INCIDENCE OF INTRAVENTRICULAR HEMORRHAGE BY DELIVERY METHOD

Autor: Thomas A Losure, Ronald Librizzi, Soraya Abbasi, Michael N Musci, Chari Otis
Rok vydání: 1984
Předmět:
Zdroj: Pediatric Research. 18:381A-381A
ISSN: 1530-0447
0031-3998
Popis: The optimal method for delivery of the infant less than 1500 grams is still under debate. In order to assess this situation we examined the records of all infants born between June,1981 and Dec., 1982. During that 18 month period, 226 infants were delivered between 500 and 1500 gms. A total of 91 infants were born vaginally and 135 by C/section. All infants were inborn. The overall survival rate was 85%. For this study only non-asphyxiated infants (5 minute Apgar ≥ 7) were included, for a total of 155 infants. There were 60 infants born vaginally and 95 born by C/section. The mean birth weights were 1161±255 gms and 1153±231 gms respectively. All infants had a routine cranial ultrasound during the first 72 hours of life, and then weekly thereafter as indicated. The overall incidence of intraventricular hemorrhage (IVH) was 12%. The results by delivery were as follows: The incidence of IVH, diagnosed after the fifth day of life was 8% in both groups. This would indicate neonatal rather than perinatal factors being more contributory. Although the numbers ultimately were small and there was no difference in survival noted, delivery tended to favor C/section.
Databáze: OpenAIRE