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. 2024 Sep;113(9):2031-2036.
doi: 10.1111/apa.17292. Epub 2024 May 29.

The use of in-hospital guidelines for prevention of sudden unexpected postnatal collapse: A national survey

Klasien A Bergman  1 , Bea A Bouma  1 , Ben A Semmekrot  2 , René P Matthijsse  3 , Irwin K M Reiss  4 , Henrike Klein Ikkink  5 , Christian V Hulzebos  1
Affiliations

The use of in-hospital guidelines for prevention of sudden unexpected postnatal collapse: A national survey

Klasien A Bergman et al. Acta Paediatr. 2024 Sep.

Abstract

Aim: 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.

Methods: We performed a survey among Dutch paediatricians to examine the safe skin-to-skin contact and sudden unexpected postnatal collapse protocols.

Results: 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.

Conclusion: This study underlines the importance of drawing up uniform, multidisciplinary guidelines containing recommendations for the prevention of sudden unexpected postnatal collapse in the Netherlands.

Keywords: in‐hospital protocols; safe skin‐to‐skin contact; sudden unexpected postnatal collapse.

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References

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