Prenatal diagnosis and management of fetuses with congenital diaphragmatic hernia
Authors:
I. Urbánková; L. Haaková; Z. Straňák; L. Krofta
Authors‘ workplace:
3. LF UK, přednosta prof. MUDr. M. Anděl, CSc.
; Ústav pro péči o matku a dítě, ředitel doc. MUDr. J. Feyereisl, CSc.
Published in:
Ceska Gynekol 2011; 76(6): 439-442
Category:
Original Article
Overview
Objective:
The aim of this article is to review current options of prenatal diagnosis and management of fetuses with congenital diaphragmatic hernia at the Institute for the Care of Mother and Child.
Setting:
Institute for the Care of Mother and Child, 3. LF UK, Prague.
Methods:
Review of the literature.
Results:
Prenatal diagnosis of congenital diaphragmatic hernia based on 2D ultrasound. Measurement of the lung-to-head ratio (LHR), observed to expected lung to head ratio (O/E LHR), side of the diaphragmatic defect, assessment of the liver position and presence of associated anomalies (negative prognostic factors) are used for prediction of outcome. Prenatal diagnosis can be suplemented by 3D ultrasonography and magnetic resonace imaging. An important part of succesful management of CDH is the referal of cases to a specialised center.
Key words:
congenital diaphragmatic hernia, prenatal diagnosis.
Sources
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Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineArticle was published in
Czech Gynaecology
2011 Issue 6
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