IVH Grading — RACP Paediatrics MCQ

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ModerateNeonatologyIVH GradingRACP Paediatrics

A preterm infant at 26 weeks has a cranial USS on day 7 showing bilateral grade III intraventricular haemorrhage with ventricular dilatation. What is the grading system used?

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Correct answer: D — Papile classification

The Papile classification grades IVH: Grade I (subependymal/germinal matrix), Grade II (IVH without ventricular dilatation), Grade III (IVH with ventricular dilatation), Grade IV (periventricular haemorrhagic infarction). Grade III-IV carries significant risk of neurodevelopmental impairment (hydrocephalus, CP, cognitive delay).

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Intraventricular Haemorrhage