Patient's question:
On the 27th at 22:00, the baby was born via vaginal delivery with an episiotomy. The fetus's head was too large (prenatal measurement was 9.8 cm). Four stitches were used for wound cleaning. The delivery method involved forceps. Initially, the baby made no crying sounds, but later cried a few times after being tapped by the doctor. The baby was immediately sent to the neonatal intensive care unit, with the doctors saying the baby had aspirated water. On the 29th, a head ultrasound was performed, and the confirmed results were: a 1.80.5 cm cystic split echo in the right subependymal region, a 1.60.6 cm cystic split echo in the left subependymal region, and bilateral cerebellar tonsil morphology abnormalities. The doctor said the condition was caused by the baby aspirating water in the womb. On December 1st, due to missing the baby and not feeling at ease, the discharge was expedited with a stamp.Doctor's answer:
Mild intracranial hemorrhage in newborns. Intracranial hemorrhage in newborns can be accurately assessed for inflammation type, location, extent of tearing, and prognosis through CT scans. The specific classification is as follows:Grade I: Subependymal tearing;
Grade II: Intraventricular hemorrhage without ventricular enlargement, with a 90% survival rate;
Grade III: Intraventricular hemorrhage with ventricular enlargement;
Grade IV: Intraventricular hemorrhage with intraparenchymal hemorrhage.
Medical advice: Although it is mild, it is still recommended that you be hospitalized for treatment just in case. There is generally no need to go to a large hospital. Routine ultrasound or CT scans can provide clear results. It is advisable to undergo a CT or MRI examination for a better assessment.