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[Neonatal hemorrhagic syndromes].

N Salem1, K Monastiri, K Bacha

  • 1Service de néonatologie, hôpital Farhat-Hached, 4000 Sousse, Tunisie.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|May 8, 2001
PubMed
Summary

Neonatal hemorrhagic syndromes occurred in 2.17% of hospitalizations, with newborn hemorrhagic disease and disseminated intravascular coagulation being primary causes. Vitamin K prophylaxis is crucial for prevention.

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Area of Science:

  • Neonatology
  • Pediatric Hematology
  • Public Health

Context:

  • Hemorrhagic syndrome in newborns is a significant clinical concern.
  • Understanding the etiological factors is critical for effective management.
  • This study focuses on a neonatal unit in Sousse, Tunisia, between 1991 and 1996.

Purpose:

  • To determine the frequency of neonatal hemorrhagic syndromes.
  • To identify the primary causes of these syndromes in hospitalized newborns.

Summary:

  • A retrospective study analyzed 7,128 newborn reports, identifying 155 cases (2.17%) of hemorrhagic syndrome.
  • Key etiologies included newborn hemorrhagic disease (27.7%) and disseminated intravascular coagulation (27.1%).
  • Associated conditions, particularly neonatal infections, were present in 76.1% of cases.

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Impact:

  • The findings highlight the substantial incidence of neonatal hemorrhagic syndromes.
  • Results underscore the importance of systematic vitamin K prophylaxis for both mothers and newborns.
  • This research informs strategies for preventing and managing bleeding disorders in neonates.