Official publication of Rawalpindi Medical University
Risk Factors of Subependymal Hemorrhage-Intraventricular Haemorrhage in Preterm Infants
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How to Cite

1.
Gulbin Shahid ,Mahmood Jamal , Yasir Bin Nisar. Risk Factors of Subependymal Hemorrhage-Intraventricular Haemorrhage in Preterm Infants. JRMC [Internet]. 2017 Mar. 30 [cited 2024 Mar. 28];21(1). Available from: https://www.journalrmc.com/index.php/JRMC/article/view/98

Abstract

To determine the frequency and peak
time of occurrence of subependymal hemorrhageintraventricular
hemorrhage (SEH-IVH) in preterm
infants and to identify the predisposing risk factors.
Methods: In this descriptive study consecutive live
born babies (n=135), between the gestational ages of
28-34 weeks, were enrolled. Information regarding
weight, gestational age, mode of delivery and
presence of risk factors were recorded. Each newborn
underwent cranial ultrasound on designated days
and was followed up till the fourth week of life
unless expired.
Results: The frequency of SEH-IVH was found to
be 20.8%. The most vulnerable group in terms of
gestational age and weight were infants < 32 wks
and weighing < 1.5 kg respectively. The peak age of
occurrence of SEH-IVH was first three days of life.
Risk factors found to be associated with SEH-IVH
were RDS with ventilation, exchange transfusion
and thrombocytopenia.
Conclusion: The incidence of SEH-IVH in infants
between 28-34 wks gestation is significantly high.
The crucial period is the first three days of life and
respiratory distress syndrome (RDS) with
ventilation, exchange transfusion and
thrombocytopenia carry the highest risk of
hemorrhage. There is a need to emphasize on the
prevention of prematurity and optimum perinatal
management to minimize the risk of hemorrhage.

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