IMR Press / CEOG / Volume 46 / Issue 5 / DOI: 10.12891/ceog5081.2019

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Open Access Letter to the Editor
Sudden unexpected post-natal collapse (SUPC) during skin-to-skin care (SSC): where is the trouble?
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1 Department of Maternal, Infant and Adult Medical and Surgical Sciences, University Hospital of Modena, Modena, Italy
*Correspondence: (L. RONCATI)
Clin. Exp. Obstet. Gynecol. 2019, 46(5), 671–673;
Published: 10 October 2019

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.

Skin-to-skin care (SSC)
Kangaroo mother care
Sudden unexpected post-natal collapse (SUPC)
Sudden infant death syndrome (SIDS)
Köelliker-Fuse nucleus
Figure 1.
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