dr nur ayutimasery abdullah forensic pathologist...

DR NUR AYUTIMASERY ABDULLAH

FORENSIC PATHOLOGIST UD56

Post mortem examination of dumped babies

start before the autopsy itself.

There are issues to be considered and looked

into before touching the body.

Best to make a checklist for cases of dumped

babies.

Cases will be investigated by Section D11

(Sexual/ Child Investigation)

D11 is a division under Criminal Investigation

Department (JSJ), PDRM

The investigating officer (IO) for the case –

Inspector.

The Division under the Criminal Investigation Department :

• Secretariat Division

• Part D1 (Internal Control Police)

• Part D2 (Malaysian & Singapore Criminal Registration Center)

• Part D3 (Naziran)

• Section D4 (Criminal Intelligence)

• Section D5 (Prosecution / Law)

• Part D6 (Technical Assistance)

• Part D7 (Share Dark, Gambling & Nudity)

• Part D8 (Special Operations)

• Section D9 (Special Inquiry)

• Part D10 (Forensic)

• Section D11 (Sexual / Child Investigation)

• Section D12 (Interpol)

• Part D13 (Bank / DNA Data)

• STAFOC

Direction of investigation

◦ Sec 318 Kanun Keseksaan (KK)

◦ Sec 309A KK

◦ Sec 302 KK

Sec 318 KK

Menyembunyikan kelahiran dengan jalan

membuang mayat dengan sulit

Sec 309A KK

◦ Kesalahan membunuh anak

◦ During the period of confinement (not fully

recovered from delivery)

Sec 302 KK

◦ Seksaan bagi kesalahan membunuh orang

◦ Personal encounter : almost all cases usually

charged under sec 318 KK

◦ Difficult to charge under sec 309A KK, has to

prove there was element of “under the influence

of the hormone”

◦ Very rare to charge with sec 302 KK, except for

cases like the baby was alive for a period of time,

but was intentionally killed by the mother

◦ Therefore important to be able to make the

conclusion of born alive or stillbirth.

◦ Personal encounter : Sarawak case – was charged

with sec 302 KK from the beginning.

◦ Baby suffered from head injury due to blunt impact

when “unintentionally” delivered head first into a

toilet bowl.

◦ Important for pathologist to expedite the post

mortem report to hasten the court process.

Crucial

For better understanding and correlation with

injury on the body

Supported by photos of the scene

Any suspect?

Background of suspect i.e mother, level of education

Pregnancy: period of amenorrhoea, LMP to help in

estimation of age of baby, check-up,

◦ *Prematurity could have caused the baby to be incapable of

maintaining an independent existence

Delivery: position during delivery, presentation, any

arrangement or assistant during delivery,

spontaneous or induced, any experience or guidance

in delivery i.e watched delivery technique in youtube

◦ Post delivery : what happen after the baby was

delivered ?cry ?breathing ?movement

◦ What was done to the baby post delivery?

◦ How long was the duration from the delivery to post

mortem, for estimation of time of death.

◦ What was done to the placenta?

◦ Important note : To immediately ask the IO

regarding the placenta, to transport to mortuary

a.s.a.p if available

Important to take samples as complete as possible

Advisable for every mortuary to have a checklist of

samples which should be taken for infant cases

Have a basic checklist for all infant case and tailor

accordingly.

Have a mutual understanding with your pathology lab

regarding the management of the samples and also

Chemistry Department and IMR

Other investigations

◦ Skeletal survey

◦ Toxicology

◦ DNA profilling and matching

Was the baby borne alive or stillbirth

Estimation of time since death

Was there any injury to the body, could the

injury caused death to the baby, if its not

have to be able to explain

Cause of death – natural causes or trauma

THANK YOU