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2021, Number 3

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Rev Med UAS 2021; 11 (3)

Clinical and epidemiological features of intraventricular hemorrhage in preterm infants

Salas-Zazueta RR, Cabanillas-Ayón M, Canizales-Muñoz S

Language: Spanish
References: 19
Page: 198-209
PDF size: 154.01 Kb.


ABSTRACT

Objective: Determine the clinical-epidemiological characteristics associated with intraventricular hemorrhage in newborns. Methods: Observational, retrospective, descriptive, non-correlational, cross-sectional, retrospective study. Newborns (NB) with complete medical histories were included with the information required to fill out the data collection form. NBs less than 3999 grams and older than 24 SDG up to 40 SDG with the diagnosis during the period from October 2015 to December 2019. Results: A total of 127 patients who met the inclusion criteria were integrated, a total of 37 were excluded, a total of 90 records with the diagnosis of intraventricular hemorrhage (IVH) were reviewed. A frequency of IVH Grade I was observed in both sexes. There is a relationship between birth weight and the severity of IVH in preterm infants weighing less than 1500gr. The overall prevalence was 7.21%. The neonates who died due to different pathologies presented some degree of IVH. Among the associated pathologies, the most frequent was respiratory distress syndrome. It is shown that the higher the degree of IVH according to the classification, the more complications are observed. Conclusions: The prevalence of IVH in neonates was most predominant in Grade I. Gestational age and IVH were found to be closely related. Newborns younger than 32 SDG are susceptible to develop IVH. It is essential to perform transfontanelar ultrasound in severe NBs. Complications of IVH were leukomalacia and ventricular dilatation are associated with short- and long-term neurological deficits. The ideal treatment of IVH is prevention. The first measure is to avoid the birth of premature infants.


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