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The EPI blood sequence is the most sensitive in the identification of fetal intracranial hemorrhage, which, in conjunction with T2-SSFSE images, can optimize classification and subsequent grading of germinal matrix hemorrhages in the fetus. The authors report a significant increase in neonatal death in the non-GMH-versus-GMH group and worsened brain parenchymal findings in more severe GMH grades (III-IV) on postnatal MR imaging.