Abstract
ICH is prevalent in premature infants and thought to be related to various obstetrical and neonatal factors. The prevalence of ICH in term infants, however, has not been determined. Using real time ultrasound B scanning (RTBS), on the third to fifth day of life, we determined the incidence of ICH in 29 asymptomatic term infants born at LAC/USC Medical Center. This group consisted of 16 females and 13 males with a birth weight range 2780 - 4876, gestational age range 37 - 42 weeks, and, apgar scores ≥ 8. 19 of the infants were appropriate for gestational age (AGA), and 10 were large for gestational age (LGA). 24 were products of uncomplicated vaginal delivery (20 spontaneous, 4 outlet forceps); the remaining 5 were delivered by cesarean section - all without fetal distress. All infants had a normal physical examination in the nursery and were discharged on schedule. RESULTS: ICH was detected in 4 of the 29 (13.8%) and confirmed on CT scanning. The four affected babies had been delivered vaginally,from vertex presentation and were AGA.
The simplicity of RTBS and the frequency of ICH in asymptomatic infants may warrant routine scanning. The impact of neonatal ICH on subsequent development requires long term follow up study.
Supported in part by Ariel Kaare Rosholt Weathers-Lowin Medical Research Foundation.
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Sims, M., Lebed, M., Quach, H. et al. 1427 SILENT INTRACRANIAL HEMORRHAGE (ICH) IN THE TERM NEONATE. Pediatr Res 15 (Suppl 4), 681 (1981). https://doi.org/10.1203/00006450-198104001-01456
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DOI: https://doi.org/10.1203/00006450-198104001-01456