Fetal Intracranial Hemorrhage as a Complication of Low Dose Aspirin : Detection and Management

OF LOW DOSE ASPIRIN : DETECTION AND MANAGEMENT Intracranial hemorrhage (ICH) in the fetus and newborn is a rare phenomenon with intra periventricular hemorrhage (IVH-PVH) being the most common type. The incidence of intracranial hemorrhage is higher in premature infants, occurring in approximately 25 45% of less than 32 weeks gestation or with a birth weight of less than 1,500g (Ref: 1, 2). Although the antenatal detection of fetal ICH has become possible in the recent two decades, the actual incidence of an in utero fetal ICH has not been determined. Vergani et al (Ref 3) reported that the incidence of fetal ICH in a referral centre was about 0.9/1,000. We present our experience with one patient in whom fetal ICH was detected prenatally by ultrasonography (USG) and is under stringent followup with us.