UMEM Educational Pearls

Category: Pediatrics

Title: Newborn Pulmonary Hemorrhage

Posted: 11/26/2010 by Rose Chasm, MD (Updated: 7/17/2024)
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  • occurs in 1/1000 live births, but found in 15% of neonatal autopsies
  • usually weigh <2500 grams at birth with prematurity the most common risk factor
  • present with bleeding from the nose and mouth with severe respiratory distress
  • immediate treatment with tracheal suctioning, oxygen, and positive-pressure ventilation
  • ventilation goal is to maintain a high, positive expiratory pressure of at least 6-10cm H20
  • also check for and correct any underlying bleeding disorders
  • extremely high mortality, but no long-term pulmonary deficits if the infant survives


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