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040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.28.M.Sc.2018.Ay.I
100 0 _aAya Allah Fathy Abdelhadi Soliman
245 1 0 _aIncidence of intracranial hemorrahage (ICH) in preterm neonates and its relationship to obstetric and neonatal risk factors /
_cAya Allah Fathy Abdelhadi Soliman ; Supervised Mohamed Elsayed Hashem , Eman Abdelghany Abdelghany , Sherif Al Anwary Abdelmonaam
246 1 5 _aنسبة إنتشار نزيف المخ فى حديثى الولادة المبتسرين و علاقته بعوامل الخطورة أثناء فترة الحمل وبعد الولادة
260 _aCairo :
_bAya Allah Fathy Abdelhadi Soliman ,
_c2018
300 _a91 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520 _aBackground : Intracranial hemorrhage (ICH) is a major source of neonatal morbidity and mortality. It most often occurs during labor as the result of mechanical factors in the pre-term infants it can occur even prior to labor or as late as the second week of life usually as a result of hemodynamic instability.Aim of work: to find out the incidence of ICH in preterm neonates (below 36 weeks) and its relationship with the obstetric and neonatal risk factors at Kasr Al Aini NICU, Cairo University, Egypt. Patients and methods:This was a Retrospective study includes preterm neonates divided into two groups; the study group include cases previously diagnosed as having ICH radiologically, the other group is the control group during the period from March 2015 to March 2016.This retrospective study included (643) preterm patient admitted to Kasr El Aini NICU , our cases group which was previously diagnosed as having ICH included (42) case and the control group included (84) preterm cases not diagnosed as having ICH. Results:Our study revealed that the incidence of ICH was 6.53% among cases admitted to NICU . After correlation of data collected we find out that the risk factors of ICH which have high statistically significant value were (NVD , instrumental use during delivery ,maternal bleeding disorder , maternal drug use , surfactant administration, neonatal sepsis , gestational age , weight , Apgar score at 5 minutes,neonatal platelet count and neonatal INR ) while the other risk factors were insignificant.The mortality was 42.9% of the cases and 57.1% of the cases were discharged.Conclusion: The incidence of ICH in cases admitted to NICU in the period of the study was 6.53% , several risk factors were observed with high mortality rate 42.9%
530 _aIssued also as CD
653 4 _aIntracranial hemorrhage
653 4 _aPreterm
653 4 _aRisk factors
700 0 _aEman Abdelghany Abdelghany ,
_eSupervisor
700 0 _aMohamed ElsayedHashem ,
_eSupervisor
700 0 _aSherif Alanwary Abdelmonaam ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aEnas
_eCataloger
905 _aNazla
_eRevisor
942 _2ddc
_cTH
999 _c68737
_d68737