Özdemir, Ö M A Van Kadın Doğum ve Çocuk Hastalıkları Hastanesi - Yenidoğan Ünitesi, Turkey , Kökten Yıldırım, N Van Kadın Doğum ve Çocuk Hastalıkları Hastanesi - Yenidoğan Ünitesi, Turkey , Alkılıç, L Van Kadın Doğum ve Çocuk Hastalıkları Hastanesi - Yenidoğan Ünitesi, Turkey , Yener Öztürk, Ş Van Kadın Doğum ve Çocuk Hastalıkları Hastanesi - Radyoloji Birimi, Turkey , Adalı, F Van Kadın Doğum ve Çocuk Hastalıkları Hastanesi - Radyoloji Birimi, Turkey

Incidence of periventricular/intraventricular hemorrhage and risk factors in newborns who were examined with cranial ultrasonography during the early postnatal period

14706

Aim: To evaluate the incidence of periventricular/intraventricular hemorrhage (PV/IVH) and risk factors in newborns followed-up in the neonatal intensive care unit (NICU) and examined with cranial ultrasonography (US).Material and Methods: 100 newborns hospitalized in the NICU because of prematurity, hypoxic delivery, apnea and respiratory distress and examined with cranial US were included in the study. The newborns were divided into 4 groups according to their gestational-age and birth-weights. Type of delivery, neonatal resuscitation application in delivery, low Apgar score, respiratory distress syndrome (RDS), apnea, mechanical ventilation, transfusion of blood and blood products and total parenteral nutrition were recorded as risk factors.Results: Incidence of PV/IVH was found to be 32% and inversely proportional with gestational-age and birth-weight. According to Papile Classification, PV/IVH was grade II and below in most (68.7%) of the newborns. A significant increase in PV/IVH incidence was found in newborns delivered vaginally, prematurely and in those received mechanical ventilator support. The mortality rate was 43.7% in newborns with PV/IVH and was significantly higher than those without hemorrhage (P 0.001) Conclusion: Newborns monitored in the NICU and who have the aforementioned risk factors should be evaluated for PV/IVH using cranial US which has no adverse effects and can easily be performed at bed-side and then should be followed-up closely.

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Intracranial hemorrhage , ultrasonography , newborn

Ege Journal Of Medicine

252