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TITLE:

DETERMINATION OF CLINICAL COURSE OF INTRAVENTRICULAR HEMORRHAGE IN NEONATES WITH HIGH RISK

AUTHORS:

Dr Haris Afzal, Dr Shaher Bano Fatima, Dr Ommyya Usman

ABSTRACT:

Objective: The aim of this research work is to determine the clinical course of intraventricular hemorrhage (IVH) and the determination of the temporary consequence of the affected infant. Study Design: This was a transverse prospective research work. Study Setting: This study was conducted at the Pediatric ward of the Nishtar Hospital Multan from March 2017 to July 2018. Study Subjects: All the neonates with high danger who got admission in the hospital were the part of this research work. Low weight at the time of birth & asphyxia were the important risk factors. Clinical aspects in accordance with the severity of hemorrhage and short term consequence was the most important outcome. Results: Total 17.80% (n: 21) children out of one hundred and eighteen high-risk neonate developed the complication of IVH. Among total eighty-one children with low weight at the time of birth, 23.50% (n: 19) children were suffering from the IVH. The symptoms which were very common were suck refusal, weakness/laziness & poor reflex as well as convulsion were the signs. Total 47.60% (n: 10) met their death within initial two weeks of their lives and five children got complete recovery. Remaining 28.60% (n: 6) children developed the anomaly of neurological sequleae. Conclusion: The monitoring of regular course and prediction of children with IVH can be carry out with clinical aspects along with the help of aid of cranial ultrasonography. Keywords: Ultrasonography, Cranial, Neurological, Anomaly, Encephalopathy, Twitching & Cyanosis, Symptoms.

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