AIM: To study the cause of high-risk neonatal retinal hemorrhage risk and analyze its related factors.

METHODS: After the first 72 hours of the birth, the newborns in the pediatrics were examined for fundus used the wide area digital fundus imaging system(RetCam Ⅱ).

RESULTS: Among 123 newborns, 19 neonates had retinal hemorrhage, and the incidence of retinal hemorrhage in newborns was 12.2%. Among 49 newborns who were came through spontaneous delivery, 18(29.6%)neonates had retinal hemorrhage, while 1(0.7%)neonate from 74 who were born by caesarean section suffered from retinal hemorrhage. The difference was statistically significant.(χ²=34.763 P=0.000). Logistic regression equation analysis tip: The risk factors of retinal hemorrhage were eutocia, premature delivery and intracranial hemorrhage.

CONCLUSION: The important relevant factors of high-risk neonatal retinal hemorrhage are eutocia and associated with intracranial hemorrhage.