PEDIATRICS Vol. 74 No. 1 July 1984, pp. 32-36
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by McDonald, M. M.
Right arrow Articles by Hathaway, W. E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by McDonald, M. M.
Right arrow Articles by Hathaway, W. E.

Timing and Antecedents of Intracranial Hemorrhage in the Newborn

Marilyn M. McDonald MD1, Beverly L. Koops MD1, Michael L. Johnson MD1, Mary Anne Guggenheim MD1, Carol M. Rumack MD1, Sharon A. Mitchell RN1, and William E. Hathaway MD1

1 From the Departments of Pediatrics and Radiology, University of Colorado School of Medicine, Denver

Fifty newborn infants of less than 33 weeks' gestation were followed prospectively from birth to evaluate the temporal relationships of various clinical factors to the onset and progression of intracranial hemorrhage (ICH) in an inborn population given maximal support. ICH was diagnosed and followed with bedside ultrasound every eight hours. The incidence of intraventricular hemorrhage was 30% and of any ICH was 40% with onset from less than 2 hours to 8 days of age. Grades 2, 3, and 4 ICH correlated with Apgar scores of less than 5 at five minutes, vaginal delivery, longer labors, and intrapartum hemorrhage. There was a significant correlation between ICH and both blood pressure fluctuations of greater than 100% and rapid colloid infusions. Slow transfusions of packed red cells did not appear to precipitate episodes of ICH. In a setting of optimal care, ICH appears to be more related to prenatal stresses than to specific postnatal complications.

Key Words: newborn • intracranial hemorrhage

Submitted on December 28, 1982




This article has been cited by other articles:


Home page
 Arch. Dis. Child. Fetal Neonatal Ed.Home page
A. Allwood, R. Madar, J. Baumer, L Readdy, and D Wright
Changes in resuscitation practice at birth
Arch. Dis. Child. Fetal Neonatal Ed., September 1, 2003; 88(5): F375 - F379.
[Abstract] [Full Text] [PDF]

Home page
 Arch. Dis. Child. Fetal Neonatal Ed.Home page
S. Whyte, G. Birrell, J. Wyllie;, and A. WOOLF
Premedication before intubation in UK neonatal units
Arch. Dis. Child. Fetal Neonatal Ed., January 1, 2000; 82(1): 38F - 41.
[Abstract] [Full Text]

Home page
 CLIN PEDIATRHome page
D. G. Oelberg, D. M. Temple, K. S. Haskins, R. H. Bigelow, and E. W. Adcock
Intracranial Hemorrhage in Term or Near-term Newborns With Persistent Pulmonary Hypertension
Clinical Pediatrics, January 1, 1988; 27(1): 14 - 17.
[Abstract] [PDF]