Rates of reported neonaticide have more than halved following the implementation of a unique 'anonymous delivery' law in Austria, finds a new study published today (05 December) in BJOG: An International Journal of Obstetrics and Gynaecology.
Researchers, from the Medical University of Vienna, looked at the rates of reported neonaticide (where a child is killed within the first 24 hours of birth) in Austria prior to and after the implementation of the 'anonymous delivery' law which was introduced in 2001. The law allows women access to antenatal care and to give birth in a hospital anonymously and free of charge.
Rates of neonaticide were obtained from police records pre and post the introduction of the law between 1991-2001 and 2002-2009. This data was then compared to data from Finland and Sweden, who also have a register for neonaticide but have no such law for anonymous delivery. Currently neonaticide is only governed by a specific law, separately from infanticide, in a few European countries.
Results from the study showed a reduction of more than half in the reported incidence of neonaticide from the pre to post-law data, decreasing from 7.2 per 100,000 births prior to the passage of the law (1991-2001) to 3.1 per 100,000 births after the passage of the law (2002-2009). The data from Finland and Sweden showed no such change over the same time period.
Importantly, the researchers noted that during this time there were no other known socioeconomic changes in Austria that could have impacted on the observed rates, such as passage of abortion laws or changes to childbirth benefits.
The researchers also investigated other preventative measures such as 'baby hatches' and 'safe havens', which allow for the safe handover of a newborn to government authorities and have been used in Austria and other countries around the world (including the US, Germany, Japan, South Africa). They estimated that in Austria there are 2-3 cases of babies being left in baby hatches reported per year, whereas cases of anonymous birth are in the range of 30-40 cases per year.
Claudia Klier, Associate Professor of Child & Adolescent Psychiatry at the Medical University of Vienna and co-author of the study, said: