Research: [Antenatal care for fetuses with congenital diaphragmatic hernia]

Gynecol Obstet Fertil Senol

. 2024 Mar 14:S2468-7189(24)00085-0.

 doi: 10.1016/j.gofs.2024.03.002. Online ahead of print.

[Antenatal care for fetuses with congenital diaphragmatic hernia]

[Article in French]

Charles Mégier 1Alexandra Letourneau 2Lina Bejjani 3Meriem Macha Boumerzoug 4Cécile Suffee 5Van Huynh 6Julien Saada 7Grégoire Dumery 8Alexandra Benachi 9

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Congenital diaphragmatic hernia (CDH) can be diagnosed prenatally and its severity assessed by fetal imaging. The prognosis of a fetus with CDH is based on whether or not the hernia is isolated, the measurement of lung volume on ultrasound and MRI, and the position of the liver. The birth of a child with CDH should take place in a center adapted to the care of such children, and in accordance with the recommendations defined by the French National Diagnosis and Care Protocol. It has recently been demonstrated that for moderate and severe forms of CDH, tracheal occlusion using a balloon placed in utero by fetoscopy (FETO) increases survival until discharge from the neonatal unit, but at the cost of an increased risk of prematurity. At the same time, advances in neonatal resuscitation and the standardization of follow-up of these children within the framework of the “Centre de Référence Maladies Rares: Hernie de Coupole Diaphragmatique” have improved the prognosis of these children and young adults.

Keywords: Congenital diaphragmatic hernia; in utero surgery; prenatal diagnosis.

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