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Table 3 Examples of study cases where information collected during the study is not reflected in the cause/manner of death.

From: Deaths of infants subject to forensic autopsy in Estonia from 2001 to 2005: what can we learn from additional information?

Sex

Age

(months)

Cause of death

Manner of

death

Description of the

family/household/circumstances

M

5

X59: Exposure to unspecified factor

not established

The child unattended, mother unemployed, father with criminal record

M

0

P52: Intracranial nontraumatic haemorrhage of fetus and newborn

disease

Mother HIV+, living with her parents, wanted to terminate her pregnancy at 35 weeks and was only then registered for pregnancy followup

F

4

R 95: Sudden infant death syndrome

disease

Single 18-year-old mother, HIV+, narcotics use.

M

3

R 95: Sudden infant death syndrome

disease

On admission to hospital, the child was dirty with filthy clothes, no diaper. At autopsy, bruising and abrasion of the forehead was detected.

M

3

W 78: inhalation of gastric contents

accident

The parents were drug addicts, lived in a shared flat with a number of people.

M

1

J 15: Bacterial pneumonia, not elsewhere classified

disease

On several occasions, the mother was drinking alcohol when home alone with the child. According to a friend, she smothered the child with a pillow. She was later accused of beating the next child and was imprisoned.

F

10

A09: Diarrhea and gastroenteritis of presumed infectious origin

disease

Mother was HIV+ and a drug addict. According to the forensic autopsy protocol, she could have killed the baby (not enough evidence to state that in the diagnosis).

M

4

R 95: sudden infant death syndrome

disease

Mother had lues (the child had congenital lues) and a psychiatric disorder. Father had alcohol problems. The child had convulsions at home, the ambulance was called, and on arrival, they found the child dead.

F

2

J 15: Bacterial pneumonia, not elsewhere classified

disease

Mother had 4 older children. Lived in a shabby household. Left the child who later died under the care of older children, who fed her, and the baby aspirated food.

M

5

W 78: inhalation of gastric contents

accident

The child was born at home. Mother was a drug addict. Both parents had alcohol problems. The household was shabby and dirty. Older children had been taken to care (removed from parents).

M

4

G00: Bacterial meningitis, not elsewhere classified

disease

The child was hit in the face, had a broken rib, was at home with mother's partner.