The American Academy of Pediatrics suggests that certain circumstances should indicate the possibility of intentional suffocation, including: |
• previous recurrent cyanosis, apnoea, or ALTE while in the care of the same person |
• age at death older than 6 months |
• previous unexpected or unexplained deaths of one or more siblings |
• simultaneous or nearly simultaneous death of twins |
• previous death of infants under the care of the same unrelated person; or discovery of blood on the infant’s nose or mouth in association with ALTEs |