UMEM Educational Pearls

Title: Newborn Pulmonary Hemorrhage

Category: Pediatrics

Posted: 11/26/2010 by Rose Chasm, MD (Updated: 11/22/2024)
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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

MedStudy Pediatric Board Review

Core Curriculum