Birth-related retinal hemorrhages in the newborn : incidence and relationship with maternal, obstetric and neonatal factors. Prospective study of 2,031 cases
Copyright © 2014 Elsevier Masson SAS. All rights reserved..
PURPOSE: To assess the prevalence, morphology and distribution of retinal hemorrhages in healthy newborns and their relationship to neonatal, maternal and obstetrical factors, and to determine their natural history.
PATIENTS AND METHODS: The present study prospectively included 2,031 consecutive healthy newborns. Indirect ophthalmoscopy was performed within 24 hours after birth in all newborns. Infants with retinal hemorrhages were reexamined weekly until the hemorrhage resolved. Annual ophthalmologic follow-up was also scheduled in these children. Neonatal, maternal and obstetric parameters were analyzed in all newborns and compared between newborns with retinal hemorrhages and those without retinal hemorrhages.
RESULTS: 31.8 % of newborns exhibited retinal hemorrhages. 72.6 % of hemorrhages were bilateral. They tended to be localized around the optic discs and in the posterior pole, but their distribution was variable. Retinal hemorrhages were of variable shapes. The prevalence of retinal hemorrhages was higher in newborns delivered with vacuum-assisted extraction (38 %, P<0.001), intermediate during normal vaginal delivery (32.6 %, P<0.001) and lower with cesarean section (20.8 %). Comparative analysis between elective cesarean section and emergency cesarean showed a higher incidence of retinal hemorrhages in the emergency cesarean group (P=0.006). On multivariate analysis, vacuum-assisted delivery was the only factor associated with a higher prevalence of retinal hemorrhages in newborns (P=0.045). Two thirds of hemorrhages had disappeared by one week after birth. Retinal hemorrhages had resolved in all newborns within four weeks.
CONCLUSION: Birth-related retinal hemorrhages are common (1/3 of our newborns). Vacuum-assisted delivery is the main risk factor in this study. All hemorrhages resolved by one month of age. These findings may help in differential diagnosis with shaken baby syndrome.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2014 |
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| Erschienen: |
2014 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:37 |
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| Enthalten in: |
Journal francais d'ophtalmologie - 37(2014), 4 vom: 30. Apr., Seite 313-9 |
| Sprache: |
Französisch |
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| Weiterer Titel: |
Hémorragies rétiniennes liées à l'accouchement chez le nouveau-né : fréquence et relation avec les facteurs maternels, néonataux et obstétricaux. Étude prospective de 2031 cas |
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| Beteiligte Personen: |
Laghmari, M [VerfasserIn] |
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| Links: |
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| Themen: |
Accouchement |
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| Anmerkungen: |
Date Completed 29.01.2015 Date Revised 07.04.2014 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jfo.2013.06.005 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM235915777 |
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| 100 | 1 | |a Laghmari, M |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Birth-related retinal hemorrhages in the newborn |b incidence and relationship with maternal, obstetric and neonatal factors. Prospective study of 2,031 cases |
| 246 | 3 | 3 | |a Hémorragies rétiniennes liées à l'accouchement chez le nouveau-né : fréquence et relation avec les facteurs maternels, néonataux et obstétricaux. Étude prospective de 2031 cas |
| 264 | 1 | |c 2014 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 29.01.2015 | ||
| 500 | |a Date Revised 07.04.2014 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2014 Elsevier Masson SAS. All rights reserved. | ||
| 520 | |a PURPOSE: To assess the prevalence, morphology and distribution of retinal hemorrhages in healthy newborns and their relationship to neonatal, maternal and obstetrical factors, and to determine their natural history | ||
| 520 | |a PATIENTS AND METHODS: The present study prospectively included 2,031 consecutive healthy newborns. Indirect ophthalmoscopy was performed within 24 hours after birth in all newborns. Infants with retinal hemorrhages were reexamined weekly until the hemorrhage resolved. Annual ophthalmologic follow-up was also scheduled in these children. Neonatal, maternal and obstetric parameters were analyzed in all newborns and compared between newborns with retinal hemorrhages and those without retinal hemorrhages | ||
| 520 | |a RESULTS: 31.8 % of newborns exhibited retinal hemorrhages. 72.6 % of hemorrhages were bilateral. They tended to be localized around the optic discs and in the posterior pole, but their distribution was variable. Retinal hemorrhages were of variable shapes. The prevalence of retinal hemorrhages was higher in newborns delivered with vacuum-assisted extraction (38 %, P<0.001), intermediate during normal vaginal delivery (32.6 %, P<0.001) and lower with cesarean section (20.8 %). Comparative analysis between elective cesarean section and emergency cesarean showed a higher incidence of retinal hemorrhages in the emergency cesarean group (P=0.006). On multivariate analysis, vacuum-assisted delivery was the only factor associated with a higher prevalence of retinal hemorrhages in newborns (P=0.045). Two thirds of hemorrhages had disappeared by one week after birth. Retinal hemorrhages had resolved in all newborns within four weeks | ||
| 520 | |a CONCLUSION: Birth-related retinal hemorrhages are common (1/3 of our newborns). Vacuum-assisted delivery is the main risk factor in this study. All hemorrhages resolved by one month of age. These findings may help in differential diagnosis with shaken baby syndrome | ||
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Accouchement | |
| 650 | 4 | |a Hémorragies rétiniennes | |
| 650 | 4 | |a Labor and delivery | |
| 650 | 4 | |a Newborn | |
| 650 | 4 | |a Nouveau-né | |
| 650 | 4 | |a Retinal hemorrhages | |
| 700 | 1 | |a Skiker, H |e verfasserin |4 aut | |
| 700 | 1 | |a Handor, H |e verfasserin |4 aut | |
| 700 | 1 | |a Mansouri, B |e verfasserin |4 aut | |
| 700 | 1 | |a Ouazzani Chahdi, K |e verfasserin |4 aut | |
| 700 | 1 | |a Lachkar, R |e verfasserin |4 aut | |
| 700 | 1 | |a Salhi, Y |e verfasserin |4 aut | |
| 700 | 1 | |a Cherkaoui, O |e verfasserin |4 aut | |
| 700 | 1 | |a Ouazzani Tnacheri, B |e verfasserin |4 aut | |
| 700 | 1 | |a Ibrahimy, W |e verfasserin |4 aut | |
| 700 | 1 | |a Alami, H |e verfasserin |4 aut | |
| 700 | 1 | |a Bezad, R |e verfasserin |4 aut | |
| 700 | 1 | |a Ahid, S |e verfasserin |4 aut | |
| 700 | 1 | |a Abouqal, R |e verfasserin |4 aut | |
| 700 | 1 | |a Daoudi, R |e verfasserin |4 aut | |
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