FREQUENCY AND GRADING OF INTRAVENTRICULAR HEMORRHAGE IN PRETERM BABIES ADMITTED IN NATIONAL INSTITUTE OF CHILD HEALTH, KARACHI, PAKISTAN

Main Article Content

Deepak Kumar
Mashal Khan
Mehmood Sheikh
Muhammad Hanif

Abstract

Objective: To report the frequency of IVH in preterm neonates and IVH grading on cranial ultrasound.


Methodology: This prospective cross-sectional study was carried out at NICH. All preterm infants of either gender were consecutively enrolled. Detailed history of the infant regarding the clinical examination and socio-demo­graphic characteristics of the infants were noted. IVH was observed in all preterm neonates, and all infants were categorized according to the Papile grading.


Results: Of 144 neonates, the mean age was 2.34 ±0.97 days. There were 93 (64.6%) males and 51 (35.4%) females. IVH was observed in 144 (37.6%) neonates. A significant mean difference of age (p: <0.001), gestational age (p: <0.001), birth weight (p: <0.001), APGAR score at 1 min (p; <0.001), APGAR score at 5 min (p: <0.001) was observed in between IVH and non IVH neonates. Furthermore, a significant association of place of admission (p: <0.001), mode of delivery (p: 0.038), need of invasive/non-invasive ventilator (p: 0.002), and preterm status (p: <0.001) was observed with IVH. IVH grade I was observed in 75 (52.1%), grade II in 45 (31.3%), grade III in 18 (12.5%), and grade IV in 6 (4.2%) neonates.


Conclusion: A notably higher number of preterm neonates had IVH. While grade I was most common, a majority exhibited severe grades (III and IV). Extremely early preterm births carried increased risk of spontaneous delivery and greater reliance on invasive/non-invasive ventilator support.

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1.
Kumar D, Khan M, Sheikh M, Muhammad Hanif. FREQUENCY AND GRADING OF INTRAVENTRICULAR HEMORRHAGE IN PRETERM BABIES ADMITTED IN NATIONAL INSTITUTE OF CHILD HEALTH, KARACHI, PAKISTAN. J Postgrad Med Inst [Internet]. 2023 Nov. 6 [cited 2024 May 29];37(4):262-8. Available from: https://www.jpmi.org.pk/index.php/jpmi/article/view/3202
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