By Dr. Brenda Baletti, The Defender
Pennsylvania authorities brought felony charges against the parents of two different babies after police said the infants died because the parents placed them in unsafe sleeping positions.
Parents of two different babies are being charged with felonies in Pennsylvania after police say their babies died because the parents placed them in unsafe sleeping positions,Ā SpotlightPA reported.
In both cases, police allege that the parents failed to follow guidance, including handouts given to them at doctorās visits, stating that babies should be put to sleep on their backs.
GinaĀ andĀ David StrauseĀ of Lebanon County are accused of putting their 3-month-old infant son, Gavin, to sleep on his stomach and allowing him to sleep with stuffed animals in the crib.
They are charged with involuntary manslaughter, recklessly endangering another person, and endangering the welfare of children.
Natalee Rasmus of Luzerne County is accused of putting her 1-month-old daughter, Avaya Jade Rasmus-Alberto, to sleep on her stomach on aĀ boppy pillow, often used for nursing. She isĀ chargedĀ with third-degree murder, involuntary manslaughter, and endangering the welfare of children.
Rasmus was a 17-year-old mother when her daughter died in 2022. Court records show that she continues to be held at the Luzerne County Correctional Facility with bail set at $25,000 pending resolution of her case.
In both cases, autopsiesĀ concludedĀ the babies died of accidental death from asphyxiation. Law enforcement argued in both cases that parents should have known that putting the babies to sleep on their stomachs was unsafe, because they had received paperwork at wellness visits informing them of safe sleeping practices.
They pointed to signedĀ acknowledgementsĀ in the babiesā medical records that were created as part of a 2010 stateĀ lawĀ to educate parents about Sudden Infant Death Syndrome (SIDS).
The law requires hospitals, birthing centers, and medical providers to give parents educational materials from the nationalĀ Safe to Sleep campaign, and ask them to certify that they received them.
Signing the statement is voluntary. The statement doesnāt indicate that parents can be charged with a criminal offense if they donāt follow the campaign advice.
Advocates from national organizations that educate parents about safe sleep practices found the charges shocking. Nancy Maruyama, the executive director ofĀ Sudden Infant Death Services of Illinois,Ā toldĀ Spotlight PA, āTo charge them criminally is a crime, because they have already suffered the worst loss.ā
Alison Jacobson, executive director ofĀ First Candle, a non-profit that also educates parents about safe sleep practices, toldĀ Pennlive,Ā āThere is no law against placing a baby on his or her stomach to sleep. How they can charge this family with involuntary manslaughter is completely baffling to me.ā
ResearcherĀ Neil Z. Miller, an expert on SIDS and the Safe to Sleep campaign, told The Defender, āParents of a sleeping baby who dies in the middle of the night should never be charged with murder. Thatās just cruel.ā
Miller, author of āVaccines: Are They Really Safe and Effective?ā added:
Should parents be obligated to follow every ārecommendationā made by their doctor or the Safe to Sleep campaign? Would we as a society prefer that doctors raise our babies instead of the parents? Have other possible causes of death been considered, such as vaccinations? As a society, we can, and must, do much better.
Does placing infants on their backs make a difference?Ā
The handouts shared with new Pennsylvania parents are based on the National Institutes of Health āSafe to Sleepā campaign, which institutionalized a program initiated by theĀ American Academy of PediatricsĀ (AAP) in 1992 to inform parents to put children to sleep on their backs rather than on their stomachs.
The campaign is based on the premise that babies who sleep on their backs or sides are less likely to die in their sleep. Until that time, it was common for babies to sleep on their stomachs.
The program was launched in the wake of a rising number of SIDS deaths ā and growing concern among some parents that the deaths were linked to vaccination.
In a 2021 article in the peer-reviewed journalĀ Toxicology Reports, vaccine researcherĀ Neil Z. MillerĀ provides a history of the SIDS diagnosis, noting that the rise of SIDS coincided with the firstĀ mass immunization campaigns.
Between 1992, when the Safe to Sleep program launched, and 2001,Ā SIDS deaths reportedly declinedĀ a whopping 55 percent ā aĀ number toutedĀ in articles celebrating the program, making it appear that babies sleeping on their stomachs was the cause of SIDS, not vaccines.
However, at the same time deaths from SIDS decreased, the rate of mortality from āsuffocation in bed,ā āsuffocation other,ā āunknown and unspecified causes,ā and āintent unknownā all increased significantly.
Why? The classification system had changed. SIDS deaths were being reclassified by medical certifiers, usually coroners, as one of the other similar categories, not SIDS.
Research published in the journalĀ Pediatrics, the AAPās flagship journal, concluded that deaths previously certified as SIDS were simply being certified as other non-SIDS causes, such as suffocation ā but the deaths were still essentially SIDS deaths.
That change in classification accounted for more than 90 percent of the drop in SIDS rates.
TheĀ PediatricsĀ paper showed no decline in overall postneonatal mortality after the Safe to Sleep campaign was launched, despite the programās ā and the AAPās ā claims to the contrary.
Others verified theĀ PediatricsĀ paperās findings, and the trend continued, as reported by multiple studiesĀ inĀ top journals. Miller reported that, for example, āFrom 1999 through 2015, the U.S. SIDS rate declined 35.8% while infant deaths due to accidental suffocation increased 183.8%.ā
Research shows that almostĀ 80 percent of SIDS deathsĀ reported to the Vaccine Adverse Event Reporting System (VAERS) happen within seven days of vaccination.
Theories linking vaccines to SIDS suggest that, in some cases,Ā underdeveloped liver enzyme pathwaysĀ may make it harder for some infants to processĀ toxic ingredientsĀ in vaccines. Others argue that other,Ā multiple, complex factorsĀ can make some infants vulnerable to toxic ingredients inĀ vaccines.
Baby Gavin was āa dream come trueā
On April 30, Gina and David Strause were charged with involuntary manslaughter, which carries a sentence of up to 10 years, and other lesser charges in the death of their son, Gavin.
According to theĀ police report, Gina found her son unresponsive, cold, and blue in his crib when she woke up to feed him on the morning of May 8, 2024. She immediately called 911 and performed CPR until the police arrived.
The baby was pronounced dead at the hospital. The autopsy report found the cause of death to be ācomplications of asphyxia.ā
Police said they observed loose items in the crib, āsuch as blankets and stuffed animals.ā
Gina said that after feeding her baby at about 11:30 p.m. the night before he died, she placed him in his crib on his belly, because he was a ābelly sleeper,ā and covered him with a blanket. She said that she had received the recommendation that he should sleep on his back, but that he preferred to sleep on his stomach.
In anĀ interview with Pennlive, Gina said that she typically put Gavin to sleep on his back, but he had gotten into the daily habit of rolling onto his belly.
Davis Stause told police that when he left for work at 5:30 a.m., he checked on Gavin, who was sleeping on his stomach and moving around a little bit. David said he āpatted his buttā to put him back to sleep.
The police reported that they also obtained medical records from birth through death that showed that on the discharge paperwork that the parents received information about safe sleep practices, which included putting the baby on its back, having it sleep in the same room as the parents, and keeping the crib clear of bumper pads and stuffed animals.
They said this paperwork explained how parents could create a safe sleeping environment for their babies to reduce the risk of SIDS.
Baby Gavin also went to the pediatrician for well-child visits on February 7 and 14, March 5, and April 9, a month before he died.
Gina told Pennlive that Gavin, who was born when she was almost 40, was āa dream come true.ā She had taken 10 weeks of maternity leave and largely worked at home to spend as much time with him as possible. She said that after she gave birth, she was āoverwhelmedā and didnāt remember receiving any paperwork or instructions about sleep.
Gina also said that at the hospital, police treated her and her husband with immediate suspicion, separating and questioning them. They were not allowed to see their baby again before he was taken by the coronerās office.
The parents created aĀ GoFundMe page, where they shared a copy of the police report, to help cover their legal costs, because they said they do not qualify for a public defender.
The DefenderĀ attempted to contact the parents to inquire about the babyās overall health, if he had any medical conditions, was born prematurely, or had recently received any vaccines, but the parents did not respond by deadline.
The district attorneyās office also did not respond to requests for comment.
āTragic accident with no criminal intent to harm or kill the babyā
The forensic pathologist who performed the autopsy for Natalee Rasmusā baby listed the cause of death as accidental. According to the report, the baby died from asphyxiation, theĀ Times LeaderĀ reported.
Rasmus discovered her baby had died on the morning of October 23, 2022, when she picked her up to get her ready for a doctorās appointment.
Pennsylvania State Police in December charged Rasmus, alleging that she placed her baby face down to sleep against the recommendations of medical personnel and prenatal classes at Geisinger Wyoming Valley Medical Center.
At a preliminary hearing on the case in February, a state trooper testified that Rasmus ignored safe sleeping practices because she had placed her baby face down in her bassinet with a Boppy pillow, which has a tag warning, āDo not use for sleeping.ā
The trooper, Caroline Rayeski, also testified that a search of Rasmusā cell phone found that she had searched the internet to see whether it was ok to allow newborns to sleep on their stomachs. The trooper also seized literature from the prenatal classes stating it is ārecommendedā to put newborns to sleep on their backs.
āYeah, she wouldnāt sleep, sheāll just scream, so she has to be like propped up,ā Rasmus told the investigating officer, according toĀ Spotlight PA, which reported the story.
Assistant attorneys argued in a preliminary hearing that she disregarded safe sleeping practices, and a judge forwarded the criminal case to county court.
Rasmus is being represented by public defenders Joseph Yeager and Melissa Ann Sulima, who told theĀ Times LeaderĀ the babyās death was āa tragic accident with no criminal intent to harm or kill the baby.ā
Yeager said the prenatal literature referring to newborn sleep positions are ārecommendations,ā not mandates.
āAs the death certificate says, it was an accident. Clearly, there was no malice in this accidental death,ā said Yeager, who also said the case should be dismissed.
Rasmusā most serious charge, third-degree murder, is a homicide that involves killing someone without intent to kill, but with reckless disregard for human life. In Pennsylvania, it can carry a prison sentence ofĀ up to 40 years.
Court documents indicateĀ that Rasmus remains in jail with a $25,000 bail, pending the outcome of her case. Neither the district attorney nor Rasmusā attorneys responded to The Defenderās request for comment.
How common is it to bring criminal charges against parents in infant deaths?
Attorney Daniel Nevins toldĀ SpotlightPAĀ it is extremely rare for parents to be criminally charged when infants die after sleeping on their stomachs, and that the burden of proof on the prosecutors will be high.
In 2014, Virginia resident Candice Christa Semidey, age 25, was charged with murder after she swaddled her baby and put it to sleep on its stomach,Ā theĀ Washington PostĀ reported. In that case, police similarly did not think that she intended for the baby to die.
SheĀ pleaded guiltyĀ to involuntary manslaughter and child neglect. She was ordered to serve three years of probation to avoid theĀ five-year prison termĀ she was sentenced to.
SomeĀ chargesĀ have also been brought againstĀ parentsĀ in deaths of infants sleeping with Boppy pillows. There have also been severalĀ casesĀ ofĀ parents chargedĀ for sleeping in theĀ same bedĀ as their child.
The Defender recently reported on three SIDS deaths that occurred shortly after vaccination. Police are still investigating the parents ofĀ 18-month-old twins who diedĀ together a week after receiving three vaccines. Authorities have not yet charged the parents, but initially said they were investigating the deaths as homicides.
Blessings Myrical Jean Simmons, age 6 months, receivedĀ six routine vaccines at a well-baby visit on January 13. The next morning, her parents found the baby dead in her bassinet. The autopsy lists SIDS as the infantās cause of death, and no charges were filed against the parents.
This article was originally published byĀ The DefenderĀ ā Childrenās Health Defenseās News & Views Website under Creative Commons license CC BY-NC-ND 4.0. Please considerĀ subscribing to The DefenderĀ orĀ donating to Childrenās Health Defense.
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