Clinical case of congenital diaphragmatic hernia

Congenital diaphragmatic hernia is a rare congenital anomaly of development with frequency approximately 1 in 2,500 live births. The structural defect accompanied by pathophysiological disorders, particular, pulmonary hypertension, as well hypoplasia various degrees, which actually determine the severity defect. In 84% cases, located on left dome diaphragm, possible right-sided and left-sided localization malformation, 14 2%, respectively.The can be either isolated or combined other anomalies, such heart disease chromosomal abnormalities. Violation closure diaphragm during 4-10th week fetal leads to formation grid. During same period (5th gestation) lungs bronchs. Three-dimensional ultrasound diagnosis allows detect prenatal almost 60% fetuses. Fetal MRI method choosing anatomical assessment lungs, determining their volume you more accurately predict complications required amount care after birth. article devoted description clinical observation ENT features perinatal organization postnatal care. was diagnosed at 31 weeks, vaginal delivery occurred full-term pregnancy. complex resuscitation measures, preoperative preparation, course postoperative described. Timely EDC its variant makes it correctly develop patient’s route, starting tactics pregnancy, delivery, algorithm staff actions birth subsequent treatment newborn.