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

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.
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.

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