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Scholars Journal of Applied Medical Sciences | Volume-9 | Issue-08
Forensic Autopsy Findings in Sudden Infant Death Syndrome: A Study in a Tertiary Care Hospital, Rajshahi, Bangladesh
Rahman MAM, Jahan T, Afrif S
Published: Aug. 5, 2021 | 154 114
DOI: 10.36347/sjams.2021.v09i08.005
Pages: 1266-1269
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Abstract
Introduction: Sudden Infant Death Syndrome (SIDS) is the general diagnosis given when it is not possible to identify the cause of infant death, even after a complete forensic study and death site investigation. SIDS is a term that was first proposed in 1969 for a distinctive subgroup of unexpected infant deaths that occurred during the postneonatal period with relatively consistent clinical, epidemiological, and pathological features. SIDS remains a diagnosis of exclusion, according to the definition proposed in 1969. Although this syndrome has several distinctive features, including age distribution such as only affecting those younger than 1 year of age, and apparent occurrence during sleep, there has been reluctance to include these features in the definition. The aim of this study was to research the findings of SIDS in infants after a detailed forensic autopsy, and determine the importance of forensic autopsy. Methods: This cross-sectional analytical study conducted at Emergency and the department of Orthopaedic Surgery, Rajshhi Medical College Hospital, Rajshahi, Bangladesh during the period from January 2019 to December 2019 with a sample size of 75. Data were analyzed using statistical software SPSS. Study taken permission from the guardians of the infants. Result: Over half of the study population was male and 43% were female. 60% of the patients died at home. For 56% of the cases no information was available regarding their activity at the time of death. Of the available information, 26.67% died while sleeping, 14.67% were involved in other activities at home, and 2.66% were involved with some other form of activity. Post analysis showed that 48% were natural death. 38.67% of cases were still under study at the time of data collection. After a proper autopsy, 76% of the cases were ruled with SIDS as the cause of death. SIDS was determined as the cause of death in 57 out of 75 cases. 82.46% of the 57 cases had no available history. 8.77% had a history .....