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
perinatal post-mortem consent; consent training; bereavement care
Key points
  1. National recommendations state that all consent takers should be trained and specifically approved to take consent for a post-mortem examination. A lack of specialist training is a barrier to consent.
  2. Our survey found that the Sands pre-requisites for training consent takers are not being met. Consent takers desire standardised, accessible and free training. Encompassing the findings, an interactive e-learning resource has been developed to meet the consent takers’ needs.

Also published in Infant:

VOLUME 3/ISSUE 4, JULY 2007
Care for good days, difficult days, last days and beyond – hospice care for life-limited youngsters
Support and respite for families of life-limited children is rare and diminishing. Hospices fulfil a vital role in providing physical, emotional and spiritual support to parents and siblings. When a child is diagnosed with a life-limiting condition, families often feel isolated and helpless. Naomi House is one of 39 children’s hospices in England and Wales that provides one-to-one palliative care that includes respite, terminal and bereavement care and support. It offers a holistic approach to care with an emphasis on enhancing the lives of life-limited children.

Read more...