Nelson Textbook of Pediatrics 22nd Edition | Definition: collapse of a term/near-term newborn (first 7 days, often first 2 hours) with cardiorespiratory failure requiring resuscitation. Incidence 2.6-38/100,000 live births. Pathophysiology: autonomic instability, first breastfeeding, prone positioning, hyperthermia. Differential diagnosis: sepsis, CHD, metabolic disease, non-accidental trauma. Prevention: supervised feeding, supine sleep.
🌐 paeds.online — Pakistan's Pediatric Platform| Risk Factor | Preventive Strategy |
|---|---|
| First unsupervised breastfeeding | Supervise first feed, observe for choking/gagging, educate parents |
| Prone or side positioning during sleep after feeding | Supine positioning for all sleep (hospital and home) |
| Overheating / excessive bundling | Maintain neutral thermal environment, avoid overbundling |
| Maternal sedation/analgesia | Monitor mother-infant dyad, delay first feed if sedated |
| Prematurity (<35 weeks) or low birth weight | Increased monitoring, supine positioning, feeding observation |