1592 neurodevelopmental follow-up of vlbw neonates: effects of gmh/ivh

ABSTRACT During a 12-month period, our NICU admitted 65 VLBW neonates (BW <1250 g) who survived longer than 36 hr. CT scans and/or postmortem examination were performed on 62 (95%). CT

scanning revealed germinal-matrix and/or intraventricular hemorrhage (GMH/IVH) in 27 of the 62 (43.5%), and GMH/IVH was found at postmortem in 7 others (11.3%), yielding a total incidence of

54.8%. There were no significant differences in the BW, GA, Apgars, sex, or mode of resuscitation in the survivors with or without GMH/IVH and in the deceased. No infants with Grades III or

IV IVH survived. Of the 49 VLBW survivors, 32 (65%) have been followed with neurologic examinations and with the Bayley Scales of Infant Development at 3, 6, and 12 months corrected age.

When the results for the survivors with and without IVH were compared at each age, no significant differences were found (see table). The incidence of major neurologic abnormalities was

quite low and was similar for both groups. No infant with a Grade II IVH has required shunting for post-hemorrhagic hydrocephalus. We conclude that a Grade I or II GMH/IVH appears to add

little neurodevelopmental risk for the early development of the VLBW Infant. ARTICLE PDF AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Yale Univ. Sch. of Med., Depts. of Ped., Neurol., &

Neuroradiol., New Haven, CT. Laura R Ment, David T Scott, Stephen G Rothman, Richard A Ehrenkranz & Joseph B Warshaw Authors * Laura R Ment View author publications You can also search

for this author inPubMed Google Scholar * David T Scott View author publications You can also search for this author inPubMed Google Scholar * Stephen G Rothman View author publications You

can also search for this author inPubMed Google Scholar * Richard A Ehrenkranz View author publications You can also search for this author inPubMed Google Scholar * Joseph B Warshaw View

author publications You can also search for this author inPubMed Google Scholar RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Ment, L., Scott, D.,

Rothman, S. _et al._ 1592 NEURODEVELOPMENTAL FOLLOW-UP OF VLBW NEONATES: EFFECTS OF GMH/IVH. _Pediatr Res_ 15 (Suppl 4), 708 (1981). https://doi.org/10.1203/00006450-198104001-01609 Download

citation * Issue Date: 01 April 1981 * DOI: https://doi.org/10.1203/00006450-198104001-01609 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content:

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