[Antenatal care for fetuses with congenital diaphragmatic hernia].

Autor: Mégier C; Service de gynécologie-obstétrique, CPDPN Paris Saclay, hôpital Bicêtre, AP-HP, université Paris Saclay, Le Kremlin-Bicêtre, France; Centre de référence maladies rares : hernie de coupole diaphragmatique, Clamart, France. Electronic address: charles.megier@aphp.fr., Letourneau A; Centre de référence maladies rares : hernie de coupole diaphragmatique, Clamart, France; Service de gynécologie-obstétrique, CPDPN Paris Saclay, hôpital Antoine-Béclère, AP-HP, université Paris Saclay, Clamart, France. Electronic address: letourneau.alexandra@aphp.fr., Bejjani L; Centre de référence maladies rares : hernie de coupole diaphragmatique, Clamart, France; Service de gynécologie-obstétrique, CPDPN Paris Saclay, hôpital Antoine-Béclère, AP-HP, université Paris Saclay, Clamart, France. Electronic address: lina.bejjani@aphp.fr., Boumerzoug MM; Centre de référence maladies rares : hernie de coupole diaphragmatique, Clamart, France; Service de radiologie pédiatrique, hôpital Bicêtre, AP-HP, université Paris Saclay, Le Kremlin-Bicêtre, France. Electronic address: meriem.boumerzoug@aphp.fr., Suffee C; Centre de référence maladies rares : hernie de coupole diaphragmatique, Clamart, France; Service de radiologie, hôpital Antoine-Béclère, AP-HP, université Paris Saclay, Clamart, France. Electronic address: cecile.suffee@aphp.fr., Huynh V; Centre de référence maladies rares : hernie de coupole diaphragmatique, Clamart, France; Service de radiologie pédiatrique, hôpital Bicêtre, AP-HP, université Paris Saclay, Le Kremlin-Bicêtre, France. Electronic address: van.huynh@aphp.fr., Saada J; Centre de référence maladies rares : hernie de coupole diaphragmatique, Clamart, France; Service de gynécologie-obstétrique, CPDPN Paris Saclay, hôpital Antoine-Béclère, AP-HP, université Paris Saclay, Clamart, France. Electronic address: julien.saada@gmail.com., Dumery G; Service de gynécologie-obstétrique, CPDPN Paris Saclay, hôpital Bicêtre, AP-HP, université Paris Saclay, Le Kremlin-Bicêtre, France; Service de radiologie pédiatrique, hôpital Bicêtre, AP-HP, université Paris Saclay, Le Kremlin-Bicêtre, France. Electronic address: gregoire.dumery@aphp.fr., Benachi A; Centre de référence maladies rares : hernie de coupole diaphragmatique, Clamart, France; Service de gynécologie-obstétrique, CPDPN Paris Saclay, hôpital Antoine-Béclère, AP-HP, université Paris Saclay, Clamart, France. Electronic address: alexandra.benachi@aphp.fr.
Jazyk: francouzština
Zdroj: Gynecologie, obstetrique, fertilite & senologie [Gynecol Obstet Fertil Senol] 2024 Sep; Vol. 52 (9), pp. 533-537. Date of Electronic Publication: 2024 Mar 16.
DOI: 10.1016/j.gofs.2024.03.002
Abstrakt: 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.
(Copyright © 2024. Published by Elsevier Masson SAS.)
Databáze: MEDLINE
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