Pregnancy-Related Death, Death in Newborns, and Sudden Infant Death Syndrome

Dettmeyer, R.

doi:10.1007/978-3-642-20659-7_17

Cited by 2 publications

(3 citation statements)

References 233 publications

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“…In addition to a number of case histories, there are also studies with larger numbers of maternal deaths 9 , 11 , 43 and reviews on the processing of, and investigation into, these deaths together with their respective histological findings 14 , 20 . Investigations are carried out in both criminal and civil proceedings 10 , 12 , 27 , 28 , 38 .…”

Section: Discussionmentioning

confidence: 99%

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Pregnancy-associated Death – Clarifying the Cause of Death and Medico-legal Assessments in Accusations of Malpractice

Dettmeyer

Lang

Amberg³

et al. 2018

Geburtshilfe Frauenheilkd

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Background Pregnancy-associated deaths are extremely rare in Germany. Most deaths are from natural causes, and a range of causes are possible. Method The deaths of 22 women who died of pregnancy-associated causes and who were autopsied in the Institute of Forensic Medicine of Justus-Liebig University Gießen between 1992 and 2016 were analyzed. Results The autopsy results and histological examinations for the majority of women who died of pregnancy-associated causes between 1992 and 2016 showed that they had died of natural causes, although complications of pregnancy were a leading cause of death. Conclusion The death of a pregnant woman should not automatically raise the suspicion of malpractice, although the question does arise in cases of bleeding complications only detected at very late stages. Experts must prove that a real mistake was made during treatment and provide evidence of the causality between malpractice and patient death. Particularly when well-known complications of pregnancy were present, this is only the case if poor monitoring resulted in the complication being detected too late or if treatment was not in accordance with accepted standards of care. The majority of pregnancy-associated deaths are from natural causes and the death of a pregnant woman does not mean that medical malpractice was involved, although this accusation is often levelled in cases where rupture was not immediately diagnosed or in cases of fatal postpartum hemorrhage.

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Section: Discussionmentioning

confidence: 99%

“…Neben Kasuistiken gibt es Studien mit größeren Fallzahlen zu maternalen Todesfällen 9 , 11 , 43 , aber auch Übersichtsarbeiten zur Bearbeitung und Begutachtung derartiger Todesfälle einschließlich zugehöriger Histologie 14 , 20 . Die Begutachtung erfolgt sowohl für straf- als auch für zivilrechtliche Verfahren 10 , 12 , 27 , 28 , 38 .…”

Section: Diskussionunclassified

Pregnancy-associated Death – Clarifying the Cause of Death and Medico-legal Assessments in Accusations of Malpractice

Dettmeyer

Lang

Amberg³

et al. 2018

Geburtshilfe Frauenheilkd

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“…All autopsies were performed by forensic pathologists at the Cook County Medical Examiner's Office, and neuropathological and ophthalmological consultations were obtained from local university‐affiliated neuropathologists and ophthalmologists, respectively. The autopsy techniques used to remove the brain, spinal cord and eyes and the gross and microscopic examination of the nervous system were in accordance with standard techniques described in literature . In any case, the dorsal root ganglions were not dissected.…”

Section: Methodsmentioning

confidence: 99%

Deaths Due to Child Abuse: A 6‐Year Review of Cases in The Cook County Medical Examiner's Office

Serinelli

Arunkumar

Filkins

et al. 2016

Journal of Forensic Sciences

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Case files from the Cook County Medical Examiner's Office from 2007 to 2012 were reviewed to analyze homicides due to physical child abuse in children <3 years old. Fatal cases mostly involved younger subjects. Intracranial injuries were the leading cause of death, while death due to extracranial injuries was uncommon. Eyes were involved in most of the cases. Spinal cord was involved in about 1/3 of the cases, mostly in the thoracic area. In some cases, previous injuries were present. There were significant differences in the pattern of injuries between age groups. Subjects showing signs of impact to the head and subjects with no evidence of an impact showed no significant difference in internal injuries. The association of multiple injuries is highly suggestive of child abuse. In suspected child abuse, a postmortem examination including neuropathological, ophthalmological, and radiological information should be always evaluated, together with investigative reports and the medical history.

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Pregnancy-Related Death, Death in Newborns, and Sudden Infant Death Syndrome

Cited by 2 publications

References 233 publications

Pregnancy-associated Death – Clarifying the Cause of Death and Medico-legal Assessments in Accusations of Malpractice

Pregnancy-associated Death – Clarifying the Cause of Death and Medico-legal Assessments in Accusations of Malpractice

Deaths Due to Child Abuse: A 6‐Year Review of Cases in The Cook County Medical Examiner's Office

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