This document is intended to provide guidance for the appropriate investigation of infants who suffer a sudden and unexpected collapse in the first week after birth. The guideline covers the investigation of both survivors and those who die. These guidelines includes infants who, Is well at birth. Collapses unexpectedly. Collapses within the first seven days of life.

Either dies or goes on to require intensive care or develops an encephalopathy. Sudden unexpected postnatal collapse (SUPC) in the days and hours after birth occurs in 0.03- 0.08/1000 livebirths (2-13) with an incidence in the first 12 hours of 1 in 20,000 live births. Underlying congenital anomalies and conditions arising from pregnancy and birth are over- represented in this group of infants compared to older infants who suffer sudden unexpected death. Recommendations: Infants who suffer a sudden and unexpected…