Evaluation of Factors Affecting Intraventricular Hemorrhage in Term Neonates in Tehran Vali-e-Asr Hospital, 2016-2018

Mamak  Shariat; Zahra Molla  Ahmadipour; Hosein  Dalili; Samira  Moradi; Yasamin Soufi  Enayati; Farima  Raji

doi:10.18502/acta.v63i4.20168

Mamak Shariat Maternal, Fetal & Neonatal Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran
Zahra Molla Ahmadipour Maternal, Fetal & Neonatal Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran
Hosein Dalili Maternal, Fetal & Neonatal Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran
Samira Moradi Maternal, Fetal & Neonatal Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran
Yasamin Soufi Enayati Maternal, Fetal & Neonatal Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran
Farima Raji Maternal, Fetal & Neonatal Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/acta.v63i4.20168

Keywords: Intraventricular hemorrhage; Term neonates; Brain injury

Abstract

Intraventricular hemorrhage can be associated with various complications that ultimately lead to brain damage. This study aimed to investigate the factors affecting intraventricular hemorrhage in term neonates. This case-control study compared 58 full-term neonates with an IVH diagnosis and 100 healthy full-term neonates. Information on exposure to maternal and prenatal risk factors was collected from Vali-e-Asr Hospital's neonatal information system between 2016 and 2018. Data were collected and analyzed in SPSS software. In this study, risk factors significantly associated with IVH included male gender, respiratory distress, pneumothorax, hydrocephalus, thrombocytopenia, anemia, vitamin K deficiency, asphyxia, hypoglycemia, the need for resuscitation at birth, the requirement for mechanical ventilation, and low weight for gestational age. The mean Apgar score of the first and fifth minutes was significantly lower in the IVH group. The results of this study will determine the risk factors affecting intraventricular hemorrhage to predict and manage brain injury in term neonates.