Intraventricular hemorrhage in premature infants under 28 weeks in general hospital of Lima, 2013 - 2017

Keywords: Prematurity, Intraventricular hemorrhage, Neonate

Abstract

Objective: To determine the incidence and clinical characteristics of intraventricular hemorrhage in premature infants younger than 28 weeks, born in a general hospital. Material and methods: This is an observational, retrospective cohort study, which included premature infants under 28 weeks gestational, who survived the first day of life and who had a brain ultrasound, born in the Cayetano Heredia Hospital from 2013 to 2017. Neonates with brain malformations and those with incomplete perinatal data were excluded. Results: During the study period, 21 722 newborns were born, of whom 84 were under 28 weeks of age, 72 children from 24 to 27

gestational weeks were included. The male / female ratio was 1.6. The HIV frequency was 58.3% (42/72). 52.4% (22/42) were found in the early form and 47.6% (20/42) in the late form. The severe degrees corresponded to 64% (27/42). Post hemorrhagic hydrocephalus occurred in 26% (11/42) and venous hemorrhagic infarction 21.4% (9/42). 51 patients died, with a fatality rate of 76.1% (32/42). Conclusions: HIV was very frequent, severe and lethal in premature babies <28 weeks, half of the cases occurred in the first three days and the rest during the first two weeks of life. Associated factors were lower birth weight, labor, and pneumothorax.

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Published
2021-04-29
How to Cite
1.
Espiritu Rojas ER, Zumba K, Guillén-Pinto D. Intraventricular hemorrhage in premature infants under 28 weeks in general hospital of Lima, 2013 - 2017. Acta Med Peru [Internet]. 2021Apr.29 [cited 2024Mar.29];38(1):7-16. Available from: https://amp.cmp.org.pe/index.php/AMP/article/view/1921
Section
ORIGINAL ARTICLES