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The increased awareness of deliberate harm to infants by
parents and carers has prompted debate on the terminology used for "cot deaths." These two papers give historical context of the debate and consider whether the use of "sudden infant death
syndrome" should be abandoned.
M A Green Department of Forensic Pathology,
University of Sheffield, Sheffield S3 7ES
forensic.path@sheffield.ac.uk
In a recent editorial in the Journal of
Clinical Pathology I argued that pathologists should approach
sudden and unexpected death in the first year of life with greater
caution than may have been applied in recent years.1 In
consequence of the increased awareness of deliberate harm by parents
and carers reported by Meadow and so graphically captured on video
recordings by Southall and Banks,2-4 I said that the term
"not ascertained" should be used much more widely than it is at
present. I am fully aware of the distress that such an approach may
cause to recently bereaved and totally innocent parents. I am also old
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