Document Detail


Very early neonatal apparent life-threatening events and sudden unexpected deaths: incidence and risk factors.
MedLine Citation:
PMID:  18482167     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
C Dageville; J Pignol; S De Smet
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Publication Detail:
Type:  Journal Article     Date:  2008-05-14
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  97     ISSN:  0803-5253     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-06-05     Completed Date:  2008-11-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  866-9     Citation Subset:  IM    
Affiliation:
Neonatal Intensive Care Unit, University Hospital, Nice, France. dageville.chu-nice.fr
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MeSH Terms
Descriptor/Qualifier:
Cause of Death
Death, Sudden / etiology*
Female
France / epidemiology
Humans
Incidence
Infant Care
Infant, Newborn
Pregnancy
Risk Factors

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