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©2013 UpToDate ® Print Email Recommended schedule of follow-up for infants with congenital diaphragmatic hernia Before discharge 1-3 months after birth 4-6 months after birth 9-12 months after birth 15-18 months after birth Annual through 16 years Weight, length, occipital-frontal circumference X X X X X X Chest radiograph X If patched If patched If patched If patched If patched Pulmonary function testing If indicated If indicated If indicated Childhood immunizations As indicated throughout childhood X X X X X RSV prophylaxis RSV season during first 2 years after birth (if evidence of chronic lung disease) X X X X X Echocardiogram and cardiology follow-up X If previously abnormal or if on supplemental oxygen If previously abnormal or if on supplemental oxygen If previously abnormal or if on supplemental oxygen If previously abnormal or if on supplemental oxygen If previously abnormal or if on supplemental oxygen Head computed tomography or MRI If (1) abnormal finding on head ultrasound; (2) seizures/abnormal neurologic findings*; or (3) ECMO or patch repair As indicated As indicated As indicated As indicated As indicated Hearing evaluation Auditory brainstem evoked response or otoacoustic emissions screen X X X X Every 6 months to age 3 years, then annually to age 5 years Developmental screening evaluation X X X X Annually to age 5 years Neurodevelopmental evaluation X X Annually to age 5 years Assessment for oral feeding problems X X If oral feeding problems If oral feeding problems If oral feeding problems If oral feeding problems Upper gastrointestinal study, pH probe, and/or gastric scintiscan Consider for all patients If symptoms If symptoms Consider for all patients If symptoms If symptoms Esophagoscopy If symptoms If symptoms If symptoms or if abnormal gastrointestinal evaluations If symptoms If symptoms Scoliosis and chest wall deformity screening (physical examination, chest radiograph, and/or computed tomography of the chest) X X The neurosensory tests performed and frequency of surveillance may differ among infants with CDH because of variability in neurologic, developmental, and physiologic impairments. Follow-up should be tailored to each infant. RSV: respiratory syncytial virus. * Muscle weakness, hypotonia, hypertonia, or other abnormal neurologic sign or symptom. Reproduced with permission from: Lally KP, Engle W. Postdischarge follow-up of infants with congenital diaphragmatic hernia. Pediatrics 2008; 121:627. Copyright © 2008 by the AAP.