Which of the following interventions are used to treat congenital diaphragmatic hernia?
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Congenital diaphragmatic hernia (CDH) is a rare birth defect in which a hole in the diaphragm allows the intestines, stomach, liver and other abdominal organs to enter the chest, impairing normal lung development. Show
CDH Treatment: Why Choose Johns Hopkins
Patient Story: FETO Treatment for CDHFetoscopic Treatment for Congenital Diaphragmatic Hernia (CDH) | Natika's Story Natika’s baby was diagnosed with a left side congenital diaphragmatic hernia (CDH). The Johns Hopkins Center for Fetal Therapy team performed life-saving fetoscopic endotracheal occlusion in utero. Watch how the Johns Hopkins Hospital team ushered baby William to health from diagnosis and surgery to birth and after care.  CDH Treatment: What to ExpectDuring your first appointment, you will meet with our multispecialty team who will perform a detailed evaluation to determine the condition's severity. Diagnostic procedures may include:
Following your initial consultation, we will review with you the test results and your treatment options. Then, we will work together to develop a care plan that works best for you and your baby. If you choose fetal surgery, our experts will perform fetoscopic endotracheal occlusion (FETO). The goal of this procedure is to support lung development throughout the pregnancy. After fetal surgery, we will continue to monitor your pregnancy closely. We will coordinate your delivery at Johns Hopkins with our pediatric and neonatology teams, which will be ready to provide any treatments, including extracorporeal membrane oxygenation (ECMO), that are needed to ensure safety and quality of life for your baby at birth. After birth, our pediatric surgical team will perform early surgical repair using the most advanced approaches. Following surgery, our pediatric team will work with you to develop a long-term care management plan. Congenital Diaphragmatic Hernia (CDH) | Q&A Jena Miller, M.D., discusses congenital diaphragmatic hernia treatment and care provided by the Johns Hopkins Center for Fetal Therapy. She discusses how CDH is diagnosed, options for treatment and follow-up. Our CDH SpecialistsOur multidisciplinary team includes fetal medicine specialists and surgeons, neonatologists, pediatric surgeons, nurses, genetic counselors and social workers who work together to ensure your child receives the full spectrum of CDH care and has the best quality of life possible. Fetal Medicine and SurgeryAhmet Baschat M.D. Pediatric SurgeryShaun Michael Kunisaki, M.D., M.Sc. ECMO SpecialistMelania Bembea M.D., M.P.H., Ph.D. NeonatologistsLawrence Nogee M.D. Patient ResourcesOur Featured ResearchJohns Hopkins experts have been at the forefront of research into the benefits of fetoscopic tracheal occlusion (FETO) balloon surgery, an experimental technique used to improve lung function in babies with severe CDH. Our research includes:
Webinar Event Caring for You and Your Baby from Prenatal Diagnosis to Infancy
The diagnosis of a congenital diaphragmatic hernia (CDH) prior to delivery can be confusing and overwhelming. Learn about the Johns Hopkins Fetal Center and our family-centered approach to care from Ahmet Baschat, director of the Center for Fetal Therapy, pediatric surgeons Shaun Kunisaki and Alejandro Garcia and pediatric cardiologist Melanie Nies. What is the best treatment for congenital diaphragmatic hernia CDH?Congenital Diaphragmatic Hernia Treatment
Breathing support is needed before and after surgery. Sometimes, a heart / lung bypass machine is used to help the lungs heal. A baby with CDH needs surgery to put organs into the correct place and close the opening in the diaphragm.
What is the first step in management of a newborn with a congenital diaphragmatic hernia?All babies with congenital diaphragmatic hernia are at high risk of severe breathing problems due to the underdevelopment of the lungs. Managing any degree of breathing distress is the first and most important step in caring for these babies.
What is a congenital diaphragmatic hernia?Diaphragmatic hernia is a birth defect where there is a hole in the diaphragm (the large muscle that separates the chest from the abdomen). Organs in the abdomen (such as intestines, stomach, and liver) can move through the hole in the diaphragm and upwards into a baby's chest.
How do you resuscitate a baby with severe congenital diaphragmatic hernia?Resuscitation of infants with CDH also involves placement of a nasogastric tube (NG) into the stomach for removal of entrained air and secretions as well as placement of catheters in the umbilical artery and vein for administration of medications (vein) and continuous blood pressure monitoring and sampling of blood ( ...
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