Subconjunctival hemorrhage in the newborn: Experience of a tertiary care hospital.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL
Zeliha Karademir, Seda Yilmaz Semerci, Fatma Esin Ozdemir, Sadik Etka Bayramoglu
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引用次数: 1

Abstract

Objective: The aim of this study is to determine the incidence and characteristics of newborns with subconjunctival hemorrhage (SCH).

Methods: In our study, patient files of term infants referred to the study hospital's ophthalmology clinic in 2018-19 were analyzed. Demographic data of infants including gestational week, birth weight, gender, and head circumference were all recorded. The frequency of SCH detection was evaluated depending on delivery type. Demographic data of infants with and without retinal hemorrhage (RH) were compared.

Results: A total of 172 eyes of 86 infants were included in study. Forty-two (48.8%) of 86 neonates were male, and 44 (51.2%) were female. Mean gestational week was 38.62±1.1. SCH was detected in 31.4% (27) in the right eye, 36% (31) in the left eye, and 32.6% (28) in both eyes. The diagnosis was made at the mean of 3.74 days (range 1-20). Mean birth weight was found as 3621.1±453.3 g, head circumference as 35.4±1.3 cm, height as 50.7±2 cm, and chest circumference as 33.6±1.4 cm. Mean Apgar score in 1st min was 7.1±0.4; 5th min was 9. About 11.6% (10) of the mothers were nulliparous, and 88.4% (76) were multiparous. It was found that 79 of the deliveries were vaginal and seven with cesarean section. RH was not detected in any of the infants born with cesarean section.

Conclusion: SCH and RH were more common in infants born vaginally. If SCH is detected, a fundus examination should be performed to not miss possible RH.

Abstract Image

Abstract Image

新生儿结膜下出血:三级护理医院的经验。
目的:探讨新生儿结膜下出血(SCH)的发生率及特点。方法:对研究医院眼科门诊2018- 2019年转诊的足月儿患者档案进行分析。婴儿的人口统计数据包括妊娠周、出生体重、性别和头围均被记录。根据分娩类型评估SCH检测频率。比较有和无视网膜出血(RH)婴儿的人口统计学资料。结果:86例婴幼儿共172只眼纳入研究。86例新生儿中,男42例(48.8%),女44例(51.2%)。平均妊娠周为38.62±1.1周。右眼有27例(31.4%),左眼有31例(36%),双眼有28例(32.6%)。诊断时间平均为3.74天(范围1-20天)。平均出生体重3621.1±453.3 g,头围35.4±1.3 cm,身高50.7±2 cm,胸围33.6±1.4 cm。1 min平均Apgar评分7.1±0.4;第五分钟是9。11.6%(10例)产妇为无产,88.4%(76例)产妇为多产。其中79例为阴道分娩,7例为剖宫产。在剖宫产出生的婴儿中未发现RH。结论:SCH和RH多见于顺产婴儿。如果发现SCH,应进行眼底检查,以免遗漏可能的RH。
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来源期刊
Northern Clinics of Istanbul
Northern Clinics of Istanbul MEDICINE, GENERAL & INTERNAL-
CiteScore
0.40
自引率
0.00%
发文量
48
审稿时长
10 weeks
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