Objectives: Despite the problem being present in every corner of our country, research studies are scarce on the topic of the abandonment of fetuses or newborns. In this light, this research seeks to look at the prevalence and autopsy profiling into the cases of abandonment of newborns/fetuses and the possible suggestions. Methods: The present 10 years prospective study was conducted to observe the profiling of the abandoned newborns/fetuses after taking permission from the institutional ethical committee. The records of all the medico-legal autopsies conducted under 317 IPC at Government Medical College, Amritsar, from January 2014 to February 2023, were analyzed. Results: The total number of autopsy cases conducted under 317 IPC. In the present study, 02 (9.1%) females were known cases, while among the unknown cases, there 06 (27.3%) were males and 14 (63.6%) were female. Most cases were females, 16 (72.7%) and 6 (27.3%) were males. The maximum number of cases reported in 2019 was 4 (18.2%), while 03 (13.6%) were reported in 2016 and 2021, respectively. The most common were homicidal deaths in 14 (63.6%) cases, followed by natural deaths in 5 (22.7%) cases, and the cause of death could not be ascertained in 3 (13.7%) cases. Conclusion: Whatever the reason or motive for the newborn or fetuses’ abandonment, this issue needs urgent attention.
Objectives: The objectives of the study were to assess the characteristics of wounds on the body if present and to study the effect of constriction externally as well as internally on the underlying structures of the neck in throttling and traumatic asphyxia. Methods: Collection of data was done from the record of the autopsies conducted of cases of traumatic asphyxia and throttling among the violent asphyxial deaths in the mortuary associated with the Department of Forensic Medicine and Toxicology, Government Medical College, Amritsar, during the past 10 years from January 1, 2006, to December 31, 2015. Results: Among the violent asphyxial deaths studied, 5 (1.23%) cases studied were of throttling, 4 (0.98%) cases were of suffocation, and the least common was traumatic asphyxia for which only 3 (0.74%) cases were studied. Out of 5 cases of throttling, mechanical injuries were present in 4 (80%) cases, out of which bruises were seen in 1 (20%) case, while abrasions in combination with bruises were seen in 3 (60%) cases. Among the 3 (100%) cases of traumatic asphyxia, contusion of strap muscles, contusion of sternocleidomastoid, and contusion of subcutaneous tissue of the neck were present in all 3 (100%) cases. Regarding the time since death, the majority of cases of throttling and traumatic asphyxia 4 (50%) cases have 12 to 24 h, followed by two each (25%) have 24 to 36 h and 3 to 7 days. Conclusion: Knowledge of these structures is necessary for the consistent diagnostic challenges associated with throttling, strangulation, and other forms of neck compression.
Objectives: In this article, we report our observations as well as the innovations which were adapted in the resource-limited settings which are present in most parts of the country. The standard protocols were adopted for complete COVID-19 autopsies that were conducted. Methods: The present retrospective study was conducted in the Department of Forensic Medicine and Toxicology, Government Medical College, Amritsar. The medicolegal autopsies were conducted completely in confirmed positive COVID-19 cases. In the medicolegal cases, complete autopsies were conducted, where the investigating officers did not forgo the autopsy. A total of ten COVID-positive autopsies were conducted from July 2020 to August 2021. Results: Gross findings of various organs during autopsy include that of lungs showing relatively unremarkable lungs with mild edema and consolidation, brain showing edema, and subarachnoid hemorrhage, pancreas showing necrotic and hemorrhagic changes, and kidneys flea-bitten and were contracted. Conclusion: Although a complete autopsy is desired to provide the best possible understanding of the disease process, its variants, such as core biopsies and echopsies, can be taken up as safer alternatives, especially in resource-limited centres. Experience, preparation, and experience are the significant vital aspects which help in managing the COVID-19-positive autopsy. The institution needs to develop guidelines as well as standard operating procedures for the smooth and safe conduct of autopsies in COVID-19 dead bodies.
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