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Q1 LONG ANSWER 10M ★ High-yield

Define infanticide. Describe the legal provisions in India and the questions to be answered at the autopsy of a newborn.

Forensic Medicine · 2nd Professional — Para-Clinical

Definition and the Indian Position

Infanticide is the unlawful killing of a child under one year of age by its mother. This is the English definition, under which infanticide is a distinct and lesser offence than murder in recognition of the disturbance of the mother’s mind after childbirth.

  • INDIA has NO separate offence OF infanticide. This is the single most important point. The killing of a newborn by its mother is murder under BNS 103 (formerly IPC 302), tried and punished as such, with no statutory mitigation for the puerperal state — though the courts take it into account in sentencing
  • Foeticide is the destruction of the fetus in utero; infanticide is the killing of the child after birth. The dividing line between them is the crux of every such case
  • The killing may also be by neglect — failure to tie the cord, failure to clear the airway, exposure or abandonment — and an omission is as culpable as an act where there was a duty to care
Provision (BNS 2023 / formerly IPC)Offence
BNS 88 (IPC 312)Causing miscarriage — up to 3 years; and up to 7 years if the woman is quick with child. The woman herself is liable if she causes her own miscarriage
BNS 89 (IPC 313)Causing miscarriage without the woman’s consent — imprisonment for life or up to 10 years
BNS 90 (IPC 314)Death caused by an act done with intent to cause miscarriage — up to 10 years; and life imprisonment if without consent
BNS 91 (IPC 315)Act done with intent to prevent a child being born alive, or to cause it to die after birth — up to 10 years. This is the provision that covers killing during delivery
BNS 92 (IPC 316)Causing the death of a quick unborn child by an act amounting to culpable homicide — up to 10 years
BNS 93 (IPC 317)Exposure and abandonment of a child under 12 years by a parent or person having care of it — up to 7 years
BNS 94 (IPC 318)Concealment of birth by secret disposal of the dead body — up to 2 years. It applies whether the child died before, during or after birth, and is therefore the charge that succeeds when live birth cannot be proved
BNS 103 (IPC 302)Murder — the charge where live birth and killing are both established

CLINICAL PEARL

A child is legally "born" for the purposes of homicide as soon as any part has been brought forth — it need not have breathed, and need not be completely born. Explanation 3 to BNS 100 (formerly IPC 299) says so expressly. This is quite different from the medical requirement of separate existence, and the two are constantly confused: a doctor may correctly report that respiration never occurred, and the offence of culpable homicide may still be made out.

The Questions to Be Answered

  • 1. Was the child viable? — capable of leading a separate existence, which requires an assessment of maturity and of any lethal malformation → 2.
  • Was the child born alive? — the central question, answered by the signs of respiration and of separate existence → 3.
  • If born alive, how long did it survive? — from the cord, the gastrointestinal air, the caput, meconium and the circulatory changes → 4.
  • What was the cause of death? — natural, accidental or homicidal → 5.
  • What is the maturity (age) of the child? — by length, weight, ossification centres and external features → 6.
  • Was the child full term? and was the birth attended or unattended → 7.
  • Identity — and, in the suspected mother, the signs of recent delivery and DNA to establish maternity

Circumstances and Motive

  • The classical circumstances in India — an illegitimate pregnancy concealed through fear and shame; poverty and the inability to support another child; and female infanticide, which remains a serious problem in parts of the country and is reflected in the child sex ratio. The PC-PNDT Act addresses its antenatal counterpart
  • Puerperal psychosis and severe depression are genuine and recognised, and may support a defence of unsoundness of mind under BNS 22 (formerly IPC 84) or reduce the offence; a psychiatric assessment of the mother is essential and is frequently omitted
  • The mother is often a very young, frightened, unsupported girl who has delivered alone and without any medical attendance; and the distinction between deliberate killing, panic, ignorance and genuine accident is the whole difficulty of these cases
  • The body is characteristically disposed of secretly — buried, thrown into a well, drain, river or refuse heap, or left in a public place — and is often decomposed by the time it is found, which destroys most of the findings on which live birth depends

Foeticide, Infanticide and the Legal Boundary

StageLegal characterisation
Before quickeningCausing miscarriage — BNS 88, up to 3 years; and the woman herself is liable
After quickening, child still in uteroCausing miscarriage of a woman quick with child — BNS 88, up to 7 years; and BNS 92 where the act amounts to culpable homicide
During delivery, before complete birthBNS 91 — an act done with intent to prevent the child being born alive, or to cause it to die after birth; up to 10 years. This is the provision covering an instrument thrust into the presenting part
Any part brought forth, even if not breathing or completely bornCulpable homicide is possible — Explanation 3 to BNS 100. The child is legally born for this purpose although medically it has no separate existence
Completely born and aliveMurder under BNS 103 where killing is proved
Child dead however it died, body secretly disposed ofConcealment OF birth — BNS 94, up to 2 years, requiring NO proof of live birth
Child alive and abandonedExposure and abandonment — BNS 93, up to 7 years; and homicide if the child dies
  • The practical consequence of this ladder is that the medical evidence determines which rung applies. Proof of live birth raises the case to murder; its absence, or the impossibility of establishing it, drops it to concealment of birth. Nothing else the doctor does matters as much

Applied Aspects

  • Establish live birth before anything else; without it the charge cannot be murder, and in practice the great majority of these cases end in a conviction only for concealment of birth under BNS 94, which requires no proof of live birth at all
  • Do not confuse the legal and medical senses of "born"; the law requires only that a part be brought forth, whereas the medical signs address whether the child breathed and existed separately
  • Examine the suspected mother for signs of recent delivery, and take DNA from both; maternity is a matter of proof and should not be assumed from the circumstances
  • Assess the mother’s mental state and record it; puerperal psychosis and severe depression are real, and the omission of a psychiatric assessment in an infanticide case is a serious failure
  • Preserve everything — the cord, the placenta if available, the wrappings and the container — and take viscera for toxicology, since poisoning and drowning are both used
  • Remember that decomposition destroys the evidence of live birth, and that a negative hydrostatic test in a putrefied body means nothing; the report should say so plainly rather than concluding stillbirth
  • India has no separate offence of infanticide; the killing of a newborn by its mother is murder, with no statutory mitigation for the puerperal state
  • The law and medicine mean different things by born — any part brought forth for the law, separate existence for medicine
  • Killing by omission is as culpable as by act — failing to tie the cord, to clear the airway or to feed, where there was a duty to care
  • Female infanticide remains a real problem in parts of India, and its antenatal counterpart is addressed by the PC-PNDT Act
  • Assess and record the mother mental state; puerperal psychosis and severe depression are genuine and may found a defence under BNS 22
  • The mother is often a frightened unsupported girl who delivered alone, and the distinction between killing, panic and accident is the whole difficulty
  • Preserve the wrappings, the container and the cord; they may identify the person and the place, and are routinely discarded
  • Take DNA from the child and any suspected mother; maternity is a matter of proof and should never be assumed from circumstances
  • The body is usually decomposed by the time it is found, which is why most infanticide investigations end in concealment of birth
  • Answer the seven questions in order — viability, live birth, survival, cause, maturity, term and identity — and do not skip to the cause
  • Foeticide and infanticide are divided by birth, and the ladder of offences from BNS 88 to BNS 103 turns on exactly where the child was
  • A conviction is possible without proving how the child died, under BNS 94, which requires only a dead child and a secret disposal
  • The puerperal state is not a defence in itself in India, though it is taken into account in sentencing and may support unsoundness of mind
  • Examine any suspected mother for recent delivery; the lochia, uterus, breasts and perineum together date it
  • Ask about attendance at the birth; a cut or tied cord means somebody was present, and that person is a witness or an accused
  • The placenta may be with the body, and its presence indicates an unattended delivery with no third stage management
  • Never certify stillbirth from a negative floatation test alone in a decomposed body; say the finding is uninterpretable

All questions in Infanticide & Abortion

  1. Q1Define infanticide. Describe the legal provisions in India and the questions to be answered at the autopsy of a newborn. ★
  2. Q2Describe the signs of live birth with the hydrostatic test and its fallacies. ★
  3. Q3Describe the estimation of the age and viability of a fetus, the duration of survival after birth, and the causes of death of a newborn. ★
  4. Q4Describe the Medical Termination of Pregnancy Act with its provisions and its interaction with other laws. ★
  5. Q5Describe criminal abortion with its methods, complications and the medicolegal examination. ★
  6. SN1Distinguish dead-born, still-born and live-born. Describe the signs of intrauterine death. ★
  7. SN2Describe precipitate labour and its medicolegal importance. ★
  8. SN3Describe the offences of concealment of birth and of exposure and abandonment of a child. ★
  9. SN4Describe the abortifacient drugs and poisons with their dangers. ★
  10. SN5Describe the medicolegal aspects of maternal deaths. ★
  11. SN6Describe the signs of recent abortion in a living woman and the distinction between natural and induced abortion. ★
  12. SN7Describe the examination of a dead newborn found in a public place.

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