Deceased
Charlotte Lukendlay
Demographics
0y, female
Date of death
2016-02-25
Finding date
2019-06-26
Cause of death
global hypoxic brain injury caused by prolonged cessation of breathing arising from an act done by her father
AI-generated summary
An 11-week-old healthy infant died from global hypoxic brain injury following cardiac arrest at home. Multiple rib fractures and a clavicle fracture in various stages of healing indicated repeated non-accidental trauma inflicted by her father over weeks. The father placed the infant in unsafe sleeping positions (prone, tightly wrapped) despite knowledge of safe sleeping practices and warnings from the mother and his own parents. He had a documented pattern of violence, alcohol abuse, and expressed desire to harm the child. The mother was unable to protect the infant due to intimate partner violence and control. Key clinical lesson: healthcare providers must recognise patterns of intimate partner violence in families with infants, recognise and document non-accidental injuries (including healing fractures), and escalate child protection concerns proactively. The infant's healthcare visits identified no injuries, but safe sleeping practice education was provided without recognition of the broader family violence context.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Clinical conditions
Procedures
Infant W: asphyxia due to accidental overlay by parent in unsafe sleeping enviro…
Two premature infants died from unsafe sleeping environments while in the care of their parents, despite being subject to child protection notifications. Infant W (4 months) died from asphyxia due to accidental overlay i…
14y · Male·Brain infarction caused by hypoxia following self-inflicted hanging by rope liga…
PT was a 14-year-old boy with a history of anorexia nervosa and bulimia who died by hanging in April 2022. He had been discharged from eating disorder treatment in November 2021 after maintaining appropriate weight. In t…
0y · Male·suffocation due to overlay by a sleeping adult
A 59-day-old premature infant died from suffocation due to overlay by a sleeping parent. The infant was placed on a mattress next to the parent's cot after refusing to settle in his own cot. Despite the parent's attempt …
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