Microstructural modifications of thick diamond films grown by microwave plasma CVD at different reactant gas flow rates have been studied by transmission electron microscopy. A strong degradation of the diamond quality was observed at low hydrogen flow rates, while the layer grown at the highest hydrogen flow rate was almost defect free. The abundance of various defects observed, mostly microtwins, stacking faults, dislocations and even amorphous regions, clearly correlates with the gas flow rate. Illustrations of typical defects are given and, in particular, planar defect intersections are characterized at atomic resolution in specimens where their density was high.