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Intraventricular hemorrhage in preterm neonates--a two year experience
1Department of Pediatrics, Taichung Veterans General Hospital, Taiwan, R.O.C.
Zhonghua Minguo Xiao Er Ke Yi Xue Hui Za Zhi [Journal]. Zhonghua Minguo Xiao Er Ke Yi Xue Hui
|September 1, 1993
Summary
Intraventricular hemorrhage (IVH) affects 7.5% of preterm neonates, with higher rates in those under 1500 gm or 32 weeks gestation. Early diagnosis via brain sonography is crucial for managing this condition.
Area of Science:
- Neonatal neurology
- Pediatric radiology
Background:
- Intraventricular hemorrhage (IVH) is a significant concern in preterm neonates.
- Prematurity and hypoxia are identified risk factors for neonatal IVH.
Purpose of the Study:
- To determine the incidence of IVH in preterm neonates using brain sonography.
- To identify contributing factors and neurological outcomes associated with IVH.
Main Methods:
- A prospective brain sonograph study was conducted on 134 preterm neonates.
- Infants were assessed for IVH, with data collected on birth weight, gestational age, and timing of IVH.
Main Results:
- The overall incidence of IVH was 7.5% (10 infants).
- Incidence was 13% in neonates <1500 gm and 11.27% in those <32 weeks gestation.
- 90% of IVH cases occurred within 72 hours of birth; prematurity and hypoxia were significant factors.
- Favorable neurological outcomes were observed in 6/7 infants with Grade I IVH, while 1/3 with Grade III IVH showed psychomotor delay.
Conclusions:
- Routine brain sonography is a practical and invaluable tool for diagnosing IVH in preterm neonates.
- Early detection and monitoring are essential for managing IVH and predicting neurological outcomes.