Junaid Rashid, Shahid M, Sumair Anwar, Dure Sharaf, Tariq Bhatti.
Frequency of intraventricular haemorrhage in preterm neonates.
Pak J Med Health Sci Jan ;4(4):515-9.

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: 17th March 2007to17th March 2008. Sample Size: 100 preterm neonates were included in study. Methods: 100 cases with prematurity were included. History was recorded with special emphasis on events of pregnancy, delivery and presence or absence of known risk factors. The neonate was examined clinically and cranial ultrasound was done on 1st day of life. Findings were noted on a pre-designed Performa. Results: Out of total 15% patients developed IVH. The gestational age of babies was followed, which showed that 63% presented were from 30 to 35 completed weeks of gestation. 62% were male and 38% were females. Most of the neonates were very low birth weight 41%. 37% were low birth weight, 13% were extremely low birth weight and 09% were incredibly low birth weight. 11% preterm neonates developed IVH during the first 24 hours of life. Out of the total who developed IVH, 09% developed grade I, 03% developed grade II, 01% grade III, and 02% developed grade IV. Conclusion: IVH is the major problem of preterm infants and cranial ultrasonography can accurately predict the presence of IVH IVH is inversely related to birth weight of neonate.

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