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Review Article

Infanticide: A Concept
Arneet Arora, Jayanthi Yadav1, Sanjay Kumar Yadav2, Hans Raj Singh
Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, 1Deparment of Forensic Medicine and Toxicology, Gandhi Medical College,
2
National Law Institute University, Bhopal, Madhya Pradesh, India

Abstract
Infanticide is killing of a child <12 months of age by a mother who has not fully recovered from the effects of pregnancy, giving birth and
lactation, and suffers some degree of mental disturbance. However, in India, infanticide means unlawful destruction of a newly born child
and is regarded as murder in law and is punishable under section 302 completely neglecting postpartum psychiatric state of mothers’ mind.
Several studies have indicated a high incidence of postpartum depression in mother of developing as well as developed countries. The lack
of awareness in medical fraternity, legal experts, and society leads to miscarriage of justice. In this article, we have compared legal status
of infanticide in various countries vis‑a‑vis India and thus tried to arrive at a more humane and pragmatic approach in cases of infanticide
keeping in mind the psychological state of mother, gender inequality, weak public health infrastructure, and the prevalent practice of homicide
of unwanted/female child. A psychiatric or medical assessment model of mother by panel of experts in case of infanticide should be evolved.
Information and awareness of postpartum psychiatric illness among medical professionals, legal persons, and society is an important aspect.

Keywords: Compos mentis, infanticide, postpartum depression, puerperium

Infanticide partum: delivery; natum: childbirth). This period has immense


physical, emotional, social, and endocrinal challenges for the
Infanticide at the outset may seem to indicate killing
mother and is together responsible for her altered psyche.
of an infant akin to the term “homicide” which means
Puerperium is generally accepted to be the period of 6 weeks
killing of one human being by another or “suicide” which
after delivery although some consider it to be of 6 months
is killing of self, but is not and its meaning needs to be
duration. When considered to be 6 months, it is divided into
understood.
three phases ‑ acute phase: as 6–12 h after delivery, subacute
Infant is a term used clinically for a child up to the age of phase: as 2–6 weeks, and delayed phase: up to 6 months after
1 year. Infanticide is killing of a child under 12 months of delivery.
age by a mother who has not fully recovered from the effects
of pregnancy, giving birth and lactation, and suffers some Psychiatric Aspects of Puerperal Period
degree of mental disturbance.[1,2] The reason or the cause for
Postpartum mood disorders have been categorized into three
infanticide is the altered mental state of the mother. Filicide is
types: postpartum blues (baby blues), postpartum depression or
a broader meaning word and implies homicide of a child by a
postnatal depression (PPD/PND), and postpartum psychosis.[3]
parent. The reasons for filicide range from personal to social
or environmental and may be further linked to status in society, Postpartum blues is a mild postpartum mood disorder,
the practices and laws in force related to use of contraceptives transient phenomenon characterized by sad or labile mood,
and abortion, the pregnancy being as a result of rape or the and tearfulness lasting from a few hours to a few days. PPD
baby being unwanted for some reason.

Infanticide and Puerperal Period Address for correspondence: Dr. Hans Raj Singh,
Department of Forensic Medicine and Toxicology, All India Institute of
The mother after giving birth to the child is said to be in the Medical Sciences, Bhopal ‑ 462 020, Madhya Pradesh, India.
postpartum or the postnatal or the puerperal period (postafter; E‑mail: jayanthiyadav@yahoo.co.in

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DOI:
10.4103/jfsm.jfsm_51_15 How to cite this article: Arora A, Yadav J, Yadav SK, Singh HR. Infanticide:
A concept. J Forensic Sci Med 2017;3:42-6.

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Arora, et al.: Infanticide: A concept

constitutes the affective disorders with severity in between child but were disappointed with the gender of the newborn
the blues and psychosis. Postpartum psychosis is the most compared with 32 of the 268 nondepressed women (RR = 2.68,
severe disorder incapacitating the mother and usually requiring 95% CI = 1.38–5.2; P = 0.004). No significant difference was
hospitalization. PPD affects 10%–15% of all women who give evident between the depression and nondepression groups
birth.[4] The American Psychiatric Association (APA) describes in the women’s preference for a daughter (not a son) and the
postpartum depressive episode as a period of at least 2 weeks gender of the newborn. Disappointment with the birth of a
of depressed mood or loss of interest in almost all activities female child is associated with the development of PND.[15]
and changes in appetite, weight, sleep, psychomotor activity,
In the Finnish population, PPD was found in 9.5% of women
energy, ability to think, ability to concentrate and ability to
right after giving birth, in 5.9% 2 months after delivery, and
make decisions, or recurrent thoughts of death or suicidal
in 8% 6 months after delivery.[16] A later study by Hiltunen[17]
ideation, plans or attempts. Dr. Dalton, a British obstetrician,
confirmed that 16.2% immediately after delivery and 13%
studied PPD and saw an unusual number of women charged
4 months after suffered from PPD.[7]
with infanticide or who, under the influence of postpartum
psychosis, have very nearly killed their children. She noted The etiology of PPD is not defined, but many studies suggest
three varieties of infanticide: those occurring shortly after birth that hormonal fluctuation, biological susceptibility, and
while the mother is acutely psychotic; those occurring with the psychosocial stressors are the factors involved.[18‑20] Harris
return of menstruation; and those occurring during “domestic et al. state that maternity blues are experienced by 30% or
feuds.” According to Dalton, many of these incidents “do not more of mothers in the first 10 days after delivery and severe
appear in the press or in law reports and remain hidden from the blues can lead to an episode of major depression.[21] They
public.” In 1971, Dr. Dalton published the results of a survey also found a modest association between scores for maternity
conducted on 500 women from birth to 6 months postpartum. blues and changes in progesterone concentrations in the
She concluded that 7% of the women developed PPD severe saliva (an accurate measure of circulating free progesterone).
enough to require medical treatment although none required The maternity blues was associated with high antenatal
hospitalization. Psychiatrists and psychologists now began progesterone concentrations, low postnatal concentrations, and
to appreciate that depression experienced by new mothers a steep fall in concentration after delivery. They also suggest
extended beyond the postpartum blues.[5] It has been reported the possibility that it may be possible to attenuate maternity
that a woman who becomes depressed after giving birth will blues by treating mothers with progesterone.[21] Maternal
reject her baby and show hostility toward him or her.[6] About depression has been found to correlate with problematic
25%–50% of women who experience PPD have these types lives affected by a multitude of negative factors: a low
of depressive episodes for 6 months or longer.[7] socioeconomic status, a low level of maternal education, and a
younger age of the mother.[22,23] Depression may also be related
Postpartum psychosis occurs within 1–4 weeks after childbirth
to lack of social support, life stress, and marital conflicts.[24,25]
and is suggested as an overt presentation of bipolar disorder
Prenatal depression is identified as the strongest predictor of
that coincides with hormonal shifts after delivery.[8] The
PPD. If the mother experiences any type of depression during
symptoms are unusual, delirium‑like, and disorganized
her pregnancy, no matter what trimester, she will be more
psychotic symptoms, such as tactile olfactory and visual
likely to retain this depression after giving birth. In addition, a
hallucinations. The mother may be compelled to commit
woman who experiences postpartum blues within the first few
violent acts, and this biologically driven state presents itself
days after giving birth will most likely also experience PPD.[7]
as a toxic organic psychosis complicated by affective mood
PPD is not defined as a separate entity in the International
changes.[9‑11]
Classification of Disease‑10 or the Diagnostic and Statistical
Epidemiological studies have found high rates of depression in Manual of Mental Disorder IV (DSM IV) and the DSM IV
low‑ and middle‑income countries, particularly among women uses the postpartum onset specifier only if it starts within
facing socioeconomic difficulties. The incidence of PPD 4 weeks after delivery (the World Health Organization 1992;
varies in literature from 10% to 15%,[3] 20.7%,[12] and 13%[13] APA 1994).[16] However, PPD is often used as a separate
in meta‑analysis of earlier studies. The majority of work to diagnosis in clinical settings.[26] Many studies do not refer to
date has focused on prevalence rates in Asian countries, with new onset cases only, but look at the prevalence of depression
a total of 33 studies conducted in 12 countries in the continent. in an inconsistently defined period from 4  weeks to 1  year
Wide ranges in prevalence have been reported both within after delivery.[7]
and between countries. Estimates have ranged from more
than one‑third of women in a given region (e.g., India and Legal Status of Infanticide and Postnatal
Pakistan) to 1 woman in 20 in other regions (e.g., Nepal).[14]
Research from India has found that of the 33 women with Depression in Other Countries
PPD, 18 delivered a male baby, compared with 53 of the 268 In 1647, Russia became the first country to adopt a humane
women without depression  (relative risk  [RR] = 1.02, 95% attitude and by 1888, all European states except England
confidence interval [CI] = 0.53–1.95; P = 0.82). However, 10 of established a legal distinction between infanticide and
the 33 women with depression had specifically wanted a male murder by fixing more lenient penalties to infanticide.

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Arora, et al.: Infanticide: A concept

In 1922 and 1938, England passed the Infanticide Act in Scholars, physicians, and courts have agreed that PPD in the
recognition of the time around childbirth as biologically criminal justice system is an issue that cannot be ignored. Both
vulnerable and made infanticide a less severe crime women and children need protection from this mental illness
proscribing sentences of probation and mandatory that incarceration alone cannot provide. Although screening
psychiatric treatment for women found guilty. Today, may be recognized as the way to diagnose PPD, it also seems
almost all Western societies have adjusted the penalty for to be the only way of detecting PPD. As a result, it may not
infanticide by recognizing the unique biological changes always be effective since there seems to be no alternative
that occur at childbirth.[27] method to check the accuracy of the diagnosis. In addition,
PPD becomes a legal issue only when a mother takes the life “most women who are depressed after giving birth receive little
of her child or children, thus involving her in the criminal or no treatment for their depression either because they are
justice system. This situation occurs when untreated PPD too ashamed to admit to their ‘unnatural’ feelings or because
causes unintended consequences not for the mother and the their doctors minimize the importance of their complaints.”[7]
vulnerable child. These consequences can range from simple Because mothers living in poverty are uneducated on PPD,
child neglect, to child abuse to infanticide, the murder or killing have limited access to clinics to get screened for PPD, and are
of a newly born or young child.[14] unable to afford quality screenings, they are at a disadvantage
The term “PPD” is generally used to describe a disturbance that compared to higher income women. Consequently, criminal
can surface sometime after a woman gives birth. Although this conduct, specifically infanticide, can occur as a result of
disturbance has been used as the basis for the insanity defense undiagnosed and untreated PPD.[7]
within the criminal justice system, determining who actually Many fear that broadening the insanity defense to include
meets the test for legal insanity is still a major dilemma for PPD will create and may have already created a slippery
many mothers who are charged with murder or manslaughter slope where mothers can be excused of their criminal activity
in the USA.[7] simply by claiming insanity. Contrary to what these critics
PPD is not an accepted or established defense for infanticide in may believe, adopting a broad insanity test that includes PPD
the USA. It requires representing and then arguing and it may has two important implications. First, the criminal justice
still be difficult to justify that PND meets the insanity defense system is not ignorant to disorders that limit mental capacity
test of McNaughton rule. Unless this procedure is executed, specifically affecting women, and second, the criminal justice
even in the USA, it is not possible to ensure rehabilitation for system encourages rehabilitation and not just punishment.[7]
the woman instead of punishment.
Even though PPD is not the most severe mental illness
Many times, these cases are unable to establish an insanity among the three postpartum mood disorders, the APAs DSMs
defense claim in the USA because PPD as a mood disorder describes postpartum depressive episodes to include “changes
may not fulfill the insanity defense test of McNaughton rule, in psychomotor activity, ability to think, ability to concentrate,
which only has a cognitive focus.[28] and ability to make decisions: or recurrent thoughts of death
The M’Naughton rule was formulated in England after Daniel or suicidal ideation, plans or attempts. ” All these changes are
M’Naughton was acquitted in 1843 on a charge of murder, severe enough to cause the person undergoing these changes
when the judges said, “Jurors ought to be told in all cases to commit acts that violate the law. In addition, inadequate
that every man is to be presumed to be sane, and to possess social support from family members after a mother gives birth
a sufficient degree of reason to be responsible for his crimes, can perpetuate and enhance a mother’s depressive disorder ‑ a
until the contrary be proven to their satisfaction; and that to factor that is highly overlooked in PPD cases.[7]
establish a defense on the ground of insanity, it must be clearly A study conducted in Japan stated that it is critical for the
proved that, at the time of committing the act, the party accused pregnant women to obtain prenatal education on postpartum
was laboring under such a defect of reason, from disease of mood disorders. Also that early contact with a psychiatrist was
the mind, as not to know the nature and quality of the act he the best way to identify the treatment needed for diagnosed
was doing, or, if he did know it, that he did not know he was depression.[7]
doing what was wrong.”
It is now recommended that definition of Insanity should not Legal Status of Infant Death and Postnatal
be limited to the M’Naughton test as it focuses only on one
aspect of human nature: knowledge. Volitional conduct can Depression in India
also determine a person’s actions. M’Naughton’s test also does The patriarchal society in India and China is one of the main
not take into account the degrees of incapacity. Insanity test reasons for infanticide in these countries. There are 100
that still follows M’Naughton need to be reformed to ensure million fewer women in Asia than would be expected and this
that mothers convicted of crimes reflecting their state of mind numerical worldwide deficit in women and increased female
at the time of crime was committed are not only punished but child homicide is due to gender specific abortions, female
also more importantly rehabilitated.[7] newborn homicide, and neglect.[29]

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Arora, et al.: Infanticide: A concept

Case have been reported in the state of South India (Tamil Considering this, the following factors act as a hindrance to
Nadu) and Rajasthan where selective female child homicide plead for diminished responsibility.
is committed by the mother due to poverty by social stress a. Ignorant and uneducated females
of having a girl child as liability and also fear of family b. Poverty
abandoning the mother for giving birth to female child. c. Poor access to lawyer and lack of awareness
d. Usually, the females are young mother and would be
One of the cardinal principles of criminal law is based on the
unable to successfully plead diminished responsibility.
maxim “Actus nonfacit reum nisi mens sit rea.” It means that
the act itself does not make a man guilty unless his intention
Indian law presumes every major person to be sane unless
was so. From this maxim follows another proposition, “actus
contrary is proved and the burden of proof is on the defense
me invite factus non est mens actus” which means an act done
to prove that unsoundness of mind existed at the time of
by me against my will is not my act at all. This means that an
committing the offense.
act to be punishable by law must be a willed act and at the same
time must have been done with criminal intent. The intent and There is no reference to lack of control, irresistible impulse,
the act must combine to constitute the crime.[30] diminished responsibility, infanticide, etc.
A person made “noncompos mentis” by illness is exempted If infanticide law is passed:
from criminal liability in cases of such acts which are • Burden of proof on prosecution. In case where infanticide
committed while under the influence of his mental disorder.[31] is claimed for an offense the burden of proof would be on
the prosecution to disprove a claim of infanticide beyond
Therefore, a woman who is going through postpartum disorder
reasonable doubt
may consider that she is not able to understand the nature of
• Punishment will include life imprisonment. However, in
act at the time of committing the offense and such an act would
practice, noncustodial sentence is usually the outcome.
not be considered to be willed act, and she is entitled to be This will however open the subject to treatment or
exempted from the criminal liability. hospitalization.[32]
The mental condition of the accused at the time of committing
the offense is a relevant fact in the Indian Evidence Act. The
onus of proving the mental condition of the accused at the time Conclusion
of committing the offense is on the accused but that particular PPD exists in a significant number of women worldwide. In
burden of proof is not so heavy in comparison to that of the India, more stress factors exist for a larger proportion of the
prosecution. If the accused can create a reasonable doubt, population, and hence, the prevalence is likely to be high.
then the benefit of doubt would be given to the accused. If the There is also lack of facility of psychiatric assessment in
accused establishes before the court that due to postpartum antenatal period. In the event of an infanticide, we should have
disorder she was not able to understand the nature of act at the awareness about it and its magnitude to prevent punishment
time of committing the offense, then benefit of doubt would for an act which on the contrary requires rehabilitation and
be given to the accused. treatment.
On the other hand, we cannot ignore the fact that the accused Ideally, we should be able to provide antenatal psychiatric
may use this particular ground to kill systematically the child screening to all women, identify those likely to have PND
of a particular sex. and offer counseling as to how to handle the postnatal period.
In the extreme situation of occurrence of infanticide, we
In urban area, due to medical technology advancement, female
would be able to better differentiate a malicious act from
infanticide took the form of female feticide. In urban area
an act of Infanticide, with records of clinical evidence of
with the help of medical report, we may establish the medical
antenatal period and postnatal medical assessment by panel
condition of the accused at the time of committing the offense.
of experts.
In rural area still in most part of India, the practice of female
feticide is followed. However, it would be very difficult to
Financial support and sponsorship
Nil.
establish this particular mental condition of the accused at the
time of committing the offense in the rural area, where such Conflicts of interest
cases are reported rarely by the family members. There are no conflicts of interest.
In the present scenario, a female who has committed infanticide
has to stand trial for homicide and if proven insane under References
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