Chaudhury Habibur Rasul, Hasan M A, Miah S R, Rahman M M.
Clinical course and outcome of Intraventricular Hemorrhage in high risk Neonate.
Pak J Med Sci Jan ;20(1):9-12.

Objective: To ascertain the clinical course of intracranial haemorrhage and to determine the short-term outcome of the affected baby. Design: This is a cross sectional prospective study. Setting: Neonatal Ward of Khulna Medical College Hospital for a period of 15 months from January 2002 to March 2003. Subjects: All the high-risk newborns admitted in Khulna Medical College Hospital were enrolled for this study. Low birth weight and perinatal asphyxia were regarded as the high risk factors. Main outcome variables: Clinical features in relation to severity of haemorrhage and short term outcome. Results: Twenty-one children (17.8%) out of 118 high-risk newborn developed intraventricular haemorrhage. Among 81 low birth weight babies 19 (23.5%) suffered from intraventricular haemorrhage. The commonest symptoms were refusal to suck; lethargy and signs were poor reflex and convulsion. Ten babies (47.6%) died within first two weeks of life and five recovered fully. The remaining 6 (28.6%) babies developed neurological sequleae. Conclusion: The natural course and prognosis of babies with intraventricular haemorrhage can be monitored with clinical feature along with the aid of cranial ultrasound.

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