Abstract
During a 12-month period, our NICU admitted 65 VLBW neonates (BW <1250 g) who survived longer than 36 hr. CT scans and/or postmortem examination were performed on 62 (95%). CT scanning revealed germinal-matrix and/or intraventricular hemorrhage (GMH/IVH) in 27 of the 62 (43.5%), and GMH/IVH was found at postmortem in 7 others (11.3%), yielding a total incidence of 54.8%. There were no significant differences in the BW, GA, Apgars, sex, or mode of resuscitation in the survivors with or without GMH/IVH and in the deceased. No infants with Grades III or IV IVH survived. Of the 49 VLBW survivors, 32 (65%) have been followed with neurologic examinations and with the Bayley Scales of Infant Development at 3, 6, and 12 months corrected age. When the results for the survivors with and without IVH were compared at each age, no significant differences were found (see table). The incidence of major neurologic abnormalities was quite low and was similar for both groups. No infant with a Grade II IVH has required shunting for post-hemorrhagic hydrocephalus. We conclude that a Grade I or II GMH/IVH appears to add little neurodevelopmental risk for the early development of the VLBW Infant.
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Ment, L., Scott, D., Rothman, S. et al. 1592 NEURODEVELOPMENTAL FOLLOW-UP OF VLBW NEONATES: EFFECTS OF GMH/IVH. Pediatr Res 15 (Suppl 4), 708 (1981). https://doi.org/10.1203/00006450-198104001-01609
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DOI: https://doi.org/10.1203/00006450-198104001-01609