The Association of Serum Sodium Levels with Intraventricular Hemorrhage in Preterm Infants: A Prospective Longitudinal Study from Pakistan

Objective: To evaluate the association of hypernatremia with intraventricular haemorrhage in preterm infants a local setting.
 Study Design: Prospective longitudinal study.
 Place and Duration Study: Neonatal Intensive Care Units (NICU), Pir Abdul Qadir Shah Jeelani Institute Medical Sciences, Gambat Khaipur Mirs from Sep 2018 to Mar 2020.
 Methodology: All gestational age <32 weeks pregnancy were included, while who died <12 hours life excluded study. relevant maternal neonatal data extracted patient files recorded electronic form. The further stratified into three groups: i) without haemorrhage, ii) mild iii) severe haemorrhage.
 Results: was 40%. 84 (29.2%) had 32 (11.1%) haemorrhage. highest sodium level 145.91 ± 6.98 mEq/L 143.51 5.93mEq/L IVH groups, respectively. fluctuations serum levels week 1 2 significantly more prominent compared groups (12.31 6.67 mEq/L, 10.11 9.32 6.54 7.53 respectively; p:0.001).
 Conclusion: fluctuation Intraventricular greater than or