(Received 25 June 1983; accepted 25 August 1983)
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Since inception of the Dade County Medical Examiner Department in 1956 and the end of 1982 a total of 18 spontaneous births into toilets were investigated. A retrospective review of these cases revealed a high degree of maternal denial of pregnancy and refusal of responsibility for the fetus by primiparous mothers of term births, the instances of most questionable manner of death. A consideration in the examination of these natal deaths should be investigation of maternal postnatal behavior along with the circumstances of birth and autopsy findings.
Medical examiner, Onondaga County, Syracuse, NY
Chief medical examiner, Dade County, Miami, FL
Stock #: JFS11708J