Prenatal Evaluation and Management for CDH - A Guide for Referring Providers

Learn about prenatal evaluation and management of Congenital Diaphragmatic Hernia (CDH) through this 14-minute Q&A video featuring Dr. Ahmet Baschat, director of the Johns Hopkins Center for Fetal Therapy. Discover the fundamentals of CDH, including its definition and key ultrasound findings that suggest the condition. Explore the comprehensive CDH workup process at Johns Hopkins and understand how CDH severity is classified to guide treatment decisions. Examine eligibility criteria for Fetoscopic Endoluminal Tracheal Occlusion (FETO) procedures and review Johns Hopkins' outcomes with fetal CDH therapy. Analyze the risks and benefits of fetal surgery for CDH cases and learn about options for continuing prenatal care locally after initial evaluation. Understand delivery requirements for CDH cases and discover how Johns Hopkins supports shared care models with referring providers. Gain insights into the comprehensive postnatal CDH services available, including long-term support options for infants with CDH. Master the referral process and learn practical approaches to clinical decision-making that improve coordinated care for patients with this complex condition.

Syllabus

00:22 What is congenital diaphragmatic hernia CDH?
1:55 When should CDH be referred to Johns Hopkins?
2:38 What ultrasound findings suggest CDH?
3:13 What is the CDH workup at Johns Hopkins?
3:40 How is CDH severity classified?
5:10 Who is eligible for FETO at Johns Hopkins?
6:06 What are Johns Hopkins’ outcomes with fetal CDH therapy?
7:26 What are the risks and benefits of fetal surgery for CDH?
8:43 Can prenatal care continue locally after evaluation?
9:34 Is in-house delivery required for CDH cases?
10:19 How does Johns Hopkins support shared care?
11:06 What postnatal CDH services does Johns Hopkins offer?
12:42 What long-term support is available for CDH infants?
13:29 How do I refer a patient?