Nurses in a variety of critical care settings, including small-hospital, combined critical care units; the transport team; and the newborn intensive care unit (NICU), see premature infants who develop intraventricular hemorrhage (IVH). The occurrence is increasing as smaller prematures live through the critical early phase. Since the majority of IVHs are thought to occur within the first 48 hours of life, prompt, sensitive critical care and modifications of nursing care may prevent or reduce the major consequences of this complication.