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• Clinical Article •
Exploring the influence of delivery mode on the risk of intracranial hemorrhage based on multicenter neonatal brain MRI
WANG Xia  LIU Ting  LIU Zhe  SUN Qinli  JIANG Haoxiang  CHEN Zhiqiang  LIANG Yukun  ZHANG Lei  YAO Xiaoqun  ZHANG Zengjun  GUO Yulin  ZHOU Heping  REN Zhuanqin  ZENG Lingxia  YANG Jian 

Cite this article as: Wang X, Liu T, Liu Z, et al. Exploring the influence of delivery mode on the risk of intracranial hemorrhage based on multicenter neonatal brain MRI. Chin J Magn Reson Imaging, 2019, 10(2): 121-125. DOI:10.12015/issn.1674-8034.2019.02.009.


[Abstract] Objective: To analyze the influence of different delivery methods on the risk of intracranial hemorrhage (ICH) in neonates based on MRI.Materials and Methods: Retrospectively collected 3464 neonates with head MRI within 14 days after the birth of six hospitals (form Jan 2011 to Oct 2016). Cases with incomplete clinical data, inherited metabolic diseases, congenital craniocerebral dysplasia, prenatal intracranial hemorrhage, and MRI images that could not be used for analysis were excluded. Logistic regression analysis was used to compare the risk of neonatal ICH exposure to different modes of delivery.Results: A total of 1976 neonates were included for analysis. The Logistic regression model corrected for confounding factors and found that the risk of neonatal ICH in vaginal delivery increased by 4.27 times compared with cesarean section. Further stratification of vaginal delivery revealed that neonatal delivered by forceps had the highest risk of ICH, which was 7.52 times higher than those delivered by cesarean section. Among them, forceps delivery significantly increased the risk of subependymal-intraventricular hemorrhage, subarachnoid hemorrhage and subdural hemorrhage in neonates.Conclusions: Vaginal delivery may increase the risk of developing neonatal ICH, especially in forceps.
[Keywords] magnetic resonance imaging；mode of delivery；neonatal；intracranial hemorrhage

WANG Xia Departments of Radiology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China; Departments of Radiology, Xi'an Gaoxin Hospital, Xi'an 710075, China

LIU Ting Departments of Radiology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China

LIU Zhe Departments of Radiology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China

SUN Qinli Departments of Radiology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China

JIANG Haoxiang Department of Radiology, Children's Hospital of Xi'an, Xi’an 710003, China

CHEN Zhiqiang Department of Radiology, General Hospital of Ningxia Medical University, Yinchuan 750004, China

LIANG Yukun Department of Imaging, Ankang Municipality Center Hospital, Ankang 725000, China

ZHANG Lei Department of Imaging, Baoji Central Hospital, Baoji 672100, China

YAO Xiaoqun Departments of Radiology, Xi'an Gaoxin Hospital, Xi'an 710075, China

ZHANG Zengjun Department of Radiology, Children's Hospital of Xi'an, Xi’an 710003, China

GUO Yulin Department of Radiology, General Hospital of Ningxia Medical University, Yinchuan 750004, China

ZHOU Heping Department of Imaging, Ankang Municipality Center Hospital, Ankang 725000, China

REN Zhuanqin Department of Imaging, Baoji Central Hospital, Baoji 672100, China

ZENG Lingxia Department of Epidemiology and Health Statistics, School of Public Health of Xi'an Jiaotong University, Xi'an 710061, China

YANG Jian* Departments of Radiology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China

*Correspondence to: Yang J, E-mail: yj1118@mail.xjtu.edu.cn

Conflicts of interest   None.

ACKNOWLEDGMENTS  This work was part of National Key Research and Development Program of China No. 2016YFC0100300 National Natural Science Foundation of China No. 81471631, 81771810 and 51706178 2011 New Century Excellent Talent Support Plan of the Ministry of Education, China No. NCET-11-0438 Basic Research Fund of Central Colleges No. xjj2018jchz07 Shaanxi Natural Science Basic Research Program Fund 2017JQ8034 Clinical Research Award of the First Affiliated Hospital of Xi’an Jiaotong University No.XJTU1AF-CRF-2015-004 Research and Development Fund of the First Affiliated Hospital of Xi'an Jiaotong University No. YK201509
Received  2018-12-06
Accepted  2019-01-25
DOI: 10.12015/issn.1674-8034.2019.02.009
Cite this article as: Wang X, Liu T, Liu Z, et al. Exploring the influence of delivery mode on the risk of intracranial hemorrhage based on multicenter neonatal brain MRI. Chin J Magn Reson Imaging, 2019, 10(2): 121-125. DOI:10.12015/issn.1674-8034.2019.02.009.

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