Abstract Ref Number = APCP990
PROFILE OF INTRACRANIAL HAEMORRHAGE DUE TO VITAMIN K DEFICIENCY AT DR M DJAMIL HOSPITAL PADANG IN 2016 - 2017
Riris Juita Julianty,Iskandar Syarif,Rahmi Lestari
Bagian Ilmu Kesehatan Anak Fakultas Kedokteran Universitas ANdalas Bagian Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Andalas
Background : Newborns were born with vitamin K deficiency. One of the consequences is intracranial haemorrhage due to vitamin K deficiency bleeding (VKDB), that can lead to death. Previously, there were 15 cases in 2004-2007, 32 cases in 2010-2013 and 54 cases in 2014-2015. Aim of this study is to describe clinical profile of patients with vitamin K deficiency bleeding at Dr. M. Djamil Hospital in 2016-2017.
Material : Descriptive study retrospectively was conducted from January 2016 until December 2017. Diagnosis of intracranial hemorrhage was confirmed by head CT scan. Age, sex, delivery history, vitamin K administration, feeding history, clinical symptoms, haematological data, site of bleeding, and discharge status were noted also. Patients with thrombocytopenia and liver disease are excluded in this study.
Results : Thirty-six cases were diagnosed with intracranial hemorrhage due to vitamin K deficiency bleeding. From 36 samples, 22 (61.2%) were boy. All samples aged 8 days to 6 months (late onset), born spontaneously and helped by midwives. Based on history, only 10 patients (27.7%) received vitamin K at birth. The clinical manifestations were bulging fontanel (100%), seizures (91.6%), unconsciousness (69.4%) and pale (61.1%). Most bleeding were multiple (44.4%). Craniotomy was performed on 6 patients (9,3%) and all of them survived. Ten patients (27.7%) died during hospitalization.
Conclusions : Incidence of intracranial haemorrhage due to vitamin K deficiency is decrease than before but still a problem. Socialization and provision of vitamin K to midwifes is necessary to prevent bleeding in newborns.
Keywords: intracranial haemorrhage vitamin K deficiency infants