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World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
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Abstract
RISK FACTORS FOR INTRAVENTRICULAR HEMORRHAGE IN VERY AND EXTREMELY LOW BIRTH WEIGHT PREMATURE NEONATES
*Rahaf Dayoub and Oday Jouni
ABSTRACT
Background: Intraventricular hemorrhage (IVH) remains a common and severe complication in premature infants with poor outcome, especially in severe cases. Objective: The aim of this study is to evaluate the risk factors that associated with occurrence of IVH. Materials and Methods: An observational prospective cohort study was conducted for the period two years (2020 and 2021) at Tishreen University Hospital in Lattakia-Syria. The study included two groups of premature neonates were compared: group I consisted of 31 neonates with a diagnosis of IVH(cases), whereas group II consisted of 84 neonates without IVH(controls). Results: The results showed that 26.95% of the study population had IVH, including 42% 0f mild grade and 58% of severe grade. IVH occurred during 72 hours after birth in 71% and after 3 days in 29%. The prevalence of IVH was increased significantly with decreasing of gestational age (p:0.006), birth weight (p:0.0001), Apgar score(p:0.0001), and non- using corticosteroid in the perinatal period (p:0.007). Post-natal factors that associated significantly with IVH were: need for mechanical ventilation, pneumothorax, hyaline membrane disease, PDA, hyperglycemia, acidosis, using of inotropic drugs, and septicemia(p
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