Department of Paediatrics

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Open Access
Ultrasonographic pattern of intraventricular hemorrhage in preterm neonates in Lagos, Nigeria
(2016) Adefalujo, A.; Soyebi, K.; Fajolu, I.
Intraventricular hemorrhage (IVH) commonly occurs in preterm neonates. Transfontanelle ultrasonography (TFUSS) is a non-invasive technique for the detection and characterization of IVH in preterm. The aim of this study was to determine the incidence, grades, time of evolution of IVH and to correlate the findings with demographics. Serial Transfontanelle sonography was performed on three hundred preterm neonates admitted into a tertiary hospital. Sonographic findings, relevant antenatal, perinatal, and postnatal history were obtained, with relevant tests of statistical significance. Ninety-five neonates (31.7%) had IVH, 90.5% of hemorrhages occurred in the first week of life. Incidence of IVH was higher in babies born at gestational age less than 32weeks and birth weight < 1.5kg. There was no statistical correlation between grades of IVH and the degree of prematurity. The incidence of IVH in preterm neonates is high therefore all preterm neonates should be serially scanned. The lower the gestational age at birth the higher the risk of IVH and the severity of IVH is independent of degree of prematurity.