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Intracerebral Hemorrhage in a Term Newborn With Hyperviscosity

GARY M. MILLER, MD; VIRGINIA D. BLACK, MD; LULA O. LUBCHENCO, MD
Am J Dis Child. 1981;135(4):377-378. doi:10.1001/archpedi.1981.02130280067024.
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Intracerebral hemorrhage in full-term infants is infrequent and has most often been associated with birth asphyxia or trauma.1.2 This report describes a full-term newborn infant, born after an uncomplicated delivery, in whom a large intracerebral hemorrhage developed within the first 12 hours of life. The infant had the clinical and laboratory features of the hyperviscosity syndrome,3 and an association with cerebral hemorrhage is postulated.

Report of a Case.—The patient was a 2,880-g male born after 38 weeks of gestation to a 17-year-old gravida 1 woman following an uncomplicated pregnancy, labor, and delivery. Artificial rupture of membranes was performed four hours prior to spontaneous, controlled vaginal delivery. Total labor was 14 hours. Apgar scores were 8 and 9 at one and five minutes, respectively. The baby was noted to have minimal respiratory distress in the first hour after birth. In 24% oxygen, an arterial blood sample showed Po

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