Coronial
VICcommunity

Finding into death of Sanaya Sahib

Deceased

Sanaya Sahib

Demographics

1y, female

Date of death

2016-04-09

Finding date

2019-10-30

Cause of death

Suffocation

AI-generated summary

Sanaya Sahib, age 14 months, died from suffocation on 9 April 2016. Her mother, Sofina Nikat, deliberately suffocated her and left her body in Darebin Creek. Ms Nikat was experiencing significant social isolation, family violence from her husband and in-laws, depression, parenting difficulties, and stress. Clinical lessons include the missed opportunity for repeat postnatal depression screening by maternal and child health nurses following Ms Nikat's changed circumstances in March 2016. Although Ms Nikat had an EPDS score of 5 in February 2015, no further screening occurred despite her becoming homeless, living in temporary accommodation, and reporting difficulty managing Sanaya's behaviour. Current Victorian guidelines do not specify reassessment when a mother's circumstances significantly change. The coroner recommended increased frequency of maternal health and wellbeing checks throughout the first two years postnatally, particularly when personal circumstances change.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Contributing factors

  • maternal depression
  • social isolation
  • lack of family support in Australia
  • family violence from husband and in-laws
  • parenting stress and difficulty managing child behaviour
  • living in temporary accommodation
  • cultural beliefs regarding child's behaviour and possession
  • missed postnatal depression screening despite changed circumstances

Coroner's recommendations

  1. The Victorian Department of Health and Human Services should update the frequency of maternal health and wellbeing checks as outlined by the Maternal Child Health Service Practice Guidelines 2009 and Perinatal Mental Health and Psychosocial Assessment Practice Resource Manual to occur at regular intervals throughout a mother's engagement with MCH service at least once a year for the first two years of the birth of a child.
  2. The Victorian Department of Health and Human Services should issue updated guidelines to include steps to contact mothers in instances where their personal circumstances have significantly changed to administer postnatal depression screening at the earliest available opportunity.
Full text

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