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International Journal of Legal Medicine

, Volume 127, Issue 2, pp 447–451 | Cite as

Is the lung floating test a valuable tool or obsolete? A prospective autopsy study

  • Anna-Lena Große Ostendorf
  • Markus A. Rothschild
  • Annette M. Müller
  • Sibylle BanaschakEmail author
Original Article

Abstract

The lung floating test is still an obligatory measure to distinguish whether a newborn was born dead or alive. In order to verify the reliability of the floating test, a new clinical trial should examine the results of current cases and thus expose, if the test is still contemporary. Following the question, if the test is appropriate for the nowadays birth collective, 208 lungs of newborns were tested with the floating test. The test showed the expected correct result in 204 cases. However, it indicated a false negative result in four cases, in which the lungs sank, although prior life had been reported by medical staff. Overall, the study was able to prove that the results of the floating test are reliable in 98 %. Further, there was not a single false-positive result (lungs of a stillborn swim). Nevertheless, the test demonstrates that a negative test result cannot be taken as proof for a newborn never to have breathed at all.

Keywords

Lung floating test Neonates Stillborn Newborn 

References

  1. 1.
    Saukko P, Knight B (2004) Knight's forensic pathology, 3rd edn. Arnold, London, pp 439–450Google Scholar
  2. 2.
    Jackson M (1994) Suspicious infant deaths: the statute of 1624 and medical evidence at coroners' inquests. In: Clark M, Crawford C (eds) Legal medicine in history. Cambridge University, Cambridge, pp 64–86CrossRefGoogle Scholar
  3. 3.
    Spitz WU (1993) Investigation of deaths in childhood. In: Spitz WU, Spitz DJ, Fisher RS (eds) Spitz and Fisher's medicolegal investigation of death: guidelines for the application of pathology to crime investigation, 3rd edn. Charles C. Thomas Publisher, Illinois, pp 681–686Google Scholar
  4. 4.
    Glee DJ (1985) Infanticide and child destruction. In: Polson CJ, Gee DJ, Knight B (eds) The essentials of forensic medicine, 4th edn. Pergamon, Oxford, pp 514–531Google Scholar
  5. 5.
    Buris L (1993) Forensic medicine. Springer Hungaria, Debrecan, pp 240–252CrossRefGoogle Scholar
  6. 6.
    Payne-James J (ed) (2005) Encyclopedia of forensic and legal medicine, vol 3. Elsevier, London, pp 367–368Google Scholar
  7. 7.
    Sheaft MT, Hopster DJ (2005) Post mortem technique handbook, 2nd edn. Springer, London, pp 399–400Google Scholar
  8. 8.
    Simpson K (1974) Forensic medicine, 7th edn. Edward Arnold, London, pp 158–165Google Scholar
  9. 9.
    Walcher K (1950) Leitfaden der gerichtlichen medizin—für ärzte und medizinstudierende. Urban und Schwarzenberg, München, pp 116–118Google Scholar
  10. 10.
    Hofmann ER (1898) Lehrbuch der gerichtlichen medicin (8th edn). Urban & Schwarzenberg, Wien, pp 708–732Google Scholar
  11. 11.
    Otte M (1987) Die unterschiedliche beurteilung der kindestötung in Gesetzgebung und Gesetzanwendung. Dissertation, Medizinische Fakultät der Universität DüsseldorfGoogle Scholar
  12. 12.
    Mueller B (1975) Gerichtliche Medizin (2. Band). Springer, Heidelberg, pp 1185–1192CrossRefGoogle Scholar
  13. 13.
    Munkenbeck-Dieke A (1994) Rechtsmedizinische untersuchungen unnatürlicher todesfälle neugeborener—eine forensische studie zur Kindestötung. Dissertation, Fachbereich der Humanmedizin der Justus-Liebig-Universität GiessenGoogle Scholar
  14. 14.
    Forster B, Ropohl D (1986) Rechtsmedizin (4th edn). Ferdinand Enke Verlag, Stuttgart, pp 157–159Google Scholar
  15. 15.
    Madea B, Dettmeyer R (2007) Basiswissen rechtsmedizin. Springer, Heidelberg, pp 173–175Google Scholar
  16. 16.
    Penning R (2006) Rechtsmedizin systematisch, 2nd edn. UNI-MED Verlag, Bremen, pp 147–150Google Scholar
  17. 17.
    Moar JJ (1997) The hydrostatic test—a valid method of determining live birth? Am J Forensic Med Pathol 18(1):109–110PubMedCrossRefGoogle Scholar
  18. 18.
    Dressler J, Schmidt U, Hanisch U, Demmler G, Riehn A, Pollak S (2011) Neonatal freshwater drowning after birth in the bathroom. Am J Forensic Med Pathol 32:119–123PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Anna-Lena Große Ostendorf
    • 1
  • Markus A. Rothschild
    • 1
  • Annette M. Müller
    • 2
  • Sibylle Banaschak
    • 1
    Email author
  1. 1.Institute of Legal MedicineUniversity Hospital CologneKölnGermany
  2. 2.Department of Paediatric PathologyUniversity of BonnBonnGermany

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