{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T12:08:26Z","timestamp":1793102906670,"version":"4.5.0"},"reference-count":28,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2013,4,30]],"date-time":"2013-04-30T00:00:00Z","timestamp":1367280000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine the occurrence and risk factors of sudden unexpected postnatal collapse (<jats:styled-content style=\"fixed-case\">SUPC<\/jats:styled-content>) in presumably healthy newborn infants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All live\u2010born infants during a 30\u2010month period, in five major delivery wards in Stockholm, were screened, and possible cases of <jats:styled-content style=\"fixed-case\">SUPC<\/jats:styled-content> thoroughly investigated. Infants were \u226535\u00a0weeks of gestation, had an Apgar score &gt;8 at 10\u00a0min and collapsed within 24\u00a0h after birth. Maternal, infant, event characteristics and outcome data were collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010six cases of <jats:styled-content style=\"fixed-case\">SUPC<\/jats:styled-content> were found among 68\u00a0364 live\u2010born infants, an incidence of 38\/100\u00a0000 live births. Sixteen of these cases of <jats:styled-content style=\"fixed-case\">SUPC<\/jats:styled-content> required resuscitation with ventilation &gt;1\u00a0min, and 14 of these remained unexplained (21\/100\u00a0000). Fifteen of the 26 children were found in a prone position, during skin\u2010to\u2010skin contact, 18 were primipara, and 13 occurred during unsupervised breastfeeding at &lt;2\u00a0h of age. Three cases occurred during smart cellular phone use by the mother. Five developed hypoxic\u2013ischaemic encephalopathy (<jats:styled-content style=\"fixed-case\">HIE<\/jats:styled-content>) grade 2, and 4 underwent hypothermia treatment. Twenty\u2010five infants had a favourable neurological outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">SUPC<\/jats:styled-content> in apparent healthy babies is associated with initial, unsupervised breastfeeding, prone position, primiparity and distractions. Guidelines outlining the appropriate monitoring of newborns and safe early skin\u2010to\u2010skin contact should be implemented.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.12244","type":"journal-article","created":{"date-parts":[[2013,3,28]],"date-time":"2013-03-28T17:21:16Z","timestamp":1364491276000},"page":"680-688","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":90,"title":["Unexpected collapse of healthy newborn infants: risk factors, supervision and hypothermia treatment"],"prefix":"10.1111","volume":"102","author":[{"given":"Nicolas J","family":"Pejovic","sequence":"first","affiliation":[{"name":"Department of Neonatology Sachs' Children and Youth Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Herlenius","sequence":"additional","affiliation":[{"name":"Neonatal Unit Q2:07 Department of Women's and Children's Health Astrid Lindgren Children's Hospital Karolinska 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