Minimally invasive child post-mortems welcomed by medics

A new technique for conducting post-mortem examinations on children which will minimise surgical intervention could be “the biggest step forward in pathology for a century”, doctors have said.

The minimally invasive autopsy has been developed at Sheffield Children’s Hospital, where counsellors and charity backers believe it will make a huge difference at “the most horrific moment any parent could ever face”.

Consultant pathologist Dr Marta Cohen, who led the research team with Dr Chitra Sethuraman, said it could be used in two-thirds of cases where an autopsy is required, although it is not yet suitable for forensic postmortem examinations.

Dr Cohen said it could be “the biggest step forward in pathology for a century”.

She said: “An autopsy is a legal requirement in some cases, so families don’t have a choice. Some want answers but others don’t like the idea of an invasive process. This makes it easier for them when the decision is out of their hands, as we can give them this option.”

Dr Cohen said that unlike in medical areas such as genetics, where there has been an explosion of techniques in recent years, pathology has remained static.

“The autopsy is the same now as it was 100 years ago,” she said. “Minimally invasive autopsy is the big step that pathology has needed.

“Using molecular analysis through minimal invasion and MRI is the future of pathology.thetechniquecanbeused in most cases, although not currently for forensic autopsy or in the case of heart or brain malformation.” Sheila Mcgovern, a bereavement counsellor at the hospital, said parents almost always want as much information as possible about why their child died and having this information helps them cope.

But, she said, they are in a terrible dilemma because the prospect of a conventional autopsy, which would answer the questions they have, is often horrifying.

She said: “I think anything that could lessen the pain a little bit for parents in the most distressing situation imaginable is a good thing.

“If the examination can be a little bit more gentle, that is really going to give parents some comfort.”

The research, carried out by Dr Cohen with Dr Sethuraman, Dr Elspeth Whitby, Sean Marven and Richard Lindley, was funded by The Children’s Hospital Charity.

Dr Cohen presented her findings to the Society of Paediatric Pathology in Seattle. Singer Michelle Mcmanus meets Glasgow food producers Jit Singh, of Mr Singh’s India, and Brian Sarafilovic, ofparsfoods,tolaunchanew joint venture to raise cash for the charity Mary’s Meals.

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