Intracranial hemorrhage related with late hemorrhagic disease of the newborn

İNCECİK F., Özlem Hergüner M., Sangun Ö., Özcan K., YILDIZDAŞ R. D., Altunbaşak Ş.

Erciyes Tip Dergisi, vol.29, no.1, pp.31-34, 2007 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 29 Issue: 1
  • Publication Date: 2007
  • Journal Name: Erciyes Tip Dergisi
  • Journal Indexes: Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.31-34
  • Keywords: Hemorrhagic disease of newborn, Intracranial hemorrhage, Vitamin K deficiency
  • Hatay Mustafa Kemal University Affiliated: Yes

Abstract

Purpose: To evaluate the clinical and radiological findings of twenty-two patients who had intracranial hemorrhage related with late hemorrhagic disease of the newborn (HDN). Material and Methods: The ages ranged from 31 to 61 days (mean 45.32 ± 10.37 days) and all had intracranial hemorrhage related with late HDN. Results: Of the patients, fourteen were male (63.6%) and 8 were female (36.4%). All were full-term babies. None were administered vitamin K at birth and all were breast-fed. There was no history of protracted diarrhoea or antibiotic usage. Major complaints on admittance were convulsions (63.6%), vomiting (59%) and irritability (45.4%). Intracranial hemorrhage was mostly localized as subdural hematoma. Conclusions: Intracranial bleeding risk of late HDN is high and the incidence is reported as 50-80%. Hemorrhage related with vitamin K deficiency is still a problem today. It is upsetting that babies who are born in hospital are admitted with HDN as well as home births. Therefore, medical personnel who deal with the newborn should be educated in this simple procedure. In this way, it will be possible to decrease the morbidity and mortality of the newborn.