Branger B, Savagner C, Roze J-C, Winer N
Réseau Sécurité naissance-Naître ensemble des Pays-de-la-Loire, 1, allée Baco, 44000 Nantes, France.
J Gynecol Obstet Biol Reprod (Paris). 2007 Nov;36(7):671-9. doi: 10.1016/j.jgyn.2007.04.010. Epub 2007 Jun 13.
Sécurité naissance-Naître ensemble des Pays-de-la-Loire network organized a survey to evaluate the incidence rate of early neonatal sudden death or near death syndrome for the full term and healthy presume neonates.
Maternity wards are declared apparent life-threatening events and deaths from 2001 to 2006. Certain cases and probable cases were defined. Incidence rate have been calculated with births in maternity wards during period...
Eleven apparent life-threatening events are observed with 7 deaths during five and half years. The incidence rate was one apparent life-threatening events for 26,000 births and one death for 40,000 births, with certain cases for 41,000 births and probable cases for 71,000 births. All kind of maternities were involved. Nothing very special could be noticed about pregnancies and deliveries. Five times on eight well known cases, the newborn was in skin to skin contact with heir mother at the moment of the event, once in her arms and once in the delivery room, far from the mother, at three minutes of life. Twice on four well known cases, newborns were lying on their belly. A baby has been considered as dead at the maternity, ten have been transferred to care unit, and six died in the ward.
Without systematic survey in France, it's not easy to say if the incidence of this type of event have increased, and if their happening is linked with skin-to-skin practices at the birth. In Sécurité naissance-Naître ensemble des Pays-de-la-Loire from September 2006, prevent measures have been suggested in all maternities in the recommendation on care to normal newborns. A systematic study with a standard questionary has been organized in region area to notice apparent life-threatening events and neonatal sudden deaths, and we could hope a systematic prospective survey in France.
卢瓦尔河地区安全分娩-共同出生网络组织了一项调查，以评估足月儿和健康假定新生儿的早期新生儿猝死或濒死综合征的发生率。
对2001年至2006年产科病房中明显危及生命的事件和死亡情况进行申报。定义了某些病例和可能病例。发病率是根据该时期产科病房的出生人数计算得出的……
在五年半的时间里，观察到11起明显危及生命的事件，其中7例死亡。发病率为每26000例出生中有1起明显危及生命的事件，每40000例出生中有1例死亡，确诊病例为每41000例出生中有1例，可能病例为每71000例出生中有1例。所有类型的产科病房都有涉及。在怀孕和分娩方面没有发现特别异常的情况。在8例已知病例中，有5例在事件发生时新生儿与母亲进行了皮肤接触，1例在母亲怀中，1例在分娩室，出生3分钟时远离母亲。在4例已知病例中，有2例新生儿趴着。1例婴儿在产科被判定死亡，10例被转至护理单位，6例在病房死亡。
在法国没有系统调查的情况下，很难说这类事件的发生率是否增加，以及其发生是否与出生时的皮肤接触做法有关。自2006年9月起，在卢瓦尔河地区安全分娩-共同出生网络中，已在关于正常新生儿护理的建议中向所有产科病房提出了预防措施。在该地区组织了一项使用标准问卷的系统研究，以关注明显危及生命的事件和新生儿猝死，我们希望在法国进行系统的前瞻性调查。
