Infant Journal
for neonatal and paediatric healthcare professionals

When should a neonatal death be referred to the coroner? Initiation of a guideline to aid decision making

Despite improved survival, particularly for extremely preterm infants, sadly some neonates die. When this happens, it may be appropriate to refer the death to the coroner, however, there is huge variation in practice between settings regarding the coroner referral process. After a particular case concerning several hospitals, we reviewed available evidence and produced a guideline to aid this process, involving both neonatologists and our coroner’s office, and including parental concerns. This has enabled a systematic, transparent approach that is equal for all infants.

Narendra Aladangady
FRCPCH, PhD
Consultant Neonatologist and Honorary Clinical Professor in Child Health, Neonatal Unit, Homerton University Hospital NHS Foundation Trust, London, and Queen Mary University of London
n.aladangady@nhs.net

Philippa Chisholm
FRCPCH
Consultant Neonatologist, Neonatal Unit, Homerton University Hospital NHS Foundation Trust, London

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Keywords
COVID-19; emergency caesarean section; vaginal delivery; personal protective equipment; infection control; aerosol generating procedure
Key points
  1. Healthcare staff must be prepared for the delivery of babies from COVID-19 positive women.
  2. Preparations should include planning of logistical steps to prevent transmission of the virus.

Also published in Infant:

VOLUME 16/ISSUE 3, MAY 2020
The role of simulation in preparing a response to the COVID-19 pandemic
In response to COVID-19, simulation has been used to embed practical skills such as donning and doffing of personal protective equipment and scenario-based logistics of proposed COVID-19 patient flows. We have developed small staff group training sessions, alongside larger scale multidisciplinary team sessions and used simulation to guide the development of our standard operating procedure. We have also created online training resources to reach a larger number of staff within the neonatal unit (NNU). In this article we share our experiences to help others develop their own ideas on the plethora of ways that simulation can aid a response to the COVID-19 outbreak and any other future advances within the NNU.

Read more...