By Derrick Lonsdale
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This was the only event reported. Case 4. 4) was delivered at full term by cesarean section. During pregnancy the mother smoked half a pack of cigarettes a day. She had passed some renal calculi. The infant reportedly had choked occasionally during sleep and appeared to be unduly sensitive to noise, demonstrating frequent sleep starting. Physical examination was normal, with the exception of clinically judged poor neck tone and some diffuse mottling of the skin. At the age of three months, the infant apnea alarm sounded three or four times in a ten day period, and one apnea to cyanosis had been observed while she was awake.
D. D. Case 2 Night Terrors, Enuresis, Bruxism Hyperactivity, Dyslexia Hyperactivity, "School Problem" Learning Disability, Dyslexia Behavior Problem Hyperactivity Recurrent Bronchitis Chronic Nasal Congestion, Rhinorrhea Impression In our present disease model, it is extremely difficult to see the two children as having similar functional events except on a purely psychological level of explanation. The functional nature is not in the least disputed. The mechanism is considered to be automatic and biologic, and is regarded as a disordered response to stress.
It is impossible to state whether any one of the episodes which came to light through the alarm system would have been lethal. Some would probably not have been discovered at all. But incidents of greater or lesser severity did occur in five of the six infants who were considered to be at risk from an historical and clinical standpoint. It has become fairly obvious that pregnancy factors are of utmost importance in predicting risk — perhaps the most notorious of all being smoking, which recorded as a possible factor in three of these case histories.