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
parent support; early language; literacy; interaction; family-integrated care
Key points
  1. Infants born preterm have increased risk of communication and literacy problems.
  2. Introducing literacy through access to a neonatal library is an important addition to family-integrated care.
  3. Involving parents in early communication and literacy opportunities on the NNU can have significant benefits for parent-infant co-occupation and infant development.

Also published in Infant:

VOLUME 17/ISSUE 3, MAY 2021
Parent simulation education – early implementation on the NICU
Introducing practices and facilities that encourage and support families to actively care for their infants while on a neonatal intensive care unit (NICU) is essential in providing effective family-integrated care. In this article we describe the design, implementation and evaluation of a parent simulation teaching programme to improve parental confidence in caring for their infant within the first two weeks of their admission to the NICU.

Read more...