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[产房内新生儿猝死]

[Sudden death of neonates in the delivery room].

作者信息

Espagne S, Hamon I, Thiébaugeorges O, Hascoet J-M

机构信息

Service de médecine et réanimation néonatales, maternité régionale A.-Pinard, 10, rue du Dr-Heydenreich, BP 4213, 54042 Nancy, France.

出版信息

Arch Pediatr. 2004 May;11(5):436-9. doi: 10.1016/j.arcped.2004.02.016.

Abstract

Healthy newborn death in the delivery room is uncommon. Unlike for sudden infant death syndrome well described in infants between 2 and 6 months of age, few publications have studied this event. We report two cases of asymptomatic term newborns who died unexpectedly in the delivery room. Noteworthy, these newborns were sleeping in prone position on their mother. The Agence Nationale d'Accreditation et d'Evaluation en Sante (ANAES) published recommendations to promote breast-feeding including uninterrupted early contact between the infant and his mother. However, immediately after birth, the newborn may be particularly vulnerable. The application of this recommendation unwisely could be dangerous for newborns allowed to stay on their mother without any monitoring, or medical supervision. We would like to point out the importance of healthy newborn supervision within the first hours of life that can be done without interfering with the mother-child bonding.

摘要

健康新生儿在产房死亡的情况并不常见。与2至6个月大婴儿中描述详尽的婴儿猝死综合征不同,针对这一事件的研究报道较少。我们报告两例足月无症状新生儿在产房意外死亡的病例。值得注意的是,这些新生儿是趴在母亲身上睡觉的。法国卫生评估与认证机构(ANAES)发布了促进母乳喂养的建议,包括婴儿与母亲之间不间断的早期接触。然而,出生后即刻,新生儿可能特别脆弱。不明智地应用这一建议,对于未经任何监测或医学监督就趴在母亲身上的新生儿可能是危险的。我们想指出在生命最初几个小时对健康新生儿进行监护的重要性,这样做可以不干扰母婴联结。

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