Investigation of the relationship between umbilical cord pH and intraventricular hemorrhage of infants delivered preterm

Abstract

SUMMARY OBJECTIVE: We measured the level of pH gases in premature infants at birth, and examined the relationship between brain ultrasonography on the third and seventh day after birth. A case-control study conducted at the Neonatal Intensive Care Unit (NICU) of Shahid Akbar Abadi Hospital, Iran, during the years 2016-2017. METHODS: All premature infants who were admitted to NICU were enrolled in the current study. At birth, a blood gas sample was taken from the umbilical cord of the infants. On the third and seventh day after birth, an ultrasound of the brain of each neonate was performed by a radiologist. The umbilical cord was evaluated for blood gases in 72 neonates (mostly boys). RESULTS: Sixty-six newborns had normal sonography, and 16.7% (12 cases) had anomalies. A total of 75% of the 8 infants with intravenous bleeding were girls, which were significantly different from those in the non-hemodynamic group (62.5% male) (P 0.049). However, the type of delivery, mean weight, height, head circumference, the circumference of the chest, and Apgar score did not differ between the two groups. Mean pH, HCO3– and PCO2 in umbilical cord blood gas samples were not significantly different between the two groups with or without intraventricular hemorrhage (IVH). Although it was not related to gender and type of delivery in newborns CONCLUSION: Blood gases do not help in determining the occurrence of IVH in infants. Nevertheless, it is associated with immaturity and fetal age.

Effects of Spider Cage Therapy in Combination with Conventional Speech Therapy on Speech and Language Function in Children with Cerebral Palsy of Age between 05 and 15 Years

“…Dysphagia is 99% prevalent in severe cases of cerebral palsy but over 40% of cases of cerebral palsy may have Dysphagia during initial stages of their life [6]. A brain of a premature neonate is at risk because of two main pathologies for example periventricular leukomalacia (PVL) and intraventricular hemorrhage (IHV) [7]. In the persistence of the pathologies of brain and specially periventricular leukomalacia, the neonate is at more risk of suffering from cerebral palsy PVL express white matter is damaged in the periventricular region.…”

Faktor-Faktor Risiko Kejadian Lesi Serebral pada Bayi Prematur

“…Di Indonesia, penyebab utama kematian bayi pada tahun 2016 meliputi kelahiran prematur, komplikasi terkait persalinan seperti asfiksia atau kesulitan bernafas saat lahir, infeksi, dan cacat lahir. 1,2 Dampak dari kelahiran prematur termasuk cedera otak dan gangguan fungsional pada otak bayi.…”