Peri-intraventricular hemorrhage in preterm newborns
Conditions
Interventions
Application of a bundle for 132 preterm infants born weight
less or equal 1,500 g and or gestational age less or equal 34 weeks during six-month period.
Other
Sponsors
Universidade Estadual do Ceará
Maternidade Escola Assis Chateubriant
Eligibility
Age
24 Weeks to 34 Weeks
Inclusion criteria
Inclusion criteria: To be premature with gestational age less than or equal to thirty-four (34) weeks at birth and / or Birth weight less than or equal to 1,500 (one thousand, five hundred) grams.
Exclusion criteria
Exclusion criteria: Newborns with congenital malformations, genetic syndromes and those with congenital infections of the TORCHS group (syphilis, rubella, herpes, toxoplasmosis and cytomegalovirus). Newborns who died before the first ultrasonographic examination or were transferred to another institution due to overcrowding of the Neonatal Unit.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Peri-Intraventricular Hemorrhage (IVHD) in Newborns;The intervention is expected to decrease rates of peri-intraventricular hemorrhage (IVH) in the unit's newborns. | — |
Secondary
| Measure | Time frame |
|---|---|
| Improvement of the degree of peri-intraventricular hemorrhage (IVH) in newborns. ;After application of the bundle, there was a reduction in the incidence of HPIV in 41.4% and 32.4% in severe forms (degrees III and IV). The rate of HPIV and the classification of bleeding was verified in the infants who were hospitalized during the previous year of the intervention in the unit. After intervention (bundle use), the decrease in the rates of HPIV from 90% to 63% was verified in infants who were born weighing less than 1500 grams and with less than 34 weeks. In addition, prior to intervention, infants who were born premature and underweight, only 10% did not present bleeding; after intervention, 63% of these infants did not experience any type of hemorrhage. The presence of HPIV was evaluated using the transfontanel ultrasound (USTF), which is the diagnostic imaging method of choice for the diagnosis of peri-intraventricular hemorrhage, due to its practicality, safety, precision, and low cost. All preterm infants underwent transfontanel ultrasound with 3 (three) to 5 (five) days of life and thereafter every 15 (fifteen) days. | — |
Countries
Brazil
Contacts
Public ContactRhanna Carvalho
Universidade Estadual do Ceará
Outcome results
None listed