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
postpartum depression; psychological screening; hospital anxiety and depression scale; thematic analysis
Key points
  1. Mothers on the NNU are at greater risk of psychological distress, which can have a detrimental impact on the baby and the family unit.
  2. Detecting psychological distress is vital.
  3. Staff interviews were conducted and thematically analysed. Results showed that the HADS was beneficial to mothers and clinical practice, and helpful for identifying and enhancing access to psychological support.

Also published in Infant:

VOLUME 17/ISSUE 3, MAY 2021
Trauma in fathers following complicated childbirth: the need for intervention
It is well known that the mental health of both parents, especially in the early post-partum period, can have a significant negative impact on the psychological wellbeing of an infant. There is growing evidence that fathers can experience trauma, potentially resulting in post-traumatic stress disorder (PTSD) following the complicated delivery of their child. Currently there is little research that has been conducted on the prevalence of PTSD in these fathers, or the need for them to be treated accordingly. An extensive literature review was conducted to assess the current status of the research in this field; the clinical implications of these findings are discussed.

Read more...