Mild peri-intraventricular hemorrhage (PIVH): factors associated with neurodevelopment and the parents' perception

Abstract

Objective:To evaluate the relationship between clinical aspects and neurodevelopment in premature children with mild PIVH aged 6 to 24 months. The data were compared with that of children without PIVH. The parents' perception and adherence to the physiotherapy treatment was evaluated. Methods: Clinical aspects were related to data in the Denver II Test of premature children with mild PIVH and without PIVH, with statistical tests and p <0.05. The parents’ perception of developmental delay and adherence to physiotherapy treatment were related to clinical aspects. Results:We evaluated 34 children with mild PIVH and 36 children without PIVH, with a gestational age of 29 weeks. Risk of developmental delay was observed in 27 (79.4%) children with PIVH and in 10 (27.7%) children without PIVH. The risk factors associated with the occurrence of developmental delay, measured by the Denver II Test, were the presence of PIVH and the use of mechanical ventilation. In the regression test, it was observed that 12 (32.4%) parents noticed a developmental delay in the gross motor sector and was associated with the type of delivery, birth weight, gestational age, the presence of PIVH, the use of mechanical ventilation for> 7 days, and physiotherapy. Conclusion: Premature children with mild PIVH had a worse neuropsychomotor outcome when compared to children without PIVH. Developmental delay was associated with the presence of PIVH and the use of mechanical ventilation. The parents’ perception of neuropsychomotor delay was low and was associated to the low adherence to treatment.