[Sonographically diagnosed subependymal intraventricular hemorrhage in clinically inconspicuous newborn infants and their relation to perinatal factors]. 1986

A Rempen, and A Feige

With an intracranial ultrasound screening at the University Clinic of Obstetrics and Gynaecology, Wuerzburg, a subependymal/intraventricular haemorrhage (SEH/IVH) was observed in 37 cases (5.5%). Of the analyzed maternal, obstetric and neonatal variables as possible risk factors of SEH/IVH, SEH/IVH was significantly more frequent in male newborns, first- and secondborn children and in infants of very young mothers, whereas it was significantly less frequently found after rupture of the membranes with the cervix fully dilated and in large-fordates infants. Factors like mode of delivery, presentation, duration of labour, drugs sub partu, maternal injuries, oligohydramnios, meconium staining, coiling of the umbilical cord, birth weight and size, post-maturity, hypotrophy, umbilical cord blood gas analysis, and Apgar score did not show a significant correlation to SEH/IVH. Multivariate analysis only substantiated an independent association between gender and SEH/IVH. Newborns with an umbilical artery pH less than or equal to 7.19 together with an one-minute Apgar score less than or equal to 8 had a four times higher bleeding rate than infants with normal pH and/or Apgar score. The mentioned parameters, however, are not appropriate to predict SEH/IVH in asymptomatic newborns. The appearance of SEH/IVH is usually due to a combination of events rather than to a single factor. The role of raised head compression and intrapartual hypoxia in the causation of SEH/IVH in term newborns has to be clarified in further studies.

UI MeSH Term Description Entries
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D008297 Male Males
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D002543 Cerebral Hemorrhage Bleeding into one or both CEREBRAL HEMISPHERES including the BASAL GANGLIA and the CEREBRAL CORTEX. It is often associated with HYPERTENSION and CRANIOCEREBRAL TRAUMA. Brain Hemorrhage, Cerebral,Cerebral Parenchymal Hemorrhage,Hemorrhage, Cerebral,Intracerebral Hemorrhage,Hemorrhage, Cerebrum,Brain Hemorrhages, Cerebral,Cerebral Brain Hemorrhage,Cerebral Brain Hemorrhages,Cerebral Hemorrhages,Cerebral Parenchymal Hemorrhages,Cerebrum Hemorrhage,Cerebrum Hemorrhages,Hemorrhage, Cerebral Brain,Hemorrhage, Cerebral Parenchymal,Hemorrhage, Intracerebral,Hemorrhages, Cerebral,Hemorrhages, Cerebral Brain,Hemorrhages, Cerebral Parenchymal,Hemorrhages, Cerebrum,Hemorrhages, Intracerebral,Intracerebral Hemorrhages,Parenchymal Hemorrhage, Cerebral,Parenchymal Hemorrhages, Cerebral
D002552 Cerebral Ventricles Four CSF-filled (see CEREBROSPINAL FLUID) cavities within the cerebral hemispheres (LATERAL VENTRICLES), in the midline (THIRD VENTRICLE) and within the PONS and MEDULLA OBLONGATA (FOURTH VENTRICLE). Foramen of Monro,Cerebral Ventricular System,Cerebral Ventricle,Cerebral Ventricular Systems,Monro Foramen,System, Cerebral Ventricular,Systems, Cerebral Ventricular,Ventricle, Cerebral,Ventricles, Cerebral,Ventricular System, Cerebral,Ventricular Systems, Cerebral
D004453 Echoencephalography Use of reflected ultrasound in the diagnosis of intracranial pathologic processes. Echoencephalographies
D004805 Ependyma A thin membrane that lines the CEREBRAL VENTRICLES and the central canal of the SPINAL CORD. Ependymas
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006863 Hydrogen-Ion Concentration The normality of a solution with respect to HYDROGEN ions; H+. It is related to acidity measurements in most cases by pH pH,Concentration, Hydrogen-Ion,Concentrations, Hydrogen-Ion,Hydrogen Ion Concentration,Hydrogen-Ion Concentrations

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