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,

Udoka Asoh
ST7 Paediatric Trainee, Neonatal Unit, Hull University Teaching Hospitals NHS Trust,

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speech and language therapist; AHP; GIRFT improvements
Key points
  1. SLTs are core members of the neonatal team.
  2. SLTs work collaboratively within the neonatal team to support early infant feeding and communication skills.
  3. SLTs are contributing to current workforce developments in neonatal care.

Also published in Infant:

Nursing the surgical neonate part 1: developing a neonatal surgical outreach service
In 2007 it was reported by 23 of the 26 UK centres providing paediatric surgery for neonates that all but one had refused admissions due to lack of capacity. In the last decade, Birmingham Children’s Hospital has addressed this problem by developing a neonatal surgical outreach service. This article describes the concept behind the outreach service and how it was developed.