Tatiana M Anderson1, Juan M Lavista Ferres, Jan-Marino Ramirez, Edwin A Mitchell. 1. Dr. Tatiana M. Anderson is a PhD Fellow, Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA. The author can be reached via email at tatiana.anderson@seattlechildrens.org Juan M. Lavista Ferres is the General Manager, AI for Good Research Lab, Microsoft, Redmond, WA. Dr. Jan-Marino Ramirez is a Professor and Director for the Center for Integrative Brain Research, Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA. Edwin A. Mitchell is an Emeritus Professor, Department of Paediatrics, Child and Youth Health, University of Auckland, Auckland, New Zealand.
Abstract
ABSTRACT: Background: The sudden collapse of an apparently healthy newborn, or sudden unexpected postnatal collapse (SUPC) is fatal in about half of cases. Epidemiological characteristics of sudden unexpected infant death (SUID) in the first week of life differ from those in the postperinatal age group (7-365 days).Aim: To describe the characteristics of SUPC resulting in neonatal death. Methods: We analyzed the Centers for Disease Control and Prevention Birth Cohort Linked Birth/Infant Death Data Set (2003-2013: 41,125,233 births and 37,624 SUIDs). SUPC was defined as infants born ≥35 weeks gestational age, with a 5-minute Apgar score of ≥7, who died suddenly and unexpectedly in the first week of life. Results: Of the 37,624 deaths categorized as SUID during the study period, 616 met the SUPC criteria (1.5/100,000 live births). Eleven percent occurred on the first day of life and nearly three quarters occurred during postnatal days 3-6. SUPC deaths differed statistically from SUID deaths occurring 7-364 days of age, in particular for sex, marital status, and live birth order.Implications: These data support the need for adequate nurse staffing during the immediate recovery period and for the entire postpartum stay as well as nurse rounding for new mothers in the hospital setting.
ABSTRACT: Background: The sudden collapse of an apparently healthy newborn, or sudden unexpected postnatal collapse (SUPC) is fatal in about half of cases. Epidemiological characteristics of sudden unexpected infant death (SUID) in the first week of life differ from those in the postperinatal age group (7-365 days).Aim: To describe the characteristics of SUPC resulting in neonatal death. Methods: We analyzed the Centers for Disease Control and Prevention Birth Cohort Linked Birth/Infant Death Data Set (2003-2013: 41,125,233 births and 37,624 SUIDs). SUPC was defined as infants born ≥35 weeks gestational age, with a 5-minute Apgar score of ≥7, who died suddenly and unexpectedly in the first week of life. Results: Of the 37,624 deaths categorized as SUID during the study period, 616 met the SUPC criteria (1.5/100,000 live births). Eleven percent occurred on the first day of life and nearly three quarters occurred during postnatal days 3-6. SUPC deaths differed statistically from SUID deaths occurring 7-364 days of age, in particular for sex, marital status, and live birth order.Implications: These data support the need for adequate nurse staffing during the immediate recovery period and for the entire postpartum stay as well as nurse rounding for new mothers in the hospital setting.