Abstract
Neonaticide occurs throughout the world and is thought to be one of the least preventable crimes. Appropriately, perinatal pathologists can sometimes be asked to lend their expertise to the forensic examination of stillborn or newly born babies who have died in unusual or suspicious circumstances. Such babies are often the product of concealed pregnancies, have been abandoned shortly after delivery, or have been stillborn and their bodies deliberately (often poorly) concealed. Rarely, mummified or skeletonized remains may be brought to our attention by law enforcement agencies. In addition to the usual problems in the identification of the cause of death, various additional considerations are of importance, principally in relation to the potential for homicide/neonaticide. It is crucial that there be a thorough assessment of the apparent age/viability of the neonate and whether or not it can be determined if the baby had been born alive and had an independent existence, separate from the mother.
In this chapter, we explore some of the medicolegal issues raised by such cases. In particular, we recognize the growing utility and importance of the application of modern radiological imaging to this area of perinatal autopsy practice.
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References
Nguyen RH, Wilcox AJ. Terms in reproductive and perinatal epidemiology: 2. Perinatal terms. J Epidemiol Community Health. 2005;59:1019–21.
WHO ICD10. Geneva: World Health Organization, 1993;2: p. 129.
Mosby’s dental dictionary, 2nd ed. St. Louis: Elsevier; 2008.
Segen JC. McGraw-Hill concise dictionary of modern medicine. New York: McGraw-Hill; 2002.
Atkinson SB. Separate existence in the child. BJOG. 1904;5:539–44.
Wright J. Rex v. Pritchard, 17 TLR 1901;310.
The Infant Life (Preservation) Act s 1 (1); 1929.
Resnick PJ. Murder of the newborn: a psychiatric review of neonaticide. Am J Psychiatry. 1970;126:1414–20.
Bonnet C. Adoption at birth: prevention against abandonment or neonaticide. Child Abuse Negl. 1993;17:501–13.
Infanticide Act s 1(1); 1938.
Mariano TY, Chan HC, Myers WC. Toward a more holistic understanding of filicide: a multidisciplinary analysis of 32 years of U.S. arrest data. Forensic Sci Int. 2014;236:46–53.
d’Orban P. Women who kill their children. Br J Psychiatry. 1979;134:560–71.
Trautmann-Villalba P, Hornstein C. Children murdered by their mothers in the postpartum period. Nervenarzt. 2007;78:1290–5.
Rouge-Maillart C, Jousset N, Gaudin A, Bouju B, Penneau M. Women who kill their children. Am J Foren Med Pathol. 2005;26:320–6.
Fazio CA, Comito JL. Rethinking the tough sentencing of teenage neonaticide offenders in the United States. Fordham Law Review. 1999;67: article 8.
Spinelli MG. Maternal infanticide associated with mental illness: prevention and the promise of saved lives. Am J Psychiatry. 2004;161:1548–57.
Tursz A, Crost M, Gerbouin-Rerolle P, Cook JM. Underascertainment of child abuse fatalities in France: retrospective analysis of judicial data to assess underreporting of infant homicides in mortality statistics. Child Abuse Negl. 2010;34:534–44.
Craig M. Perinatal risk factors for neonaticide and infant homicide: can we identify those at risk? J R Soc Med. 2004;97:57–61.
Porter T, Gavin H. Infanticide and neonaticide: a review of 40 years of research literature on incidence and causes. Trauma Violence Abuse. 2010;11:99–112.
Drescher-Burke K, Krall J, Penick A. Discarded infants and neonaticide: a review of the literature. Berkeley: National Abandoned Infants Assistance Resource Center, University of California at Berkeley; 2004.
Klier CM, Grylli C, Amon S, Fiala C, Weizmann-Henelius G, Pruitt SL, Putkonen H. Is the introduction of anonymous delivery associated with a reduction of high neonaticide rates in Austria? A retrospective study. BJOG. 2013;120:428–34.
Makhlouf F, Ramboud C. Child homicide and neglect in France: 1991–2008. Child Abuse Negl. 2014;38:37–41.
Outwater AH, Mgaya E, Campbell JC, Becker S, Kinabo L, Menick DM. Homicide of children in Dar es Salaam. Tanzania East Afr J Publ Health. 2010;7:345–9.
Paulozzi L, Sells M. Variation in homicide risk during infancy—United States, 1989–1998. MMWR; 2002. Retrieved on 30 Dec 2014 from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5109a3.htm.
Platt LM. Preventing neonaticide by early detection and intervention in student pregnancy. NASN Sch Nurse. 2014;29:304–8.
Marleau JD. Neonaticidal mothers: are more boys killed? Med Sci Law. 2004;44:311–6.
Pitt SE, Bale EM. Neonaticide, infanticide and filicide: a review of the literature. Bull Am Acad Psychiatry Law. 1995;23:375–86.
Putkonen H, Weizmann-Henelius G, Collander J, Santtila P, Eronen M. Neonaticides may be more preventable and heterogeneous than previously thought – neonaticide in Finland 1980–2000. Arch Womens Ment Health. 2007;10:15–23.
Stocker T, Dehner LP, editors. Pediatric pathology, vol. 1. Philadelphia: Lippincott Williams and Wilkins; 2001.
Nesca M, Dalby JT. Maternal neonaticide following traumatic childbirth: a case study. Int J Offender Ther Comp Criminol. 2011;55:1166–78.
Emery JL. Infanticide, filicide and cot death. Arch Dis Child. 1985;60:505–7.
Amon S, Putkonen H, Weizmann-Henelius G, Almiron MP, Formann AK, Voracek M, et al. Potential predictors in neonaticide: the impact of the circumstances of pregnancy. Arch Womens Men Health. 2012;15:167–74.
Collins KA, Byard RW, editors. Forensic pathology of infancy and childhood, vol. 1. New York: Springer; 2014. p. 169–91.
Spitz WU, Spitz DJ, Adams VI, editors. Spitz and fisher’s medicolegal investigation of death: guidelines for the application of pathology to crime investigation. 4th ed. Springfield: Charles C Thomas Publisher Ltd; 2006.
Keeling JW. Fetal and perinatal death. In: Busuttil A, Keeling JW, editors. Paediatric forensic medicine and pathology. London: Edward Arnold; 2009.
Royal College of Radiologists. Standards for radiological investigations of suspected non-accidental injury. Joint document produced in collaboration with the Royal College of Paediatrics and Child Health. London: RCR; 2008.
Rutty GN, Jeffery AJ, Raj V, Morgan B. The use of post-mortem computed tomography in the investigation of intentional neonatal upper airway obstruction: an illustrated case. Int J Legal Med. 2010;124:641–5.
Sieswerda-Hoogendoorn T, Soerdjbalie-Maikoe V, Maes A, van Rijn RR. The value of post-mortem CT in neonaticide in cases of severe decomposition: description of 12 cases. Foren Sci Int. 2013;233:298–303.
Guddat SS, Gapert R, Tsokos M, Oesterhelweg L. Proof of live birth using post-mortem multislice computed tomography (pmMSCT) in cases of suspected neonaticide: advantages of diagnostic imaging compared to conventional autopsy. Foren Sci Med Pathol. 2013;9:3–12.
Soerdjbalie-Maikoe V, de Wijs-Heijlaerts KJ, Meijerman L, Verheugt AJ, Sieswerda-Hoogendoorn T, Maes A. Neonaticide: frequently suspected, seldom proven. Ned Tijdschr Geneeskd. 2013;157:A6546.
Knight B. Forensic pathology. 2nd ed. London: Arnold; 1996.
deRoux SJ, Predergast NC. Pulmonary interstitial emphysema in live birth determination: radiographic and gross pathologic features. J Forensic Sci. 2006;51:134–6.
Gilbert-Barness E, Spicer DE, Steffensen TS. Developmental abnormalities of the mouth, nose, and larynx. In: Handbook of pediatric autopsy pathology, 2nd ed. New York: Springer; 2013.
Barry PW, Hocking MD. Infant rib fracture-birth trauma or non-accidental injury. Arch Dis Child. 1993;68:250.
van Rijn RR, Bilo RA, Robben SG. Birth-related mid-posterior rib fractures in neonates: a report of three cases (and a possible fourth case) and a review of the literature. Pediatr Radiol. 2009;39:30–4.
Royal College of Paediatrics and Child Health, Royal College of Ophthalmologists. Abusive head trauma and the eye in infancy. London: RCO; 2013.
Csete K, Beer Z, Varga T. Prenatal and newborn paternity testing with DNA analysis. Forensic Sci Int. 2005;147:S57–60.
Byard RW. Medicolegal problems with neonaticide. Forensic Pathol Rev. 2004;1:171–85.
Airas U, Heinonen S. Clinical significance of true umbilical knots: a population-based analysis. Am J Perinatol. 2002;19:127–32.
West SG. An overview of filicide. Psychiatry (Edgemont). 2007;4: p. 48–57. Retrieved on 30 Dec 2014 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2922347/pdf/PE_4_2_48.pdf
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Kiho, L., Malcomson, R.D.G. (2015). Forensic Aspects of Perinatal Pathology. In: Khong, T.Y., Malcomson, R.D.G. (eds) Keeling’s Fetal and Neonatal Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-19207-9_34
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DOI: https://doi.org/10.1007/978-3-319-19207-9_34
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