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Acta Paediatr. 2008 Jul;97(7):866-9. doi: 10.1111/j.1651-2227.2008.00863.x. Epub 2008 May 14.

Very early neonatal apparent life-threatening events and sudden unexpected deaths: incidence and risk factors.

Author information

1
Neonatal Intensive Care Unit, University Hospital, Nice, France. dageville.chu-nice.fr

Abstract

AIM:

To evaluate the incidence of neonatal apparent life-threatening events and sudden unexpected deaths during the first 2 h after birth.

METHODS:

A prospective study was conducted over a 1-year period in all the maternities of the French region of Provence, Alpes, Côte d'Azur, which included all presumably healthy full-term neonates. Twenty-three previously published cases were also studied in order to identify possible risk factors.

RESULTS:

Sixty two thousand nine hundred sixty-eight live births were recorded over the study period. There were two neonatal apparent life-threatening events and no neonatal sudden unexpected death. The overall rate of neonatal apparent life-threatening events and unexpected deaths was thus 0.032 per 1000 live births. Three potential risk factors were identified: skin-to-skin contact, primiparous mother and mother and baby alone in the delivery room.

CONCLUSION:

A neonatal apparent life-threatening event or sudden unexpected death during the first 2 h of life is very uncommon. Skin-to-skin contact between mother and infant left alone in the delivery room may constitute the main risk situation. This must not lead to reconsider skin-to-skin contact that has been proven beneficial and seems per se almost safe, but must induce maternity staff to pay particular attention to a skin-to skin infant when left alone with its mother.

[Indexed for MEDLINE]

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