{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T12:08:28Z","timestamp":1793102908542,"version":"4.5.0"},"reference-count":19,"publisher":"BMJ","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Dis Child Fetal Neonatal Ed"],"accepted":{"date-parts":[[2011,5,13]]},"published-print":{"date-parts":[[2012,1]]},"abstract":"\n Background<\/jats:title>\n Sudden and unexpected postnatal collapse (SUPC) of a healthy newborn infant is a rare event, which carries a high risk of mortality and significant neurodisability in survivors. An underlying condition can be found in 60% of cases who undergo detailed postmortem but in the remainder there are important associations with prone position, breast feeding and primiparous status. The authors undertook a prospective study to ascertain the population incidence of SUPC in the UK.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Cases were referred through the British Paediatric Surveillance Unit reporting scheme over a 13-month period. Infants were at \u226537 weeks of gestation, had an Apgar score of \u22658 at 5 min, collapsed within 12 h in hospital requiring positive pressure ventilation and either died or received ongoing intensive care. Data were collected on maternal and infant characteristics, clinical investigations and 1-year outcome.<\/jats:p>\n <\/jats:sec>\n \n Findings<\/jats:title>\n 45 cases were reported, an incidence of 0.05\/1000 live births of whom 12 infants died. In 15\/45 infants, an underlying disease\/abnormality was determined. In 30\/45 cases (0.035\/1000 live births), no such cause was found, but in 24, the clinical\/pathological diagnosis was airway obstruction during breast feeding or in prone position. Mothers were commonly primiparous and unattended by clinical staff before collapse was recognised. Approach to investigation was highly disparate and frequently very limited. Of the 30 infants with no underlying disease\/abnormality, 22 (73%) developed a postasphyxial encephalopathy and 10 had a poor outcome (33%) \u2013 5 died and 5 had neurological sequelae at 1 year.<\/jats:p>\n <\/jats:sec>\n \n Interpretation<\/jats:title>\n SUPC is rare in any one centre and there is no standard approach to investigation. In those cases where collapse is not due to an underlying abnormality, breast feeding and prone position are important associations. Guidelines for safe postnatal care of infants should include appropriate vigilance of infants particularly where mothers are primiparous or where ability to assess the baby may be impaired.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/adc.2010.208736","type":"journal-article","created":{"date-parts":[[2011,6,29]],"date-time":"2011-06-29T20:16:54Z","timestamp":1309378614000},"page":"F30-F34","source":"Crossref","is-referenced-by-count":99,"title":["Unexpected collapse in apparently healthy newborns \u2013 a prospective national study of a missing cohort of neonatal deaths and near-death events"],"prefix":"10.1136","volume":"97","author":[{"given":"Julie-Clare","family":"Becher","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shetty S","family":"Bhushan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J","family":"Lyon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2011,6,28]]},"reference":[{"key":"2025090515052668000_97.1.F30.1","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1111\/j.1651-2227.1985.tb10049.x","article-title":"Early neonatal sudden infant death and near death of fullterm infants in maternity wards","volume":"74","author":"Polberger","year":"1985","journal-title":"Acta Paediatr Scand"},{"key":"2025090515052668000_97.1.F30.2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1994.tb13123.x"},{"key":"2025090515052668000_97.1.F30.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.arcped.2006.03.006"},{"key":"2025090515052668000_97.1.F30.4","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1016\/j.jgyn.2007.04.010","article-title":"[Eleven cases of early neonatal sudden death ou near death of full term and healthy neonates in maternity wards]","volume":"36","author":"Branger","year":"2007","journal-title":"J Gynecol Obstet Biol Reprod (Paris)"},{"key":"2025090515052668000_97.1.F30.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.arcped.2004.02.012"},{"key":"2025090515052668000_97.1.F30.6","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-0457"},{"key":"2025090515052668000_97.1.F30.7","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1991.02160110111033"},{"key":"2025090515052668000_97.1.F30.8","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2008.143628"},{"key":"2025090515052668000_97.1.F30.9","doi-asserted-by":"publisher","DOI":"10.1080\/14767050802406677"},{"key":"2025090515052668000_97.1.F30.10","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-2189"},{"key":"2025090515052668000_97.1.F30.11","doi-asserted-by":"crossref","unstructured":"Moore ER Anderson GC Bergman N . Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database Syst Rev 2007;3:CD003519.","DOI":"10.1002\/14651858.CD003519.pub2"},{"key":"2025090515052668000_97.1.F30.12","unstructured":"Department of Health. Reduce the Risk of Cot Death. 2009. http:\/\/www.dh.gov.uk\/prod_consum_dh\/groups\/dh_digitalassets\/documents\/digitalasset\/dh_096299.pdf (accessed 17 Jun 2011)."},{"key":"2025090515052668000_97.1.F30.13","unstructured":"UK Baby Friendly Initiative and the Foundation for the Study of Infant Deaths. Sharing a Bed with Your Baby. A Guide for Breastfeeding Mothers. London: UNICEF, 2008. http:\/\/www.unicef.org.uk\/Documents\/Baby_Friendly\/Leaflets\/3\/sharingbedleaflet.pdf (accessed 17 Jun 2011)."},{"key":"2025090515052668000_97.1.F30.14","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2008.140301"},{"key":"2025090515052668000_97.1.F30.15","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2008.00863.x"},{"key":"2025090515052668000_97.1.F30.16","doi-asserted-by":"publisher","DOI":"10.1016\/j.arcped.2004.02.016"},{"key":"2025090515052668000_97.1.F30.17","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2007.136739"},{"key":"2025090515052668000_97.1.F30.18","unstructured":"Royal College of Pathologists. Sudden Unexpected Death in Infancy: A Multi-Agency Protocol for Care and Investigation. London: Royal College of Pathologists, 2004."},{"key":"2025090515052668000_97.1.F30.19","unstructured":"WellChild. Guidelines for the Investigation of Newborn Infants Who Suffer a Sudden and Unexpected Postnatal Collapse in the First Week of Life: Recommendations from a Professional Group on Sudden Unexpected Postnatal Collapse. London, 2011. http:\/\/www.bapm.org\/media\/documents\/SUPC%20Booklet.pdf (accessed 17 Jun 2011)."}],"container-title":["Archives of Disease in Childhood - Fetal and Neonatal Edition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/adc.2010.208736","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T22:37:49Z","timestamp":1757111869000},"score":1,"resource":{"primary":{"URL":"https:\/\/fn.bmj.com\/lookup\/doi\/10.1136\/adc.2010.208736"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,6,28]]},"references-count":19,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2011,12,13]]},"published-print":{"date-parts":[[2012,1]]}},"alternative-id":["10.1136\/adc.2010.208736"],"URL":"https:\/\/doi.org\/10.1136\/adc.2010.208736","relation":{},"ISSN":["1359-2998","1468-2052"],"issn-type":[{"value":"1359-2998","type":"print"},{"value":"1468-2052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,6,28]]}}}