Italian national data bank of stillbirth vs. SIDS.

Sudden perinatal death, which includes antepartum death (from 22 completed weeks of gestation), intrapartum death and early neonatal death (occurring within seven completed days of life), and sudden infant death syndrome (SIDS), represents one of the major sociomedical and scientific problems still lacking a solution in today’s medicine.1 However, little effort is being made to find a cause of these deaths, as there is no standard method of performing an autopsy in these victims, and no database exists from which researchers can draw autopsy results. Therefore, the need to submit the young victims to necropsy procedures through a standardized protocol is unanimously recognized, and the chance of preventing perinatal unexpected death and SIDS relies mainly on a better knowledge of the underlying alterations of organs and etiopathogenetic mechanisms. Similarly, for diagnostic purposes, an accurate and careful examination of the circumstantial, environmental, and familial situation within which the death occurred is extremely important. All the information related to victims of sudden and unexplained fetal death and SIDS will soon be made available in Italy through a specific data bank established under the Law 31/2006 “Regulations for Diagnostic Post Mortem Investigation in Victims of Sudden Infant Death Syndrome (SIDS) and Unexpected Fetal Death.”2 This law mandates that infants who die suddenly within one year of life, and fetuses that die after 22 weeks of gestation without any apparent cause, must be rapidly submitted—with the consent of both parents—to diagnostic postmortem investigation.3 Information about the pregnancy, fetal development and delivery, and, in the case of SIDS, the environmental and familial situation in which the death occurred—in addition to information related to risk factors—must be collected by the obstetriciangynecologist, neonatologist, pediatrician, and pathologist involved in the case and recorded in the registry of the data bank. In addition, to facilitate the collection and analysis of the data, this data bank will allow the Lino Rossi Research Center in collaboration with the Epidemiology Center of the Italian National Health Institute to update the population through public education and prevention programs aimed at decreasing the incidence of stillbirth and SIDS.