PERSPECTIVE article
Front. Digit. Health
Sec. Health Technology Implementation
Volume 7 - 2025 | doi: 10.3389/fdgth.2025.1598541
This article is part of the Research TopicNew Therapies in Neonatal and Perinatal Care: Shooting for the MoonView all articles
Prevention of Sudden Unexpected Postnatal Collapse in Wellbeing Newborns by Remote Digital Health Technologies
Provisionally accepted
Massimo Berger1,2*
Adalberto Brach del prever3,4Mario Michele Calvo5,6Roberto Bellino3,7Davide Gallina5,8Fabio Stefano Timeus5,6Fabrizio Bogliatto1,9- 1Ivrea's Hospital, Ivrea, Italy
- 2Pediatrics and Neonatology, PO Ivrea, ASLTO4, Ivrea, Italy
- 3Ciriè Hospital, Castellamonte, Toscana, Italy
- 4Pediatrics and Neonatology, PO Ciriè, ASLTO4, Ciriè, Italy
- 5Chivasso Hospital, Chivasso, Italy
- 6Pediatrics and Neonatology, PO Chivasso, ASLTO4, Chivasso, Italy
- 7Gynecology and Obstetrics, PO Ciriè, ASLTO4, Ciriè, Italy
- 8Gynecology and Obstetrics, PO Chivasso, ASLTO4, Chivasso, Italy
- 9Gynecology and Obstetrics, PO Ivrea, ASLTO4, Ivrea, Italy
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Introduction: To prevent the Sudden Unexpected Postnatal Collapse (SUPC) this approach was carried out. Patient and methods: The Department of Maternal and Child Health at ASLTO4 in Piedmont, Northern Italy, has implemented wireless cardiopulmonary monitoring for all newborns during the first 24 hours of life, starting on June 10th, 2023, to December 31st, 2024. The aim of the study was to evaluate the feasibility of wireless monitoring in a large series of newborns. Results: On more than 2000 newborns, we have seen parental refusal in only two cases. The system was well accepted by the families after adequate explanation of its meaning. The wireless system has in no way hindered the skin-to-skin moment nor delayed the time of attachment to the breast and the usual neonatal screening procedures. As preliminary results in 2250 newborns the monitoring system detected various pathological events, in particular two cases of SUPCs which were promptly resuscitated without subsequent neurological sequelae. Conclusions: We report on our proof-of-concept innovative digital approach to intercept SUPCs as soon as possible. Through this study we want to demonstrate that it is possible to carry out large-scale multicenter monitoring, without interfering with breast attachment and the initial mother-infant relationship. The limitations of the study mainly concern the fact that this monitoring was carried out on term or late pre-term infants.
Keywords: Sudden unexpected postnatal collapse, Early Skin-to-Skin Contact, Wireless monitoring, SUPC, neonate, cardiopulmonary monitoring,, early skin to skin
Received: 23 Mar 2025; Accepted: 29 Aug 2025.
Copyright: © 2025 Berger, Brach del prever, Calvo, Bellino, Gallina, Timeus and Bogliatto. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Massimo Berger, Ivrea's Hospital, Ivrea, Italy
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