Evidence map›Paper›PMID 41942872›Full record

ArticleBMC pregnancy and childbirth2026

The factors influencing parents and clinicians in medical decision making for fetuses with congenital diaphragmatic hernia at a tertiary referral centre in Beijing: a five-year retrospective study.

Chenxiao Hou, Shijing Song, Jingjing Wang, Qingqing Wu

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Article in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Chenxiao Hou *Department of Ultrasound, Beijing Shijitan Hospital, Capital Medical University, Beijing, P. R, China.
Shijing Song *Department of Ultrasound, Beijing Obstetrics and Gynecology Hospital, Capital Medical University; Beijing Maternal and Child Health Care Hospital, 251 Yaojiayuan Road, Chaoyang District, Beijing, P. R, 100026, China.
Jingjing WangDepartment of Ultrasound, Beijing Obstetrics and Gynecology Hospital, Capital Medical University; Beijing Maternal and Child Health Care Hospital, 251 Yaojiayuan Road, Chaoyang District, Beijing, P. R, 100026, China.
Qingqing WuDepartment of Ultrasound, Beijing Obstetrics and Gynecology Hospital, Capital Medical University; Beijing Maternal and Child Health Care Hospital, 251 Yaojiayuan Road, Chaoyang District, Beijing, P. R, 100026, China. qingqingwu@ccmu.edu.cn.

Funding

Postdoctoral Science Foundation of Beijing Obstetrics and Gynecology Hospital attached to Capital Medical University 2022
6 · The paper itself

Abstract

backgroundThe emerging demands for the most up to guide parents and clinicians in medical decision making for fetuses with congenital diaphragmatic hernia has become an urgent issue. We aimed to analysis the proposal for prenatal assessment of the fetuses with congenital diaphragmatic hernia at a tertiary referral centre in Beijing. The type and frequency of malformations associated with fetuses with congenital diaphragmatic hernia and the factors associated with pregnancy outcome were evaluated.

methodsAll prenatal congenital diaphragmatic hernia cases detected by ultrasound between July 2017 and December 2022 at the Beijing Obstetrics and Gynecology Hospital were included. The data were compared between the born group and unborn group. The characteristics of the anomalies associated with congenital diaphragmatic hernia cases and the observed-to-expected lung area to head circumference ratio in born group were analysed. The maternal age, gestational age at diagnosis, genetic testing, ultrasound information, and pregnancy outcome were statistically analysed using two independent-sample t-test and χ2 square test. Univariate analysis was performed on the characteristics of these two groups, followed by multivariate analysis .

resultsA total of 105 fetuses with congenital diaphragmatic hernia were retrospectively reviewed. Overall mortality rates of isolated and non-isolated congenital diaphragmatic hernia cases in the born group were 34.4% and 30.0%, respectively. Antenatal diagnosis rates of congenital heart disease and increased nuchal translucency thicknesses with congenital diaphragmatic hernia were significantly different between the two groups (7% vs. 29%, p < 0.05; 2% vs. 23%, p < 0.05). In the multivariate analysis, the risk factors independently associated with pregnancy termination were gestational age at diagnosis (odds ratio [OR] 0.887, 95% CI 0.802–0.981, p < 0.05) and congenital heart disease (OR 0.158, 95% CI 0.030–0.841, p < 0.05).

conclusionsWe call for a more positive advice for parents of fetuses with isolated, non-critical and non-isolated congenital diaphragmatic hernia based on an increased survival rate. The likelihood of termination of pregnancy in congenital diaphragmatic hernia is increased by early detection and the combination of congenital heart disease.In the born group, critical congenital heart disease and increased nuchal translucency thicknesses seem to be associated with a higher risk of neonatal mortality.

Indexed as

Clinical Decision-MakingHernias, Diaphragmatic, CongenitalParentsAdultBeijingFemaleGestational AgeHumansPregnancyPregnancy OutcomeRetrospective StudiesTertiary Care CentersUltrasonography, PrenatalCongenital diaphragmatic herniaFetusMalformationPregnancyTermination

Identifiers

PMID41942872
PMCPMC13188416

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