[Severe apparent life-threatening event during "skin-to-skin": treatment with hypothermia].
'Skin-to-skin' in healthy newborn infants is currently routine practice in Spanish maternity wards. This practice has shown benefits in increasing the duration of breast-feeding and maternal bonding behaviour with no significant adverse events. Early sudden deaths and severe apparent life-threatening events (ALTE) during the first 24 hours of life are infrequent, but well recognised. Risk factors during 'skin to skin' have been established. These events can lead to high neonatal morbidity and mortality. Hypothermia is now the standard of care for moderate to severe hypoxic-ischaemic encephalopathy and has shown to reduce mortality and neurological morbidity in children with hypoxic-ischaemic brain injury. Although there are no clinical trials that evaluate hypothermia after a severe ALTE, neonates who suffer it should be considered for this treatment. We present a case of a healthy newborn who had an ALTE during skin-to-skin with his mother and was treated with hypothermia.
Servicio de Neonatología, Hospital Universitario La Paz, Madrid, España. Electronic address: N.marinhuarte@gmail.com.
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Marin
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Valverde
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Cabañas
D057768:Brief, Resolved, Unexplained Event / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D007036:Hypothermia, Induced; D020925:Hypoxia-Ischemia, Brain / Q000209:etiology* / Q000628:therapy*; D007231:Infant, Newborn; D060127:Kangaroo-Mother Care Method; D008297:Male; D012720:Severity of Illness Index
Apparent life-threatening event; Encefalopatía hipóxico-isquémica; Encephalopathy hypoxic-ischaemic; Episodio aparentemente letal; Hipotermia inducida; Hypothermia induced; Muerte súbita; Neonato; Newborn; Piel con piel; Skin-to-skin; Sudden death