Work in progress. This guide is being written and reviewed.

Glossary of terms you will hear

This page is educational and is not medical advice. If you have an urgent concern, call your physician or 911.

CDH (congenital diaphragmatic hernia) — A hole in the diaphragm, present from birth, that lets abdominal organs move up into the chest and crowd the developing lungs.

Diaphragm — The dome-shaped muscle separating the chest from the abdomen; the main muscle of breathing.

Pulmonary hypoplasia — Underdeveloped lungs that are smaller and less mature than expected.

Pulmonary hypertension — High blood pressure in the lung’s blood vessels, which makes it harder to move oxygen into the blood. A central challenge in CDH.

O/E-TFLV (observed-to-expected total fetal lung volume) — A fetal MRI measurement comparing your baby’s lung volume to what would be expected at that gestational age. Used to estimate severity.

Percent liver herniation (%LH) — How much of the liver has moved up into the chest, measured on fetal MRI. More liver up generally means greater severity.

LHR (lung-to-head ratio) — An ultrasound-based measure of lung size relative to head size, used at some centers.

FETO (fetoscopic endoluminal tracheal occlusion) — A before-birth procedure that places a small balloon in the windpipe to encourage lung growth, removed before delivery.

Gentle ventilation — A breathing-support strategy that uses the lowest safe pressures to protect fragile lungs.

ECMO (extracorporeal membrane oxygenation) — A heart-lung bypass machine that temporarily does the work of the lungs so they can rest and recover. Used in the most severe cases.

Patch repair — Closing a large diaphragm defect with a patch of material when there is not enough tissue to stitch the edges together.

MFM (maternal-fetal medicine) — Obstetricians who specialize in high-risk and complex pregnancies.

Neonatologist — A physician who specializes in the care of newborns, especially those who are critically ill.


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