Management of Congenital Diaphragmatic Hernia (CDH)

This enduring material continuing education activity is intended to meet the educational needs and practice skills of physicians, advanced practice nurses, nurses, and other healthcare professionals in the fields of maternal fetal medicine, obstetrics, radiology, genetics, neonatology, pediatric surgery, pediatric cardiology, anesthesiology, pediatrics and family practice.

Among the many issues clinicians face today, staying current with advances in prenatal diagnosis, perinatal management, surgical repair strategies and long term outcomes for congenital anomalies is becoming a major challenge. This enduring material continuing education activity will provide participants a foundation and framework for confidently managing congenital diaphragmatic hernia (CDH) and determining appropriate level of perinatal care.

This course incorporates evidence-based diagnostic techniques, defect specific neonatal and surgical care guidelines and published outcomes directly related to the management of CDH. The intent is to improve learners’ knowledge and performance through adoption of consistent prenatal assessment standards and neonatal protocols; enhance learners’ competence in prenatal counseling by incorporating recently published outcomes for children with congenital diaphragmatic hernia; and improve patient outcomes by providing learners’ with pertinent criteria to determine the appropriate location for delivery and postnatal care.

Upon completion of this enduring material, participants will be able to:

  1. Review the differential diagnosis and spectrum of disease associated with congenital diaphragmatic hernia (CDH)
  2. List CDH specific prenatal prognostic indicators
  3. Discuss pregnancy surveillance, recommendations for delivery planning and optimal care guidelines for neonates with CDH
  4. Describe surgical repair strategies, including indications for ECMO
  5. Discuss important outcomes and prognosis for survivors of CDH
  6. Recall key elements of a standardized, multi-disciplinary follow-up program for survivors of CDH

AMA Credit Designation Statement

The Children’s Hospital of Philadelphia designates this enduring material for a maximum 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Advanced Practice Nurse and Registered Nurse Participation

Advanced practice providers (APP), nurses and respiratory therapists who complete this enduring material educational activity will need to follow the instructions in the “Method of Participation” section and will be eligible to receive a certificate of completion, which may be used for re-licensure and re-certification. For further information, please contact Kathleen Monforto, PhD, MSN, RN, CPN, Education Nurse Specialist, at