[15.] Papille LA, Burstein J, Burstein R et al: Incidence and evolution of subependymal and intraventricular hemorrhage
. J Pediatr 1978; 92:529-534.
Effect of dual tocolysis on the incidence of severe intraventricular hemorrhage
among extremely low-birth-weight infants.
Based on these data, "it was not apparent that repeating the doses added anything" in terms of reducing the risk of death, sepsis, severe respiratory distress syndrome, and severe intraventricular hemorrhage
in neonates, she said.
They compared risk of death and severe intraventricular hemorrhage
(IVH) among 475 infants from multiple gestations and 1,304 singletons.
There were no significant differences between groups in the need for intensive care, duration of intensive care, rates of chronic lung disease or severe intraventricular hemorrhage
, or maternal outcomes.
Outcomes in Babies Born to Women Given a Single Course of Antenatal Steroids Delivery within 7 Delivery after 7 days days Of treatment Of treatment (n = 78) (n = 84) Mechanical ventilation 49% 59% Ventilator days (mean) 0 days 1 day Surfactant use 39% 47% Oxygen dependence at 28 days 23% 22% Oxygen dependence at 36 12% 11% weeks Necrotizing enterocolitis 6% 4% Intraventricular hemorrhage
15% 20% (IVH), any grade IVH, grades III or IV 3% 3% Sepsis 19% 22% IVH or sepsis, not elsewhere 31% 28% classified Death 2 babies 0 babies Mean length of hospital stay 32 days 38 days Sources: Dr.
Mean birth weight and mean gestational age at delivery were the same for both groups of twins, as were rates of sepsis, necrotizing enterocolitis, intraventricular hemorrhage
rates, and neonatal mortality.
Outcomes such as hypothermia, mortality, necrotizing enterocolitis, late-onset sepsis, and severe intraventricular hemorrhage
remained elevated by the end of the study period despite the improvement, especially among African-American infants.
The diagnosis, management, and postnatal prevention of intraventricular hemorrhage
in the preterm neonate.
Evaluation of intraventricular hemorrhage
assessment methods for predicting outcome following intracerebral hemorrhage.
These included the median weights of those who experienced intrauterine death (425 g and 350 g), median live birth weight (725 g and 783 g), intraventricular hemorrhage
of grade II or IV (3% and 2%), periventricular hemorrhage grade II or higher (0%, both groups), necrotizing enterocolitis grade II or higher (7% and 8%), and at least one culture-proven or clinical infection (41% and 33%).
(1) Intraventricular hemorrhage
(IVH) secondary to spontaneous intracerebral hemorrhage (ICH) results 32% in death, and 43% of poor functional outcome in most survivors.