Forensic Medicine · Sexual Offences, Infanticide and Childhood Violence

The principal sign used to distinguish live birth from stillbirth in a suspected infanticide case is:

  • A Presence of meconium in the large intestine
  • B Length of umbilical cord
  • C Hydrostatic (lung float) test
  • D Presence of vernix caseosa
Correct answer: C. Hydrostatic (lung float) test

Explanation

The hydrostatic (lung float) test of Breslau assesses whether the lungs have breathed air; aerated lungs float in water (positive test), indicating live birth, while unexpanded lungs sink. However, putrefaction can cause a false positive and intrauterine respiratory movements cause false negatives. Additional tests include the stomach-bowel float test, Wredin's test, and histology showing alveolar expansion, to corroborate the finding.

Reference: The Essentials of Forensic Medicine and Toxicology (Narayan Reddy), 34th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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