Case report: nutritional management of a repaired congenital diaphragmatic hernia

Abstract

Congenital diaphragmatic hernia (CDH) is a rare diaphragm malformation that historically had low survival rates, but advances in care have improved outcomes. This case study discusses the outpatient management of an 8-month-old male infant who survived CDH but, due to a severe oral aversion, required nutritional adaptations to ensure optimal growth was maintained. Barriers experienced included volume tolerance, feeding tolerance, and the need for feeding skill development. The case emphasises the importance of individualised nutritional management.

Keywords: congenital diaphragmatic hernia (CHD), growth faltering, multidisciplinary approach, oral aversion