Adrenal haemorrhage in term neonates: A retrospective study from the period 2001-2013

Zita Gyurkovits, Ágnes Maróti, Lóránd Rénes, Gábor Németh, Attila Pál, Hajnalka Orvos

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective: To assess the incidence, risk factors and clinical presentations of neonatal adrenal haemorrhage (NAH) in uncomplicated, singleton and term deliveries.Methods: A retrospective analysis of 26 416 term neonates delivered between 2001 and 2013, and screened with abdominal ultrasonography.Results: Of the 26 416 neonates, 74 (0.28%) displayed NAH; the male/female ratio was 1.55:1. Vaginal delivery was significantly more frequent than caesarean section among them (71 versus 3; 95.9% versus 4.1%). Unilateral bleeding occurred on the right side in 36 (48.7%), and on the left in 34 (45.9%), without a significant difference; bilateral haematomas were found in four cases (5.4%). The most common risk factors were macrosomia (16, 21.6%) and fetal acidaemia (23, 31%), while four (5.4%) neonates exhibited pathological acidaemia. Clinical presentations included jaundice in 37 (50%), anaemia in six (8.1%) and an adrenal insufficiency in only one (1.3%) case. In three cases, neuroblastoma was diagnosed.Conclusions: Vaginal delivery, macrosomia and fetal acidaemia are the most important risk factors for NAH. The adrenal glands on both sides were similarly involved. In the healthy neonates with NAH, the clinical presentations were mild, with spontaneous regression. Differentiation of NAH from tumours is of considerable importance.

Original languageEnglish
Pages (from-to)2062-2065
Number of pages4
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume28
Issue number17
DOIs
Publication statusPublished - Nov 22 2015

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Retrospective Studies
Hemorrhage
Fetal Macrosomia
Adrenal Insufficiency
Adrenal Glands
Jaundice
Neuroblastoma
Cesarean Section
Hematoma
Anemia
Ultrasonography
Incidence
Neoplasms

Keywords

  • Adrenal haemorrhage
  • neonate
  • ultrasonographic screening

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynaecology

Cite this

Adrenal haemorrhage in term neonates : A retrospective study from the period 2001-2013. / Gyurkovits, Zita; Maróti, Ágnes; Rénes, Lóránd; Németh, Gábor; Pál, Attila; Orvos, Hajnalka.

In: Journal of Maternal-Fetal and Neonatal Medicine, Vol. 28, No. 17, 22.11.2015, p. 2062-2065.

Research output: Contribution to journalArticle

Gyurkovits, Zita ; Maróti, Ágnes ; Rénes, Lóránd ; Németh, Gábor ; Pál, Attila ; Orvos, Hajnalka. / Adrenal haemorrhage in term neonates : A retrospective study from the period 2001-2013. In: Journal of Maternal-Fetal and Neonatal Medicine. 2015 ; Vol. 28, No. 17. pp. 2062-2065.
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