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Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (5): 671-673    DOI: 10.12891/ceog5081.2019
Letter to the Editor | Next articles
Sudden unexpected post-natal collapse (SUPC) during skin-to-skin care (SSC): where is the trouble?
L. Roncati1, *(), F. Piscioli1
1Department of Maternal, Infant and Adult Medical and Surgical Sciences, University Hospital of Modena, Modena, Italy
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Skin-to-skin care (SSC) consists in the early and prolonged skin-to-skin contact between the newborn and the mother. This practice brings several benefits to infants, such as cardiorespiratory stability, breastfeeding, thermoregulation and crying reduction; therefore, SSC application represents the best practice in the birth points around the world. However, it is not risk free; in fact, the occurrence of a sudden unexpected post-natal collapse (SUPC) has been reported many times in literature. SUPC can be defined as a sudden and unexpected postnatal collapse affecting term or near term infant, who appears well at birth, but who unexpectedly collapses within the first week of life, in such a way as to require intensive care or to develop encephalopathy or to die. New research acquisitions suggest that the hypoplasia of the rostral pontine Kölliker-Fuse nucleus, notoriously deputy to regulate the breathing rate, may represent the cause of death for SUPC during SSC.

Key words:  Skin-to-skin care (SSC)      Kangaroo mother care      Sudden unexpected post-natal collapse (SUPC)      Sudden infant death syndrome (SIDS)      Köelliker-Fuse nucleus      Immunohistochemistry     
Published:  10 October 2019     
*Corresponding Author(s):  L. RONCATI     E-mail:

Cite this article: 

L. Roncati, F. Piscioli. Sudden unexpected post-natal collapse (SUPC) during skin-to-skin care (SSC): where is the trouble?. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(5): 671-673.

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