defects, most CDHs are discovered by the use of routine ultrasound. This in most cases is between 16 to 18 weeks during gestation. Diagnosis of this condition entails a one day comprehensive evaluation that includes the following :-
- Ultrafast Fetal MRI
- High definition level two Ultrasound
- Fetal Chromosome Studies
- Fetal Echocardiogram
In order to determine if CDH is severe, the position of LHR and the liver have to be determined. Best outcomes for this condition is when the LHR is high and the Liver maintains its position down in the stomach. It has been noted that the survival rate of people suffering from CDH is generally 70 percent.
Monitoring And Treatment Of CDH
After you have been diagnosed of CDH, it is significant to learn how to monitor and treat it. This explains why after you have been evaluated, you have to meet with a multidisciplinary team that is meant to review your results, confirm if you are suffering from this disease, explain various treatment options as well as possible outcomes and also heed to any queries or questions that you might be having. One good thing is that the pregnancy and the mother will be monitored closely for the entire duration, while the third trimester will have frequent surveillance. In case surgical repairs are required, they will take place after birth. In rare and selected cases where the position of the liver might have moved to the chest hat might restrict the development of the lungs, then fetal therapy is provided.
Delivery, Hospital Stay And Follow Up Care Of Congenital Diaphragmatic Hernia
There is planned delivery in the event the baby has been diagnosed of CDH. This baby is delivered vaginally and the medical team should be present to offer specialized ventilation. The baby might then be taken to infant/newborn intensive care unit where it will be evaluated and its condition carefully monitored. Once stable, the baby and the mother will be discharged, though they will have to attend follow up care.