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Diaphragmatic Hernia please help

This is our second pregnancy the first pregnancy that we had ended in miscarriage.
My wife is at about 21 weeks. We went for our second ultrasound and it was noted that the stomach is high
up in the chest cavity and the heart is pushed over to the right side. It says that Diaphragmatic Hernia is a
consideration. It also notes everything else is normal. Our doctor who is a midwife told us we will have to
deliver the baby somewhere else, because there are insufficent facilities here locally. She referred us to a
specialist who specializes in sick babies and mothers and she told us it is to early to know and the baby
is still in gestation. She has seen cases where it went back to normal and told us it is to early to worry.
I also spoke to my cousin who is an obgyn and she said that it is possible it could go back to normal too.
We have another appointment next week and the wait is hard. Anyone know about this? I know it is pretty
rare and I have done research I am looking for thoughts-experiences not links.

One more thing the baby kicks alot and seems very active. I hope that is a good sign.

Thanks
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363110 tn?1340920419
Well, according to the research I've done , a diaphragmatic hernia is where the diaphram doesn't fully form correctly and there's a hole in it or no diaphram at all... usually it's just a hole.
They think many things cause it... genetics (it does NOT mean another baby would have it necessarily) and environment. there would be only a %2 of a future child having it.  
it's fairly common, 1:2500 births... (my skin problem is 1:300,000.. lol)
There's a %90 if there is one it's a Bochdalek hernia Which means it's from the diaphram not developing properly. and the tendon in the middle of the diaphram doesn't develop properly.  It can lead to the lungs not developing properly.

During routine prenatal care at around 18 weeks, an ultrasound may reveal the existence of a diaphragmatic hernia, or what is suspected to be CDH. A more detailed diagnosis, using more sophisticated testing including fetal MRI, is essential to confirm the presence of CDH, and to show more specifically the details of its severity

Postnatal (after baby is born) management strategies for congenital diaphragmatic hernia include planned delivery, immediate stabilization, and immediate access to specialized ventilation techniques including nitric oxide and ECMO. In rare cases, a specialized delivery technique, known as the Ex Utero Intrapartum Treatment (EXIT) procedure, which offers immediate ECMO cannulation, may be an option.

ECMO is a special machine which circulates baby's blood oxygenating it properly until surgery can be performed. :)

I was reading that there's around a %90 or BETTER survival rate for kids with this problem and that if proper care is given at birth that is what gives the baby a high chance. :)

If you wanna talk or anything. just message me. My child did not have this problem, but he had down syndrome and was born with 3 holes in his heart. he underwent open heart surgery at 2 1/2 months of age... I know the pain, and worry.....

Cindie
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