Possible outcomes and ongoing problems
The best possible outcome is if your baby continues to improve and is transferred to your local special care baby unit and eventually you are able to take your baby home. The length of time your baby will be in hospital can be anything from 6 weeks to over 12 months depending on whether your baby improves quickly or experiences complications.
Once your baby is home you can expect to receive visits from outreach nurses and health visitors, who will help you with all aspects of your baby’s ongoing recovery and any ongoing issues. If all goes well your baby will have few or no lasting problems and will grow up to be a normal healthy adult. Here are some of the things your baby may experience as a consequence of CDH:
- Feeding issues such as your baby being slow to breast or bottle feed which may affect growth and weight gain and in extreme cases; a failure to thrive. Occasionally a tube (NG tube) may need to be placed into your baby’s nose and down into their stomach to help with giving feeds and medication. Sometimes a tube is placed directly into the stomach or small intestines if a feeding tube is needed for a while.
- Reflux is where gastric acid rises from the stomach into the foodpipe (Oesophagus). This can be distressing for you and your baby, but can normally be treated with medication. In severe cases a procedure called a nissen fundoplication is carried out where the surgeon improves the natural barrier between the stomach and the foodpipe. This prevents the flow of acids from the stomach into the foodpipe and beyond, and strengthens the valve between the two, which stops acid from backing up into the oesophagus as easily.
- Speech and developmental issues resulting from artificial ventilation and long periods of hospitalisation. Your child will normally be referred to a specialist and speech therapist to deal with these issues.
- Hearing loss can occur and nobody knows exactly why this happens. Again, baby will be monitored throughout childhood by an audiologist (Hearing specialist) with regards to his or her hearing.
- Re-herniation is uncommon, but can be serious if it occurs. The signs that this may have happened are as follows:
- baby or child is generally unwell
- loss of appetite
- abdominal discomfort and or pain
- difficulty breathing
- vomiting (may contain bowel contents)
If you notice any of these signs contact your GP immediately or call an ambulance.