Document Detail


Who is blaming the baby?
MedLine Citation:
PMID:  19429573     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Sudden unexplained collapse within the first 12 hours of life is a rare but recognised event. Over a 2-year period 5 infants, previously assessed as healthy, were found collapsed in our maternity unit in the care of their primiparous mothers. Two were found prone on their mother's chest, two were in their mother's bed. The outcomes were poor with four neonatal deaths and one death aged 18 months. The rate of sudden unexplained neonatal collapse was 0.4 per 1000 live births. No cause for collapse was identified despite extensive investigations, which included post mortem in all the neonatal deaths. One infant, however, showed widespread antenatal brain damage at post mortem. We postulate that some infants with an underlying vulnerability may maladapt to extrauterine life following an hypoxic stressor possibly caused by positional airway obstruction.
Authors:
Colin Peters; Julie-Clare Becher; Andrew J Lyon; Paula Midgley
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2009-5-7
Journal Detail:
Title:  Archives of disease in childhood     Volume:  -     ISSN:  1468-2044     ISO Abbreviation:  Arch. Dis. Child.     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-5-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372434     Medline TA:  Arch Dis Child     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh, United Kingdom.
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