Sudden unexpected postnatal collapse in a neonate.
- Author:
Bei-Bei WANG
1
;
Qing KAN
1
;
Yun-Su ZOU
1
;
Rui CHENG
1
;
Xiao-Guang ZHOU
1
Author Information
1. Department of Neonatology, Children's Hospital of Nanjing Medical University, Nanjing 210008, China.
- Publication Type:Journal Article
- MeSH:
Apgar Score;
Child;
Child, Preschool;
China;
Female;
Humans;
Infant, Newborn;
Pregnancy;
Resuscitation;
Risk Factors
- From:
Chinese Journal of Contemporary Pediatrics
2021;23(3):283-287
- CountryChina
- Language:Chinese
-
Abstract:
A healthy full-term female neonate, aged 3 days and born by vaginal delivery (with a 1-minute Apgar score of 10 and a 5-minute Apgar score of 10), had unexpected cardiac and respiratory arrests in the early morning on day 3 after birth and recovered to spontaneous breathing and heartbeat after a 10-minute resuscitation. The child had poor response and convulsion after resuscitation. Blood gas analysis showed metabolic acidosis, and amplitude-integrated EEG showed a burst-suppression pattern. She was diagnosed with sudden unexpected postnatal collapse but improved after hypothermia and symptomatic/supportive treatment. This article reports the first case of sudden unexpected postnatal collapse in China and summarizes related risk factors, pathophysiological mechanisms, and preventive and treatment measures of this disorder.
