The Prevalence of IntraventricularHemorrhage in Preterm Neonates at Bent Alhuda Teaching Hospital, Nassiryiacity. Iraq (original) (raw)
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Frequency of Intraventricular Haemorrhage in Preterm Neonates
Background: Intraventricular hemorrhage is one of the most common problems of premature Infants. Its causes severe neurological morbidity and mortality. Objective: To determine the frequency of IVH in clinically suspected premature neonates in pediatric unit Jinnah hospital Lahore. Study Design: Hospital based cross sectional study. Setting: Pediatric department, Jinnah Hospital Lahore. Duration of Study: 17 th March 2007to17 th March 2008. Sample Size: 100 preterm neonates were included in study.
Iranian Journal of Child Neurology, 2021
Objective Intra-ventricular hemorrhage (IVH) is the leading cause of mortality and disability in premature neonates. The present study aimed to determine the frequency of IVH and its risk factors in the premature newborns admitted to the Neonatal Intensive Care Unit (NICU)at Fatemieh Hospital in Hamadan, Iran, in 2016. Methods & Materials This retrospective cross-sectional study was conducted on178 neonates with a gestational age of ≤ 32 weeks admitted to Fatemieh Hospital affiliated to the Hamadan University of Medical Sciences, Hamadan, Iran, in 2016. The study population was selected using the census method. The newborns were subjected to cranial ultrasound on the seventh day of life, and they were assigned into two case and control groups (namely neonates with IVH and those without IVH, respectively). Intra- ventricular hemorrhage was classified into four grades regarding Papile classification. The patients’ demographic specifications, including 1- and 5-minute Apgar scores, typ...
Intraventricular haemorrhage in premature infants: a study from Oman
Journal of Tropical Pediatrics, 1997
In a prospective study at Sultan Qaboos University Hospital, 95 premature infants with birthweights equal or less than 1500 g were screened for intraventricular haemorrhage (IVH) using cranial ultrasound. Nineteen (20 per cent) were found to have developed IVH. Eight out of fourteen variables studied showed a significant difference between infants who did and those who did not develop IVH. These variables were Apgar score at 1 and 5 min, mechanical ventilation (IPPV), blood transfusion, receiving boluses of sodium bicarbonate for correction of metabolic acidosis, the degree of acidosis, the degree, and duration of hypercarbia (CO 2 > 8 kPa).
Nigerian Journal of Clinical Practice, 2019
Background: Intraventricular hemorrhage (IVH) is a severe complication among preterm neonates which can result in hydrocephalus, cerebral palsy, behavioural disorders, learning disabilities, or death. It is important to identify the factors associated with IVH in order to prevent these neurological consequences and reduce the resultant burden of neurological disease. Aim: To determine the factors associated with IVH among preterm neonates. Design: The study was prospective cross-sectional in design. Subjects and Methods: Ninety-nine preterm neonates who were < 37 completed weeks of gestation were recruited consecutively from the Special Care Baby Unit of a Tertiary Hospital. Transfontanelle ultrasonography was used to detect IVH and the factors associated with IVH were classified into: neonatal, maternal (prenatal), and clinical factors. Data were analyzed using SPSS version 16.0 for windows. Chi-squared test and Fisher's exact probability test were used as appropriate. The l...
Caspian Journal of Pediatrics (CJP), 2021
Background and Objective: Intraventricular hemorrhage (IVH) is a major cause of brain injury in preterm infants. Considering the high prevalence of IVH in preterm infants and the importance of determining the risk factors, this study was done to evaluate the prevalence of various grades of IVH and identify the different associated factors and short-term complications. Methods: In this retrospective study, the medical records of 54 preterm infants (26-37 weeks gestational age) admitted to the neonatal intensive care unit (NICU) of Bahrami Hospital, Tehran, Iran (2015-2018) were examined. Cranial ultrasonography was performed in all patients, and IVH was classified into 4 grades. A checklist was prepared and filled them out, and then the data were analyzed using SPSS-21. Findings: Out of all subjects, IVH was found in 11 infants (20.4%). The most frequent IVH grades were 1 and 2. The most common Apgar scores in the fifth minute was 6. The mean weight of infants and Apgar score in patients with IVH was significantly lower than that of those without IVH. In multivariate logistic regression analysis of factors affecting IVH, Apgar score was the only significant independent predictor of IVH, such that with each number increase in Apgar score, the risk of IVH decreased (up to 100%). Conclusion: Based on the results of this study, birth weight, gestational age and fifthminute Apgar score were associated with IVH. Prevention of preterm birth and other preventive measures can reduce the complications of this disease.
https://www.ijhsr.org/IJHSR\_Vol.7\_Issue.3\_March2017/IJHSR\_Abstract.05.html, 2017
Background: Cerebral intraventricular haemorrhage (IVH) is the most common CNS lesion found in autopsy of newborn. It occurs almost exclusively in premature infants less than 2500 gm. About 90 % of IVH originate in subependymal germinal matrix. Modern and advanced neonatal care has reduced the mortality rate of preterm and extreme preterm neonates but if the incidence of IVH is not decreased, then the morbidity will increase in future and it will be a great psychological trauma to parents and society. It is important to regularly monitor IVH with neurosonography at regular intervals to prevent advancement of grade I hemorrhage to higher grades. Because grade III and IV hemorrhage has much worse prognosis than grade I hemorrhage. Also mortality is much higher with higher grades of hemorrhage. Aim: To assess the distribution of IVH and its risk factors using Neurosonography. Material & Methods: Present prospective study was conducted in preterm newborns admitted in Nicu having intraventricular haemorrhage (IVH). Study was conducted over period of 2 years. Study group comprised of 545 preterm neonates admitted who fulfilled inclusion criteria of study. Radiological assessment was done with serial USG through anterior fontanell (Neurosonography). Babies with clinical suspicion of IVH but normal Neurosonogram were subjected to C.T. Scan brain. Result: IVH was found in 10.8% (59 babies). Highest incidence (52.5%) was found between gestational age of 26-30 weeks. Majority of IVH babies i.e 38 (68.6%) had birth weight less than 1kg. Incidence of IVH in babies of mother who had not received antenatal steroids was 77.96%. Usg through anterior fontanelle could detect IVH in 100% of babies with IVH. Mortality rate was highest in grade 4 IVH & lowest in grade I IVH. Conclusion: IVH is more common in extreme preterm and ELBW babies. Antenatal steroids is found to be beneficial in decreasing incidence of IVH in preterm babies in this study. Mortality rate increases as grades of IVH increases. Nerosonography is very effective to detect even early grades of IVH.
Academic Journal of Pediatrics & Neonatology, 2016
Intraventricular hemorrhage (IVH) is one of the major complications in premature infants, and its management is quite challenging. This review article describes the pathophysiology, risk factors, and complications of IVH. Further, it explains the current diagnosis and treatment of IVH, along with the recent advances in its management. IVH can occur due to fragility of germinal matrix vasculature, impairment of cerebral auto-regulation, coagulation disorders, genetic factors, and oxygen toxicity. Cranial ultrasonography has been the gold standard for screening in newborns for detecting abnormalities like IVH. However, the need of the hour is diagnostic techniques which not only provide information on brain anatomy, but also related to the hemodynamics. Thus, various techniques are being explored like near infra-red spectroscopy (NIRS), advanced magnetic resonance imaging (MRI) techniques, along with the use of biomarkers. Regarding management of IVH, various invasive and non-invasive methods are used for managing intracranial pressure, respiratory distress, and avoiding complications like bleeding. Nowadays, various bundles of measures are being adopted to decrease the incidence of IVH like delayed cord clamping, minimal handling for first few hours, avoiding head down position, antenatal corticosteroids etc. Establishing standard diagnostic and management practices for IVH can prove to be really helpful in its management and prevention.
International Journal of Pediatrics and Adolescent Medicine, 2021
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Journal of Perinatal Medicine
Objectives To conduct a systematic literature review to evaluate the global incidence of intraventricular hemorrhage grade 2–4 among extremely preterm infants. Methods We performed searches in MEDLINE and Embase for intraventricular hemorrhage and prematurity cited in English language observational studies published from May 2006 to October 2017. Included studies analyzed data from infants born at ≤28 weeks’ gestational age and reported on intraventricular hemorrhage epidemiology. Results Ninety-eight eligible studies encompassed 39 articles from Europe, 31 from North America, 25 from Asia, five from Oceania, and none from Africa or South America; both Europe and North America were included in two publications. The reported global incidence range of intraventricular hemorrhage grade 3–4 was 5–52% (Europe: 5–52%; North America: 8–22%; Asia: 5–36%; Oceania: 8–13%). When only population-based studies were included, the incidence range of intraventricular hemorrhage grade 3–4 was 6–22%....