Prevalence of Periventricular-Intraventricular Hemorrhage Diagnosed on Transcranial Ultrasound among Preterm Neonates Admitted to the NICU in Tikur Anbessa Specialized Hospital, Ethiopia
No Thumbnail Available
Date
2018-09
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Objective: To determine the incidence of PIVH among preterm neonates admitted to TASH NICU using .TCUS.
Method: A hospital-based cross-sectional study was conducted at Tikur Anbessa Specialized Hospital among preterm neonates admitted to the NICU in TASH from November, 2017 to July, 2018. The study population comprised all preterm neonates born 36 weeks and earlier and admitted to NICU in TASH for whom focused trans cranial ultrasound (TCUS) was done. Data were collected from November, 2017 to July, 2018 using structured data collection instrument and it was analyzed by using SPSS 20.0 software, then summarization and comparison of data was done.
Results: In our study, the prevalence of PIVH in preterm infants was 20.7% in the first seven days of postnatal life. Grade I PIVH was the most frequent (42.86%) followed by Grade III PIVH (25.71%), Grade IV (27.5%) and Grade II PIVH (22.86%) respectively. Grade II was the least prevalent. Independent variables significantly associated with presence of PIVH were birth weight (P = 0.001, CI 95%), gestational age (P = 0.001, CI 95%). Other associations were Low 1st minute APGAR (P = 0.021, CI 95%), Prenatal steroid administration (P = 0.215, CI 95%), mode of delivery (P = 0.01, CI 95%) and neonatal sepsis (P = 0.023, CI 95%),
Conclusion: The study found lower overall prevalence of PIVH compared to reports of other studies in Africa and globally, while the frequency of severe PIVH was relatively very high. Variables significantly associated with IVH were birth weight and gestational age. The other associations were Low 1st min. APGAR, mode of delivery and presence of neonatal sepsis. The findings of the study are in keeping with findings of studies from other African and global studies.
Description
Keywords
Periventricular-Intraventricular hemorrhage