Division of Neonatology, Department of Paediatrics, Beatrix Children's Hospital, University Medical Centre Groningen, Groningen, The Netherlands.
Department of Paediatrics, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.
Acta Paediatr. 2024 Sep;113(9):2031-2036. doi: 10.1111/apa.17292. Epub 2024 May 29.
Sudden unexpected postnatal collapse is a life-threatening event and may occur in any newborn infant. Safe skin-to-skin contact, and awareness of sudden unexpected postnatal collapse are key to its prevention. The aim of this study was to survey the presence of skin-to-skin contact and/or sudden unexpected postnatal collapse protocols in the 70 perinatal centres in the Netherlands.
We performed a survey among Dutch paediatricians to examine the safe skin-to-skin contact and sudden unexpected postnatal collapse protocols.
We received data from 59/70 (85%) perinatal centres. At least one case of sudden unexpected postnatal collapse was reported in 35/59 (59%) of these centres. Nearly half the centres had safe skin-to-skin contact and/or sudden unexpected postnatal collapse protocols. Ultimately, 16 protocols were available for analysis. They showed considerable differences in the type of perinatal care provided. Most protocols lacked recently published insights on safe skin-to-skin contact. Besides, protocols failed to incorporate awareness of and knowledge on how to prevent sudden unexpected postnatal collapse.
This study underlines the importance of drawing up uniform, multidisciplinary guidelines containing recommendations for the prevention of sudden unexpected postnatal collapse in the Netherlands.
新生儿突然意外产后崩溃是一种危及生命的事件，可能发生在任何新生儿中。安全的皮肤接触和对新生儿突然意外产后崩溃的认识是预防的关键。本研究旨在调查荷兰 70 个围产期中心中皮肤接触和/或新生儿突然意外产后崩溃方案的存在情况。
我们对荷兰儿科医生进行了一项调查，以检查安全的皮肤接触和新生儿突然意外产后崩溃方案。
我们从 70 个围产期中心中的 59 个（85%）收到了数据。在这些中心中，至少有 35 个（59%）报告了一例新生儿突然意外产后崩溃。近一半的中心有安全的皮肤接触和/或新生儿突然意外产后崩溃方案。最终，有 16 个方案可供分析。它们在提供的围产期护理类型上存在显著差异。大多数方案缺乏最近发表的关于安全皮肤接触的见解。此外，方案未能纳入对新生儿突然意外产后崩溃的认识和预防知识。
本研究强调了在荷兰制定统一的、多学科的指南的重要性，其中包含预防新生儿突然意外产后崩溃的建议。
