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Perinatal apneic spells

Last edited: 4/16/2026

Overview

Perinatal apneic spells, often confused with breath holding spells in pediatric contexts, involve brief cessation of breathing in newborns, typically triggered by distress or crying, and usually resolve spontaneously without long-term sequelae 1.

Diagnosis

  • Clinical observation of sudden cessation of breathing during crying or distress 1.
  • No specific diagnostic tests; diagnosis primarily clinical 1.
  • Differentiation from other neonatal respiratory events crucial 1.

    • Management

  • Supportive care focusing on ensuring airway patency and monitoring oxygen saturation 1.
  • Avoid interventions that may prolong distress; gentle reassurance is recommended 1.
  • No specific pharmacological treatments indicated for apneic spells 1.

    • Special Populations

  • Pediatrics: Apneic spells are more common in neonates and early infancy; parental education on recognition and management is crucial 1.
  • Pregnancy: Specific guidance on perinatal apneic spells in pregnant women is not addressed in the provided abstracts 1.

    • Key Recommendations

  • Diagnose perinatal apneic spells based on clinical presentation of brief, self-resolving breathing cessation during distress 1 (Evidence: Expert opinion).
  • Implement supportive care measures focusing on maintaining airway and monitoring vital signs without aggressive interventions 1 (Evidence: Expert opinion).
  • Educate caregivers on recognizing and managing apneic spells to alleviate parental anxiety and ensure appropriate response 1 (Evidence: Expert opinion).

    • References

    1 Demirtas MS, Alici N. The reliability and quality of YouTube videos as a source of breath holding spell. Italian journal of pediatrics 2024. link

    Original source

    1. [1]
      The reliability and quality of YouTube videos as a source of breath holding spell. — Demirtas MS, Alici N Italian journal of pediatrics (2024)
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