Pathological Findings of the Lung at Neonatal Autopsy in Dr. Hasan Sadikin General Hospital Bandung Period 2016-2019

Rania Azzahra Salsazayasya Parikesit, Nita Novita, Hermin Aminah Usman


Background: Infanticide is a criminal act when a mother kills her child at or soon after birth. Considering whether a case has been decided as infanticide, determination of the life of the neonate at birth is imperative. Breath signs from macroscopic and microscopic approacesh and hydrostatic test are useful indicators. This study aimed to explore the lungs pathological findings at autopsy of neonates.

Methods: This study was a retrospective descriptive observational study, using medical records of neonatal deaths in the Department of Forensics and Medicolegal Dr. Hasan Sadikin General Hospital, Bandung for the period 2016–2019. Total sampling method was used. Inclusion criteria were neonatal death with presumptive infanticide, had autopsied and microscopic examination as well as neonatal death without putrefaction. Data on macroscopic and microscopic findings as well as the hydrostatic test were presented.

Result: In total, 12 of the 42 medical records with data on presumptive infanticide met the inclusion criteria. For macroscopic findings, 7 of the 12 samples had positive results, meaning the lungs had sign of breath. Meanwhile, in microscopic findings 8 of the 12 samples had positive results. For the hydrostatic test, 8 out of 12 samples had positive results. Of the 12 samples, there were four samples that had different results, at least on one variable.

Conclusions: Most of the cases are matched with macroscopic, microscopic, and hydrostatic test, but some unmatched data are also found. In order to improve reliability, especially for legal purposes in infanticide, it is necessary to conduct all the examination.


Hydrostatic test, infanticide, macroscopic finding, microscopic finding

Full Text:



Payne-James J, Jones R, Karch SB, Manlove J. Deaths and injury in infancy. In: Payne-James J, Jones R, Karch SB, Manlove J. Simpson’s Forensic Medicine. 13th ed. London: Hodder Education Publisher; 2011. p.65–75

Directorat General of Law and Legislation Ministry of Justice Republic of Indonesia. Penal code of Indonesia Book II Chapter XIX: crimes against life-Article No. 341 and 342. Jakarta: Republic of Indonesia; 1982. p. 81

Milroy C. Neonatal deaths, infanticide, and the hydrostatic (floatation) test: historical perspectives. Acad Forensic Pathol. 2012;3(4):338–45.

Amelinda A, Hoediyanto H, Kalanjati VP. Profil kasus pembunuhan anak di Departemen Ilmu Kedokteran Forensik dan Medikolegal RSUD Dr. Soetomo. eJKI. 2018;6(1):50–2.

Große Ostendorf AL, Rothschild MA, Müller AM, Banaschak S. Is the lung floating test a valuable tool or obsolete? a prospective autopsy study. Int J Legal Med. 2013;127(2):447–51.

de Sévaux JLH, Nikkels PGJ, Lequin MH, Groenendaal F. The value of autopsy in neonates in the 21st century. Neonatology. 2019;115(1):89–93.

Haridas S V, Patekar MB, Ninal NS, Zine KU. Newborn infanticide within hospital premise an unusual case report. Journal of Indian Academy of Forensic Medicine. 2014;36(2):220–2.

Hillman NH, Kallapur SG, Jobe AH. Physiology of transition from intrauterine to extrauterine life. Clin Perinatol. 2012;39(4):769–83.

Suki B, Stamenović D, Hubmayr R. Lung parenchymal mechanics. Compr Physiol. 2011;1(3):1317–51.

Morton SU, Brodsky D. Fetal physiology and the transition to extrauterine life. Clin Perinatol. 2016;43(3):395–407.

Barber JL, Sebire NJ, Chitty LS, Taylor AM, Arthurs OJ. Lung aeration on post-mortem magnetic resonance imaging is a useful marker of live birth versus stillbirth. Int J Legal Med. 2015;129(3):531–6.

Turan N, Pakis I, Yilmaz R, Gunce E. Macroscopic and microscopic findings of infant lung in case of live or still birth. Sci Res Essays. 2013;8(21):867–74.

Phillips B, Ong BB. “Was the infant born alive?” a review of postmortem techniques used to determine live birth in cases of suspected neonaticide. Acad Forensic Pathol. 2018;8(4):874–93.

Karmakar RN, editor. J.B. Mukherjee’s forensic medicine and toxicology. 5th ed. Kolkata, West Bengal, India: Academic Publisher; 2018. p.1068

Aldila BA, Alit IBP. Studi deskriptif terhadap ciri-ciri korban infantisida di Bali, tahun 2012 sampai 2014. Medika Udayana. 2015;4(6):13834.

D’Angelis CA, Coalson JJ, Ryan RM. Structure of the respiratory system: lower respiratory tract. In: Fuhrman BP, Zimmerman JJ, editors. Pediatric critical care. 4th ed. Philadelphia: Elsevier Saunders; 2011. p. 490–8.

Lee K, Abdul Fatah AA, Norizan NM, Jefrey Z, Md Nawi FH, Wan Nor WFK, et al. Inter-rater reliability of vehicle color perception for forensic intelligence. PLoS One. 2019;14(6):e0218428.


Article Metrics

Abstract view : 890 times
PDF - 538 times

 This Journal indexed by




Creative Commons License
AMJ is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License


View My Stats