A floppy baby with elevated right hemidiaphragm and large stomach bubble on chest radiograph: what’s the diagnosis?

A preterm neonate of 36 weeks’ gestation was born via emergency lower segment caesarean section, requiring respiratory support soon after birth. She was hypotonic from birth and was found to have a large gastric bubble and a raised right hemidiaphragm on X-ray. She reached full feeds through a nasogastric tube on day 3 of life but later developed severe gastro-oesophageal reflux with pulmonary aspiration. What is the likely diagnosis?

Fatimah Aliyu
ST6 Paediatric Trainee, York Teaching Hospital, NHS Foundation Trust, f.aliyu@nhs.net

Udoka Asoh
ST7 Paediatric Trainee, Neonatal Unit, Hull University Teaching Hospitals NHS Trust, u.asoh@nhs.net

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Keywords

NICU; pain management; preterm; non-pharmacological; quality improvement

Also published in Infant:

VOLUME 17/ISSUE 6, NOVEMBER 2021

Stuck inside a hall of mirrors: facets of mum guilt on the SCBU

This paper provides a parent perspective of guilt on the special care baby unit (SCBU) through the voice of a mother of a premature baby, Arthur, born at 29⁺¹ weeks’ gestation. The focus of this piece is on the experience of having a ‘healthy’ preterm baby (defined by a stable condition and no complex medical or intervention needs) and what ‘guilt’ looks like from this view. There is an urgent need for future research to work more with fathers and the wider family to examine their roles better. The paper will incorporate evidence from previous literature to delineate facets of guilt and how an understanding of this can help clinicians to better support the individual needs of families. Recommendations will be made for how a knowledge of parent guilt could shape practice on the neonatal intensive care unit.