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
osteopenia of prematurity; metabolic bone disease; fractures; premature infant; neonate;
Key points
  1. Neonatal units should have a screening policy for infants at risk of MBD.
  2. Development of local guidelines with multidisciplinary pathways can be helpful in management of advanced disease.
  3. Development of consensus guidelines for screening and management in the UK are required.

Also published in Infant:

VOLUME 17/ISSUE 2, MARCH 2021
Consideration of care in a preterm neonate with an extremely rare skeletal dysplasia
Receiving a lifelong diagnosis at birth can be viewed as the starting block from which a life is built and lived. We present the case of a preterm neonate born with a severe skeletal dysplasia in an endeavour to understand the challenges facing the different aspects of care provision, management and treatment in the special care baby unit at Calderdale Royal Hospital. Encompassing the experiences of the staff/parent relationship, we hope to initiate discussion about how best to accommodate such babies on the unit and hypothesise approaches to improving care to stand the family in good stead for their lifelong journey.

Read more...