Research: Prenatal Diagnosis, In Utero Management, and Perinatal Outcomes of Congenital Diaphragmatic Hernia

Clin Obstet Gynecol

. 2025 Apr 29.

 doi: 10.1097/GRF.0000000000000946. Online ahead of print. https://pubmed.ncbi.nlm.nih.gov/40296256/

Prenatal Diagnosis, In Utero Management, and Perinatal Outcomes of Congenital Diaphragmatic Hernia

Felicia V LeMoine 1Sami BackleyEdgar Hernandez-AndradeNeha AgarwalEric P BerghGustavo Vilchez LagosRamesha PapannaSarah NaranjoAnthony JohnsonJimmy Espinoza

Affiliations Expand

Abstract

Congenital diaphragmatic hernia (CDH) is a complex malformation complicating 0.02% to 0.03% of live births. The etiology of CDH is often multifactorial. Sonographic screening can aid in the detection of ~70% of CDH cases. Sonographic measures, that is, lung-to-head ratio, can also be utilized to predict the severity of fetal/neonatal disease and guide fetal eligibility for prenatal interventions, such as the FETO procedure. The FETO procedure has provided improved overall morbidity and mortality among fetuses with severe left-sided CDH, although limited data on its role in the treatment of right-sided CDH and long-term infant and childhood outcomes are limited.

Keywords: FETO; congenital diaphragmatic hernia; fetoscopic endotracheal occlusion.

Recommended Articles

Translate »