Infant Journal
for neonatal and paediatric healthcare professionals

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
infant feeding; breastfeeding; prematurity; nutrition; donor human milk; milk bank;
Key points
  1. This article outlines the challenges facing provision of DHM during the COVID-19 pandemic.
  2. Mitigation strategies to ensure safety and provision of DHM have been developed by group consensus.
  3. There is a high probability that SARS-CoV-2 is not transmitted through human milk – the latest data are reported.

Also published in Infant:

VOLUME 17/ISSUE 1, JANUARY 2021
Management of lactation following the death of a baby
The death of an infant is a profound, emotionally complex time in a new mother’s life. She grieves for the baby she has lost, the life she imagined and her role as a mother. Compounding this emotional distress is the physical pain associated with engorgement and milk secretion. This article discusses the physiology of lactation and practical advice to give to bereaved mothers to help them through this time. Ways to suppress lactation are discussed as well as the concept that continuation may be the right pathway for some mothers.

Read more...