{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T10:02:38Z","timestamp":1771063358942,"version":"3.50.1"},"reference-count":20,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,4,1]]},"abstract":"<jats:p>The death or near death of a presumably healthy newborn in the delivery room is uncommon. We report here 6 cases of apparent life-threatening events (ALTEs) in the delivery room during the first 2 hours of life. In each case, the incident occurred in a healthy infant who was in a prone position on his or her mother's abdomen during early skin-to-skin contact. In most cases, the mother was primiparous, and in all cases the mother and infant were not observed during the initiation of skin-to-skin contact and breastfeeding. There are many benefits of early skin-to-skin contact and breastfeeding in the delivery room. However, in view of the risk of a rare but significant ALTE, we suggest that surveillance of newborns is needed. Although many ALTEs are apparently caused by obstruction, we suggest that a standardized investigational workup be performed after an ALTE.<\/jats:p>","DOI":"10.1542\/peds.2009-3095","type":"journal-article","created":{"date-parts":[[2011,3,15]],"date-time":"2011-03-15T19:49:31Z","timestamp":1300218571000},"page":"e1073-e1076","source":"Crossref","is-referenced-by-count":64,"title":["Apparent Life-Threatening Events in Presumably Healthy Newborns During Early Skin-to-Skin Contact"],"prefix":"10.1542","volume":"127","author":[{"given":"Virginie","family":"Andres","sequence":"first","affiliation":[{"name":"Neonatal Intensive Care Unit, La Conception University Hospital, Marseille, France;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Garcia","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, La Conception University Hospital, Marseille, France;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yves","family":"Rimet","sequence":"additional","affiliation":[{"name":"Neonatal Unit, Regional Hospital, Aix en Provence, France; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire","family":"Nicaise","sequence":"additional","affiliation":[{"name":"Neonatal and Pediatric Intensive Care Unit, Nord University Hospital, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Umberto","family":"Simeoni","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, La Conception University Hospital, Marseille, France;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2011,4,1]]},"reference":[{"issue":"6","key":"2021121007072495000_B1","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"},{"issue":"3","key":"2021121007072495000_B2","first-page":"349","article-title":"Apparent life-threatening events in presumed healthy neonates during the first three days of life","volume":"97","author":"Grylack","year":"1996","journal-title":"Pediatrics"},{"issue":"11","key":"2021121007072495000_B3","first-page":"1319","article-title":"Sudden deaths and apparent life threatening events in hospitalized neonates presumed to be healthy","volume":"145","author":"Burchfield","year":"1991","journal-title":"Am J Dis Child"},{"issue":"7","key":"2021121007072495000_B4","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1111\/j.1651-2227.1994.tb13123.x","article-title":"Early neonatal sudden death or near death syndrome: an epidemiological study of 29 cases","volume":"83","author":"Rodr\u00edguez-Alarc\u00f3n","year":"1994","journal-title":"Acta Paediatr"},{"issue":"7","key":"2021121007072495000_B5","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1016\/j.jgyn.2007.04.010","article-title":"Eleven cases of early neonatal sudden death or near death of full term and healthy neonates in maternity wards [in French]","volume":"36","author":"Branger","year":"2007","journal-title":"J Gynecol Obstet Biol Reprod (Paris)"},{"issue":"7","key":"2021121007072495000_B6","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1111\/j.1651-2227.2008.00863.x","article-title":"Very early neonatal apparent life-threatening events and sudden unexpected deaths: incidence and risk factors","volume":"97","author":"Dageville","year":"2008","journal-title":"Acta Paediatr"},{"issue":"3","key":"2021121007072495000_B7","first-page":"CD003519","article-title":"Early skin-to-skin contact for mothers and their healthy newborn infants","author":"Moore","year":"2007","journal-title":"Cochrane Database Syst Rev"},{"key":"2021121007072495000_B8","unstructured":"World Health Organization, United Nations Children's Fund. The Baby-Friendly Hospital Initiative: ten steps to successful breastfeeding. Available at: www.unicef.org\/programme\/breastfeeding\/baby.htm. Accessed February 6, 2008"},{"issue":"8723","key":"2021121007072495000_B9","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.1016\/0140-6736(90)92579-7","article-title":"Effect of delivery room routines on success of first breast-feed","volume":"336","author":"Righard","year":"1990","journal-title":"Lancet"},{"issue":"4","key":"2021121007072495000_B10","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1542\/peds.113.4.858","article-title":"The effect of skin-to-skin contact (kangaroo care) shortly after birth on the neurobehavioral responses of the term newborn: a randomized, controlled trial","volume":"113","author":"Ferber","year":"2004","journal-title":"Pediatrics"},{"issue":"2","key":"2021121007072495000_B11","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1111\/j.1523-536X.2009.00307.x","article-title":"Early contact versus separation: effects on mother-infant interaction one year later","volume":"36","author":"Bystrova","year":"2009","journal-title":"Birth"},{"issue":"4 pt 2","key":"2021121007072495000_B12","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1111\/j.1447-0756.2008.00892.x","article-title":"Two cases of infants who needed cardiopulmonary resuscitation during early skin-to-skin contact with mother","volume":"34","author":"Nakamura","year":"2008","journal-title":"J Obstet Gynaecol Res"},{"issue":"5","key":"2021121007072495000_B13","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1016\/j.arcped.2004.02.016","article-title":"Sudden death of neonates in the delivery room [in French]","volume":"11","author":"Espagne","year":"2004","journal-title":"Arch Pediatr"},{"issue":"5","key":"2021121007072495000_B14","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1016\/j.arcped.2004.02.012","article-title":"Cardiorespiratory arrest in full term newborn infants: six cases report [in French]","volume":"11","author":"Gatti","year":"2004","journal-title":"Arch Pediatr"},{"issue":"5","key":"2021121007072495000_B15","doi-asserted-by":"crossref","first-page":"677","DOI":"10.3109\/15513819109065465","article-title":"Defining the sudden infant death syndrome (SIDS): deliberations of an expert panel convened by the National Institute of Child Health and Human Development","volume":"11","author":"Willinger","year":"1991","journal-title":"Pediatr Pathol"},{"issue":"4","key":"2021121007072495000_B16","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1111\/j.1440-1754.2005.00590.x","article-title":"Delayed infant death following catastrophic deterioration during breast-feeding","volume":"41","author":"Krous","year":"2005","journal-title":"J Paediatr Child Health"},{"issue":"5","key":"2021121007072495000_B17","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1046\/j.1440-1754.1998.00264.x","article-title":"Is breast feeding in bed always a safe practice?","volume":"34","author":"Byard","year":"1998","journal-title":"J Paediatr Child Health"},{"issue":"5","key":"2021121007072495000_B18","first-page":"454","article-title":"Vagal hyperreactivity and sudden infant death: study of 15 families [in French]","volume":"95","author":"Lucet","year":"2002","journal-title":"Arch Mal Coeur Vaiss"},{"issue":"3","key":"2021121007072495000_B19","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/S0022-3476(71)80224-X","article-title":"Neonatal bradycardia following nasopharyngeal stimulation","volume":"78","author":"Cordero","year":"1971","journal-title":"J Pediatr"},{"key":"2021121007072495000_B20","first-page":"4997","article-title":"Surveillance of infants at risk of apparent life-threatening events (ALTE) with the BBA bootee: a wearable multiparameter monitor","volume":"2007","author":"Rimet","year":"2007","journal-title":"Conf Proc IEEE Eng Med Biol Soc"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/127\/4\/e1073\/1056000\/zpe004110e1073.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/127\/4\/e1073\/1056000\/zpe004110e1073.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,10]],"date-time":"2021-12-10T16:41:25Z","timestamp":1639154485000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/127\/4\/e1073\/65173\/Apparent-Life-Threatening-Events-in-Presumably"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,4,1]]},"references-count":20,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2011,4,1]]},"published-print":{"date-parts":[[2011,4,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.2009-3095","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"value":"0031-4005","type":"print"},{"value":"1098-4275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,4,1]]}}}