195-640: Peter William Sutcliffe (2 June 1946 – 13 November 2020), also known as Peter Coonan , was an English serial killer who was convicted of murdering thirteen women and attempting to murder seven others between 1975 and 1980. He was dubbed in press reports as the Yorkshire Ripper , an allusion to the Victorian serial killer Jack the Ripper . Sutcliffe was sentenced to twenty concurrent sentences of life imprisonment , which were converted to
390-489: A Yorkshire accent , but this information was ignored, as was the fact that neither she nor Rogulskyj were in towns with a red-light area. On 27 August, Sutcliffe targeted 14-year-old Tracy Browne in Silsden , attacking her from behind and hitting her on the head five times while she was walking along a country lane. He ran off when he saw the lights of a passing car, leaving his victim requiring brain surgery. Sutcliffe
585-414: A serial murderer ) is a person who murders three or more people, with the killings taking place over a significant period of time in separate events. Their psychological gratification is the motivation for the killings, and many serial murders involve sexual contact with the victims at different points during the murder process. The United States Federal Bureau of Investigation (FBI) states that
780-533: A whole life order in 2010. Two of his murders took place in Manchester ; all the others took place in West Yorkshire . Criminal psychologist David Holmes characterised Sutcliffe as being an "extremely callous, sexually sadistic serial killer." Sutcliffe initially attacked women and girls in residential areas, but appears to have shifted his focus to red-light districts because he was attracted by
975-561: A "cooling-off period." Cases of extended bouts of sequential killings over periods of weeks or months with no apparent "cooling off period" or "return to normality" have caused some experts to suggest a hybrid category of "spree-serial killer". In Controversial Issues in Criminology , Fuller and Hickey write that "[t]he element of time involved between murderous acts is primary in the differentiation of serial, mass, and spree murderers", later elaborating that spree killers "will engage in
1170-559: A 25-year-old prostitute, in the back of his car on wasteland in Scott Hall. Sutcliffe lost his balance whilst delivering a blow to Moore with a hammer, allowing Moore to escape with severe head injuries. Tyre tracks found at the scene matched those from an earlier attack. The resulting photofit bore a strong resemblance to Sutcliffe, as had those from other survivors, and Moore provided a good description of Sutcliffe's black Sunbeam Rapier , which had been seen in red-light areas. Sutcliffe
1365-520: A Chapeltown prostitute, in Roundhay Park. Richardson was last seen at 11:15 p.m. leaving a rooming house on Cowper Street, saying she was going to Tiffany's, a pub and disco in the centre of Leeds. Richardson was bludgeoned to death with a hammer, and stabbed in the neck and throat and three times in the stomach. Once she was dead, Sutcliffe mutilated her corpse with a knife and then arranged her body by neatly placing her knee-length boots over
1560-694: A case of a serial murderer in the 1870s, a Frenchman named Eusebius Pieydagnelle who had a sexual obsession with blood and confessed to murdering six people. The unidentified killer Jack the Ripper , who has been called the first modern serial killer, killed at least five women , and possibly more, in London in 1888. He was the subject of a massive manhunt and investigation by the Metropolitan Police , during which many modern criminal investigation techniques were pioneered. A large team of policemen conducted house-to-house inquiries, forensic material
1755-477: A choir—and womanising." In 1970, Sutcliffe's father posed as his wife's lover in order to lure her to a local hotel, taking along Sutcliffe and two of his siblings to witness him expose her infidelity . When Sutcliffe's mother arrived, his father pulled out a negligee from her purse as her children watched. In his late- adolescence , Sutcliffe developed a growing obsession with voyeurism and spent much time spying on prostitutes and their male clients. Reportedly
1950-466: A commonplace pleasantry about the weather before striking hammer blows to her skull from behind. He then disarranged Smelt's clothing and slashed her lower back with a knife. Again Sutcliffe was interrupted and left his victim badly injured but alive. Like Rogulskyj, Smelt subsequently suffered severe emotional and mental trauma. She later told Detective Superintendent Dick Holland that her attacker had
2145-406: A controlled study. The frequency of infection in preterm birth is inversely related to the gestational age. Mycoplasma genitalium infection is associated with increased risk of preterm birth, and spontaneous abortion. Infectious microorganisms can be ascending, hematogenous, iatrogenic by a procedure, or retrograde through the fallopian tubes. From the deciduae they may reach the space between
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#17327733562662340-465: A crime reporter, was a career journalist who was caught after a series of articles he wrote gave clues that he had murdered people. Russell Williams was a successful and respected career Royal Canadian Air Force Colonel who was convicted of murdering two women, along with fetish burglaries and rapes. Many serial killers have faced similar problems in their childhood development. Hickey's Trauma Control Model explains how early childhood trauma can set
2535-625: A fence and stabbed her repeatedly with a knife. On the evening of 2 March 1979, 22-year-old Irish student Ann Rooney was attacked from behind at Horsforth College in Horsforth . She was struck three times on the head, probably with a hammer, according to Professor David Gee, who examined her at Leeds General Infirmary . Rooney's description of her attacker and his car closely matched that of Sutcliffe and his Sunbeam Rapier, which had been flagged by police numerous times in red-light areas in both Leeds and Bradford. In 1992, Sutcliffe confessed to
2730-486: A health-care facility, or at different locations within the same city or state. A notable exception to the typical characteristics of female serial killers is Aileen Wuornos , who killed outdoors instead of at home, used a gun instead of poison, and killed strangers instead of friends or family. One "analysis of 86 female serial killers from the United States found that the victims tended to be spouses, children or
2925-403: A healthy pregnancy, medical induction of labor or cesarean section are not recommended before 39 weeks unless required for other medical reasons. There may be certain medical reasons for early delivery such as preeclampsia . Preterm birth may be prevented in those at risk if the hormone progesterone is taken during pregnancy . Evidence does not support the usefulness of bed rest . It
3120-421: A high concentration of air pollution is a major risk factor for preterm labor, including living near major roadways or highways where vehicle emissions are high from traffic congestion or are a route for diesel trucks that tend to emit more pollution. The use of fertility medication that stimulates the ovary to release multiple eggs and of IVF with embryo transfer of multiple embryos has been implicated as
3315-552: A high degree of control over the crime scene and usually have a solid knowledge of forensic science that enables them to cover their tracks, such as burying the body or weighing it down and sinking it in a river. They follow their crimes in the news media carefully and often take pride in their actions as if it were all a grand project. Often, organized killers have social and other interpersonal skills sufficient to enable them to develop both personal and romantic relationships, friends and lovers and sometimes even attract and maintain
3510-432: A hoax, as originally concluded by psychiatrist David Abrahamsen. Mission-oriented killers typically justify their acts as "ridding the world" of certain types of people perceived as undesirable, such as the homeless , ex-cons , homosexuals , drug users , prostitutes, or people of different ethnicity or religion; however, they are generally not psychotic. Some see themselves as attempting to change society, often to cure
3705-453: A journalist who had many conversations with Sonia, described her as "the most irritating, strangest and coldest person I've ever met. She's so incredibly prickly and demanding." Sonia had several miscarriages after marrying Sutcliffe, and the couple were informed that she would not be able to have children. Sonia eventually resumed her teacher training course, during which time she had an affair with an ice-cream van driver. When she completed
3900-417: A loner, he left school at the age of 15 and had a series of menial jobs, including two stints as a gravedigger at Bingley Cemetery in the 1960s. Because of this occupation, Sutcliffe developed a macabre sense of humour — co-workers reported that Sutcliffe enjoyed his work too much and would even volunteer to do overtime washing corpses. Between November 1971 and April 1973, Sutcliffe worked at
4095-437: A low birth weight. Even though these results look promising, the review was only based on one study so more research is needed into routine screening for low genital tract infections. Also periodontal disease has been shown repeatedly to be linked to preterm birth. In contrast, viral infections, unless accompanied by a significant febrile response, are considered not to be a major factor in relation to preterm birth. There
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#17327733562664290-472: A lower mean IQ than organized serial killers, at 89.4. Mixed serial killers, with both organized and disorganized traits, have an average IQ of 100.9, but a low sample size. Some people with a pathological interest in the power of life and death tend to be attracted to medical professions or acquiring such a job. These kinds of killers are sometimes referred to as "angels of death" or angels of mercy. Medical professionals will kill their patients for money, for
4485-548: A mission to kill prostitutes. At his trial he pleaded not guilty to murder on grounds of diminished responsibility , but was convicted of murder on a majority verdict. Following his conviction, Sutcliffe began using his mother's maiden name of Coonan. The search for Sutcliffe was one of the largest and most expensive manhunts in British history. West Yorkshire Police faced heavy and sustained criticism for their failure to catch Sutcliffe despite having interviewed him nine times in
4680-459: A mummy's boy." Sutcliffe's mother often lavished attention on her son and was to become seen by Sutcliffe as "perfect." Sutcliffe's father habitually whipped his children with a belt as a form of punishment. Sutcliffe's siblings later described their father as "a monster" and, according to Sutcliffe's younger brother, "The atmosphere in our house would change as soon as he [John] walked in. His life revolved around playing football, cricket, singing in
4875-609: A murderer from South America, killed a minimum of 110 young girls between 1969 and 1980. However, he claims that the number is over 300. He was released from a mental facility in 1998 and his whereabouts are still unknown. He is commonly nicknamed the "Monster of the Andes". An additional non-American serial killer is Luis Garavito from Colombia. Garavito would kill and torture boys using various disguises. He murdered around 140 boys ranging in ages from 8 to 16. He would dump his victims' bodies in mass graves. The serial killing phenomenon in
5070-420: A native of Connemara . Sutcliffe's mother was Catholic while his father was a member of the choir at the local Anglican church of St Wilfred's; their children were raised in their mother's Catholic faith, and Sutcliffe briefly served as an altar boy. Sutcliffe's mother was the victim of domestic abuse by his father, making it likely she struggled through her pregnancy under great emotional stress . Sutcliffe
5265-509: A parent has a drug or alcohol problem, the attention in the household is on the parents rather than the child. This neglect of the child leads to the lowering of their self-esteem and helps develop a fantasy world in which they are in control. Hickey's Trauma Control Model supports how parental neglect can facilitate deviant behavior, especially if the child sees substance abuse in action. This then leads to disposition (the inability to attach), which can further lead to homicidal behavior, unless
5460-497: A party, Claxton accepted an offer of a lift from Sutcliffe. When she got out of the car to urinate, he hit her from behind with a hammer. Claxton survived and testified against Sutcliffe at his trial. At the time of this attack, Claxton had been four months pregnant and subsequently miscarried her baby. She required multiple, extensive brain operations and suffered from intermittent blackouts and chronic depression . On 5 February, Sutcliffe attacked 28-year-old Irene Richardson,
5655-455: A problem that afflicts the whole society." Lorenzo Carcaterra, author of Gangster (2001), explains how potential criminals are labeled by society , which can then lead to their offspring also developing in the same way through the cycle of violence . The ability for serial killers to appreciate the mental life of others is severely compromised, presumably leading to their dehumanization of others. This process may be considered an expression of
5850-404: A random weapon available at the time, and usually do not attempt to hide the body. They are likely to be unemployed, a loner, or both, with very few friends. They often turn out to have a history of mental illness, and their modus operandi (M.O.) or lack thereof is often marked by excessive violence and sometimes necrophilia or sexual violence. Disorganized serial killers have been found to have
6045-404: A reduction in the risk of preterm birth in women with recurrent preterm birth by 40–55%. Progestogen supplementation also reduces the frequency of preterm birth in pregnancies where there is a short cervix. A short cervix is one that is less than 25mm, as detected during a transvaginal cervical length assessment in the midtrimester. However, progestogens are not effective in all populations, as
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6240-421: A resulting decrease in preterm birth was not observed. Reduction in activity by the mother—pelvic rest, limited work, bed rest—may be recommended although there is no evidence it is useful with some concerns it is harmful. Increasing medical care by more frequent visits and more education has not been shown to reduce preterm birth rates. Use of nutritional supplements such as omega-3 polyunsaturated fatty acids
6435-410: A risk factor for preterm birth. Often labor has to be induced for medical reasons; such conditions include high blood pressure , pre-eclampsia , maternal diabetes, asthma, thyroid disease, and heart disease. Certain medical conditions in the pregnant mother may also increase the risk of preterm birth. Some women have anatomical problems that prevent the baby from being carried to term. These include
6630-426: A risk of preterm birth and send the findings to a smartphone. The notion that risk scoring systems are accurate in predicting preterm birth has been debated in multiple literature reviews. In humans, the usual definition of preterm birth is birth before a gestational age of 37 complete weeks. In the normal human fetus, several organ systems mature between 34 and 37 weeks, and the fetus reaches adequate maturity by
6825-504: A sense of sadistic pleasure, for a belief that they are "easing" the patient's pain, or simply "because they can". Perhaps the most prolific of these was the British doctor Harold Shipman . Another such killer was nurse Jane Toppan , who admitted during her murder trial that she was sexually aroused by death . She would administer a drug mixture to patients she chose as her victims, lie in bed with them and hold them close to her body as they died. Another medical professional serial killer
7020-452: A sheet of asbestos , beneath the railway arches of the timber yard. Sutcliffe said of Rytka while in police custody in 1981: "I had the urge to kill any woman. The urge inside me to kill girls was now practically uncontrollable." Vera Evelyn Millward was a 40-year-old prostitute and mother of seven who left her council flat in Hulme at 10:00 p.m. on 16 May 1978, telling her boyfriend that she
7215-671: A societal ill. Preterm birth Preterm birth , also known as premature birth , is the birth of a baby at fewer than 37 weeks gestational age , as opposed to full-term delivery at approximately 40 weeks. Extreme preterm is less than 28 weeks, very early preterm birth is between 28 and 32 weeks, early preterm birth occurs between 32 and 34 weeks, late preterm birth is between 34 and 36 weeks' gestation. These babies are also known as premature babies or colloquially preemies (American English) or premmies (Australian English). Symptoms of preterm labor include uterine contractions which occur more often than every ten minutes and/or
7410-524: A spontaneous conception have an adjusted odds ratio of 1.35 (95% confidence interval 1.22–1.50) of preterm birth. Pregnancies after IVF confers a greater risk of preterm birth than spontaneous conceptions after more than one year of trying, with an adjusted odds ratio of 1.55 (95% CI 1.30–1.85). Certain ethnicities may have a higher risk as well. For example, in the U.S. and the UK, Black women have preterm birth rates of 15–18%, more than double than that of
7605-526: A spouse and sustain a family including children. Among serial killers, those of this type are in the event of their capture most likely to be described by acquaintances as kind and unlikely to hurt anyone. Ted Bundy and John Wayne Gacy are examples of organized serial killers. In general, the IQs of organized serial killers tend to be normal range, with a mean of 98.7. Disorganized serial killers are usually far more impulsive, often committing their murders with
7800-457: A variety of fields and specialties with the goal of identifying the commonalities of knowledge regarding serial murder. The group also settled on a definition of serial murder which FBI investigators widely accept as their standard: "The unlawful killing of two or more victims by the same offender(s) in separate events". Serial homicide researcher Enzo Yaksic found that the FBI was justified in lowering
7995-706: A weak or short cervix (the strongest predictor of premature birth). Women with vaginal bleeding during pregnancy are at higher risk for preterm birth. While bleeding in the third trimester may be a sign of placenta previa or placental abruption —conditions that occur frequently preterm—even earlier bleeding that is not caused by these conditions is linked to a higher preterm birth rate. Women with abnormal amounts of amniotic fluid , whether too much ( polyhydramnios ) or too little ( oligohydramnios ), are also at risk. Anxiety and depression have been linked as risk factors for preterm birth. The use of tobacco , cocaine , and excessive alcohol during pregnancy increases
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8190-597: A whole life order and never be released from custody. In August 2016, it was ruled that Sutcliffe was mentally fit to be returned to prison, and he was transferred that month to HM Prison Frankland . Sutcliffe died in hospital from diabetes -related complications while in prison custody in 2020. Peter William Sutcliffe was born on Sunday, 2 June 1946 to a working-class family in Bingley , West Riding of Yorkshire . His parents were John William Sutcliffe (1922–2004) and his Irish wife, Kathleen Frances Coonan (1919–1978),
8385-682: Is Genene Jones . It is believed she killed 11 to 46 infants and children while working at Bexar County Medical Center Hospital in San Antonio, Texas, United States. She is currently serving a 99-year sentence for the murder of Chelsea McClellan and the attempted murder of Rolando Santos, and became eligible for parole in 2017 due to a law in Texas at the time of her sentencing to reduce prison overcrowding . A similar case occurred in Britain in 1991, where nurse Beverley Allitt killed four children at
8580-544: Is a distinct classification that differs from that of a mass murderer , spree killer , or contract killer , there are overlaps between them. The English term and concept of serial killer are commonly attributed to former Federal Bureau of Investigation special agent Robert Ressler , who used the term serial homicide in 1974 in a lecture at Police Staff College, in Bramshill , Hampshire , England. Author Ann Rule postulates in her 2004 book Kiss Me, Kill Me , that
8775-724: Is a factor in the causality of preterm birth. Genetics has been a big factor into why Filipinos have a high risk of premature birth as the Filipinos have a large prevalence of mutations that help them be predisposed to premature births. An intra- and transgenerational increase in the risk of preterm delivery has been demonstrated. No single gene has been identified. Marital status has long been associated with risks for preterm birth. A 2005 study of 25,373 pregnancies in Finland revealed that unmarried mothers had more preterm deliveries than married mothers (P=0.001). Pregnancy outside of marriage
8970-473: Is a high risk of preterm birth. Selective reduction is used to reduce the number of fetuses to two or three. A number of agents have been studied for the secondary prevention of indicated preterm birth. Trials using low-dose aspirin , fish oil , vitamin C and E, and calcium to reduce preeclampsia demonstrated some reduction in preterm birth only when low-dose aspirin was used. Even if agents such as calcium or antioxidants were able to reduce preeclampsia,
9165-408: Is about 6%, while at 23 weeks it is 26%, 24 weeks 55% and 25 weeks about 72%. The chances of survival without any long-term difficulties are lower. Signs and symptoms of preterm labor include four or more uterine contractions in one hour. In contrast to false labour , true labor is accompanied by cervical dilation and effacement . Also, vaginal bleeding in the third trimester, heavy pressure in
9360-452: Is akin to a male serial killer's collecting of totems (souvenirs) from the victim as a way of exerting continued control over the victim and reliving it. By contrast, Hickey states that although popular perception sees "black widow" female serial killers as something of the Victorian past, in his statistical study of female serial killer cases reported in the United States since 1826, approximately 75% occurred since 1950. Elizabeth Báthory
9555-460: Is associated with an increased risk preterm birth with an odds ratio of 1.9 and 95% confidence interval of 1.1–3.5. Intimate violence against the mother is another risk factor for preterm birth. Physical trauma may case a preterm birth. The Nigerian cultural method of abdominal massage has been shown to result in 19% preterm birth among women in Nigeria , plus many other adverse outcomes for
9750-548: Is available and the corticosteroids have a greater chance to work. Once the baby is born, care includes keeping the baby warm through skin-to-skin contact or incubation, supporting breastfeeding and/or formula feeding, treating infections , and supporting breathing. Preterm babies sometimes require intubation . Preterm birth is the most common cause of death among infants worldwide. About 15 million babies are preterm each year (5% to 18% of all deliveries). Late preterm birth accounts for 75% of all preterm births. This rate
9945-405: Is based on the observation that populations who have a high intake of such agents are at low risk for preterm birth, presumably as these agents inhibit production of proinflammatory cytokines. A randomized trial showed a significant decline in preterm birth rates, and further studies are in the making. While antibiotics can get rid of bacterial vaginosis in pregnancy, this does not appear to change
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#173277335626610140-500: Is believed that nearly 11–15% of Filipinos born in the U.S. (compared to other Asians at 7.6% and whites at 7.8%) are premature. Filipinos being a big risk factor is evidenced with the Philippines being the eighth-highest ranking in the world for preterm births, the only non-African country in the top 10. This discrepancy is not seen in comparison to other Asian groups or Hispanic immigrants and remains unexplained. Genetic make-up
10335-444: Is believed to be a maternal genetic component in preterm birth. Estimated heritability of timing-of-birth in women was 34%. However, the occurrence of preterm birth in families does not follow a clear inheritance pattern, thus supporting the idea that preterm birth is a non-Mendelian trait with a polygenic nature. The absence of prenatal care has been associated with higher rates of preterm births. Analysis of 15,627,407 live births in
10530-401: Is estimated that at least 75% of preterm infants would survive with appropriate treatment, and the survival rate is highest among the infants born the latest in gestation. In women who might deliver between 24 and 37 weeks, corticosteroid treatment may improve outcomes. A number of medications, including nifedipine , may delay delivery so that a mother can be moved to where more medical care
10725-611: Is inconsistent across countries. In the United Kingdom 7.9% of babies are born pre-term and in the United States 12.3% of all births are before 37 weeks gestation. Approximately 0.5% of births are extremely early periviable births (20–25 weeks of gestation), and these account for most of the deaths. In many countries, rates of premature births have increased between the 1990s and 2010s. Complications from preterm births resulted globally in 0.81 million deaths in 2015, down from 1.57 million in 1990. The chance of survival at 22 weeks
10920-457: Is instigated to seek approval from parents, sexual partners, or others." This need for approval is what influences children to attempt to develop social relationships with their family and peers. "The quality of their attachments to parents and other members of the family is critical to how these children relate to and value other members of society." Wilson and Seaman (1990) conducted a study on incarcerated serial killers, and what they concluded
11115-487: Is opined that stressful conditions, hard labor, and long hours are probably linked to preterm birth. Obesity does not directly lead to preterm birth; however, it is associated with diabetes and hypertension which are risk factors by themselves. To some degree those individuals may have underlying conditions (i.e., uterine malformation, hypertension, diabetes) that persist. Couples who have tried more than one year versus those who have tried less than one year before achieving
11310-461: Is retarded because the child's emotional and social development occurs within his self-centered fantasies. A person can do no wrong in his own world and the pain of others is of no consequence when the purpose of the fantasy world is to satisfy the needs of one person" (Garrison, 1996). Boundaries between fantasy and reality are lost and fantasies turn to dominance, control, sexual conquest, and violence, eventually leading to murder. Fantasy can lead to
11505-479: Is sometimes cited as the most prolific female serial killer in all of history. Formally countess Elizabeth Báthory de Ecsed (Báthory Erzsébet in Hungarian , August 7, 1560 – August 21, 1614), she was a countess from the renowned Báthory family . Before her husband's death, Elizabeth took great pleasure in torturing the staff, by jamming pins under the servant's fingernails or stripping servants and throwing them into
11700-410: Is undesirable: A cervical length of less than 25 mm (0.98 in) at or before 24 weeks of gestational age is the most common definition of cervical incompetence . Technologies under research and development to facilitate earlier diagnosis of preterm births include sanitary pads that identify biomarkers such as fFN and PAMG-1 and others, when placed into the vagina. These devices then calculate
11895-542: The Baird Television factory on a packaging line. He left this position when he was asked to go on the road as a salesman. After leaving Baird Television, Sutcliffe worked night shifts at the Britannia Works of Anderton International from April 1973. In February 1975, he took redundancy and used half of the £400 pay-off to train as a heavy goods vehicle (HGV) driver. On 5 March 1976, Sutcliffe
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#173277335626612090-685: The Castletown area of Sunderland , Tyne and Wear . The hoaxer, dubbed " Wearside Jack ", sent two letters to police and the Daily Mirror in March 1978 boasting of his crimes. The letters, signed " Jack the Ripper ", claimed responsibility for the November 1975 murder of 26-year-old Joan Harrison in Preston . The hoaxer case was re-opened in 2005, and DNA taken from envelopes was entered into
12285-760: The Chapeltown area of Leeds, walking past the nearby Prince Philip Playing Fields. Like with the earlier attacks, Sutcliffe approached her from behind and struck the back of her skull twice with a hammer. An extensive inquiry, involving 150 officers of the West Yorkshire Police and 11,000 interviews, failed to identify Sutcliffe. Sutcliffe committed his next murder in Leeds on 20 January 1976, when he stabbed 42-year-old Emily Monica Jackson fifty-two times. In dire financial straits, Jackson had been persuaded by her husband to engage in prostitution, using
12480-468: The FBI in the United States and from dialect analysts Stanley Ellis and Jack Windsor Lewis , that "Wearside Jack" was a hoaxer. Indeed, the investigation had used the hoax tape as a point of elimination, rather than as a line of enquiry, allowing Sutcliffe to avoid scrutiny as he did not fit the profile of the sender of the tape or letters. The hoaxer was given unusual credibility when analysis of saliva on
12675-529: The Han Emperor Jing , was made Prince of Jidong in the sixth year of the middle period of Jing's reign (144 BC). According to the Chinese historian Sima Qian , he would "go out on marauding expeditions with 20 or 30 slaves or with young men who were in hiding from the law, murdering people and seizing their belongings for sheer sport". Although many of his subjects knew about these murders, it
12870-498: The High Court issued Sutcliffe with a whole life tariff , meaning he was never to be released. After his trial, Sutcliffe admitted to two other attacks although he was not prosecuted for the offences. West Yorkshire Police were criticised for being inadequately prepared for an investigation on this scale. It was one of the largest investigations by a British police force and predated the use of computers. Information on suspects
13065-487: The Hungarian aristocrat Elizabeth Báthory , born into one of the wealthiest families in Transylvania , allegedly tortured and killed as many as 650 girls and young women before her arrest in 1610. Between 1564 and 1589, German farmer Peter Stumpp killed 14 children, including his own son. He also murdered two pregnant women and had an incestuous relationship with his daughter. Stumpp claimed to have been granted
13260-593: The Medicis of Renaissance Italy, or Landru , the " bluebeard " of the World War I period, who murdered numerous wives after taking their money. Vronsky states that the term serial killing first entered into broader American popular usage when published in The New York Times in early 1981, to describe Atlanta serial killer Wayne Williams . Subsequently, throughout the 1980s, the term was used again in
13455-512: The NHS ). He was considered a pillar of the local community; he even won a professional award for a children's asthma clinic and was interviewed by Granada Television 's World in Action on ITV . Dennis Nilsen was an ex-soldier turned civil servant and trade unionist who had no previous criminal record when arrested. Neither was known to have exhibited many of the tell-tale signs. Vlado Taneski ,
13650-639: The Vietnam War were preventing California from experiencing the Big One . As the war wound down, Mullin claimed his father instructed him via telepathy to raise the number of "human sacrifices to nature" to delay a catastrophic earthquake that would plunge California into the ocean. David Berkowitz ("Son of Sam") may also be an example of a visionary serial killer, having claimed a demon transmitted orders through his neighbor's dog and instructed him to commit murder. Berkowitz later described those claims as
13845-451: The amnion and chorion , the amniotic fluid , and the fetus. A chorioamnionitis also may lead to sepsis of the mother. Fetal infection is linked to preterm birth and to significant long-term disability including cerebral palsy . It has been reported that asymptomatic colonization of the decidua occurs in up to 70% of women at term using a DNA probe suggesting that the presence of micro-organism alone may be insufficient to initiate
14040-448: The intersubjectivity associated with a cognitive deficit regarding the capability to make sharp distinctions between other people and inanimate objects. For these individuals, objects can appear to possess animistic or humanistic power while people are perceived as objects. Before he was executed, serial killer Ted Bundy stated media violence and pornography had stimulated and increased his need to commit homicide, although this statement
14235-459: The power to control the mistreatment they suffer sometimes create a new reality to which they can escape. This new reality becomes their fantasy that they have total control of and becomes part of their daily existence. In this fantasy world, their emotional development is guided and maintained. According to Garrison (1996), "the child becomes sociopathic because the normal development of the concepts of right and wrong and empathy towards others
14430-534: The "Byford Report." The findings were made fully public in 2006, and confirmed the validity of the criticism of the force. The report led to changes to investigative procedures that were adopted across British police forces . Since his conviction, Sutcliffe has been linked to a number of other unsolved crimes. Sutcliffe was transferred from prison to Broadmoor Hospital in March 1984 after being diagnosed with paranoid schizophrenia . The High Court dismissed an appeal by Sutcliffe in 2010, confirming that he would serve
14625-400: The 1990s include increased incarceration in the United States , the end of the crack epidemic in the United States , and decreased lead exposure in early childhood. Some commonly found characteristics of serial killers include the following: There are exceptions to these criteria, however. For example, Harold Shipman was a successful professional (a General Practitioner working for
14820-529: The English term "serial homicide" within the law in 1974, the terms serial murder and serial murderer appear in John Brophy 's book The Meaning of Murder (1966). The Washington, D.C., newspaper Evening Star , in a 1967 review of the book: There is the mass murderer, or what he [Brophy] calls the "serial" killer, who may be actuated by greed, such as insurance, or retention or growth of power, like
15015-733: The English-language credit for coining the term goes to Los Angeles Police Department detective Pierce Brooks, who created the Violent Criminal Apprehension Program (ViCAP) system in 1985. The German term and concept were coined by criminologist Ernst Gennat , who described Peter Kürten as a Serienmörder ('serial-murderer') in his article " Die Düsseldorfer Sexualverbrechen " (1930). In his book, Serial Killers: The Method and Madness of Monsters (2004), criminal justice historian Peter Vronsky notes that while Ressler might have coined
15210-559: The Islamic Calendar), "a strangler from Baghdad was apprehended. He had murdered a number of women and buried them in the house where he was living." The majority of documented serial killers were active in the United States. In one study of serial homicide in South Africa, many patterns were similar to established patterns in the U.S., with some exceptions: no offenders were female, offenders were lower educated than in
15405-486: The U.S., and both victims and offenders were predominantly black. In the 15th century, one of the wealthiest men in Europe and a former companion-in-arms of Joan of Arc , Gilles de Rais , was alleged to have sexually assaulted and killed peasant children, mainly boys, whom he had abducted from the surrounding villages and had taken to his castle. It is estimated that his victims numbered between 140 and 800. Similarly,
15600-475: The United States since that time. The decline in serial killers has no known single cause but is attributed to a number of factors. Mike Aamodt , emeritus professor at Radford University in Virginia, attributes the decline in number of serial killings to less frequent use of parole , improved forensic technology , and people behaving more cautiously. Causes for the general reduction in violent crime following
15795-480: The United States between 1800 and 2004 (64 females from a total of 416 known offenders), or that around 15% of U.S. serial killers have been women, with a collective number of victims between 427 and 612. The authors of Lethal Ladies , Amanda L. Farrell, Robert D. Keppel, and Victoria B. Titterington, state that "the Justice Department indicated 36 female serial killers have been active over the course of
15990-585: The United States in 1995–1998 concluded that the absence of prenatal care carried a 2.9 (95%CI 2.8, 3.0) times higher risk of preterm births. This same study found statistically significant relative risks of maternal anemia, intrapartum fever, unknown bleeding, renal disease, placental previa, hydramnios, placenta abruption, and pregnancy-induced hypertension with the absence of prenatal care. All these prenatal risks were controlled for other high-risk conditions, maternal age, gravidity, marital status, and maternal education. The absence of prenatal care prior to and during
16185-517: The United States indicated that sexual activity was one of several motives in 10% of the cases, enjoyment in 11% and control in 14% and that 51% of all U.S. female serial killers murdered at least one woman and 31% murdered at least one child. In other cases, women have been involved as an accomplice with a male serial killer as a part of a serial killing team. A 2015 study published in The Journal of Forensic Psychiatry & Psychology found that
16380-434: The United States was especially prominent from 1970 to 2000, which has been described as the "golden age of serial murder". The cause of the spike in serial killings has been attributed to urbanization , which put people in close proximity and offered anonymity. The number of active serial killers in the United States peaked in 1989 and has been steadily trending downward since, coinciding with an overall decrease in crime in
16575-426: The United States. According to a 2016 study, since the year 2000, African Americans accounted for roughly 60% of all serial killers in the United States. Anthony Walsh found that the prevalence of non-white serial killers has typically been drastically underestimated in both professional research literature and the mass media. Black males were over-represented among serial killers by a factor of 2. Walsh argues that
16770-545: The V-neck exposed his genital area. The fronts of the elbows were padded to protect his knees as, presumably, he knelt over his victims' corpses. The sexual implications of this outfit were considered obvious, but it was not known to the public until being published in 2003. After two days of intensive questioning, on the afternoon of 4 January, Sutcliffe suddenly admitted that he was the Yorkshire Ripper. Over
16965-492: The West Yorkshire Police, who was leading the Yorkshire Ripper investigation. The tape contained a man's voice saying, "I'm Jack. I see you're having no luck catching me. I have the greatest respect for you, George, but Lord, you're no nearer catching me now than four years ago when I started." Based on the recorded message, police began searching for a man with a Wearside accent, which linguists narrowed down to
17160-700: The ability to turn into a werewolf by the Devil. As punishment for his crimes, Stumpp was put on a torture wheel and executed. His head was later severed and put on a pole next to the figure of a wolf to scare other people away from claiming themselves werewolves too. Members of the Thuggee cult in India may have murdered a million people between 1740 and 1840. Thug Behram , a member of the cult, may have murdered as many as 931 victims. In his 1886 book, Psychopathia Sexualis , psychiatrist Richard von Krafft-Ebing noted
17355-628: The attack on Rooney, as well as the 1975 attack on Browne. Barbara Mills , QC , the Director of Public Prosecutions, decided at the time that it wasn't in the public's interest to add any additional charges against Sutcliffe for the attacks on Browne and Rooney. At 11:55 p.m. on 4 April 1979, Sutcliffe killed Josephine Anne Whitaker, a 19-year-old clerk, as she was walking home on Savile Park Moor in Halifax. Sutcliffe hit Whitaker from behind with his ball-peen hammer and hit her again as she lay on
17550-472: The back of her thighs. Tyre tracks left near the murder scene resulted in a long list of possible suspect vehicles. Two months later, on 23 April, Sutcliffe killed 32-year-old prostitute Patricia "Tina" Atkinson-Mitra in her Bradford flat, where police found a bootprint on the bedclothes. According to Sutcliffe, he picked Atkinson up in Manningham before driving to her residence. There he hit her on
17745-561: The back of the head four times to incapacitate her, then down her jeans and pants and exposed her breasts. Sutcliffe then stabbed her six times in the stomach with a knife. On 25 June 1977, 16-year-old Jayne Michelle MacDonald went to meet friends at the Hofbrauhaus, a German-style bierkeller in Leeds. She missed the last bus home and went back to a friend's house to wait for his sister to bring her home. After approximately forty-five minutes, MacDonald decided to walk home. During
17940-419: The backyard of 13 Back Ash Grove, behind a low wall into an area where dustbins were kept, before pulling up her shirt and bra to expose her breasts and unfastening her jeans and partially pulling them down. He then stabbed her with the same screwdriver that he had used to kill Whitaker. Sutcliffe covered Leach's body with an old piece of carpet and placed stones on top of it. The second murder of another woman who
18135-538: The basis of their past obstetrical history or the presence of known risk factors. Preconception intervention can be helpful in selected patients in a number of ways. Patients with certain uterine anomalies may have a surgical correction (i.e. removal of a uterine septum ), and those with certain medical problems can be helped by optimizing medical therapies prior to conception, be it for asthma, diabetes, hypertension, and others. In multiple pregnancies , which often result from use of assisted reproductive technology , there
18330-540: The behavior. While juvenile serial killers are rare, the youngest felon on death row is a juvenile serial killer named Harvey Miguel Robinson who was 17 at the time of his crimes and 18 at the time of his arrest. There is a myth that most serial killers are white males. However, according to the FBI, based on percentages of the U.S. population, white males are not more likely than other races to be serial killers. White males are actually greatly under-represented among serial killers in proportion to their overall numbers in
18525-739: The body, but was unable to find the note. On 9 October, Jordan's body was discovered by local dairy worker and future actor Bruce Jones , who had an allotment on land adjoining the site and was searching for house bricks when he made the discovery. The five-pound note, hidden in a secret compartment in Jordan's handbag, was traced to branches of the Midland Bank in Bingley and Shipley . Police analysis of bank operations allowed them to narrow their field of inquiry to 8,000 employees who could have received it in their wage packet. Over three months,
18720-454: The border between the chorion and decidua has been disrupted. A positive test indicates an increased risk of preterm birth, and a negative test has a high predictive value. It has been shown that only 1% of women in questionable cases of preterm labor delivered within the next week when the test was negative. Obstetric ultrasound has become useful in the assessment of the cervix in women at risk for premature delivery. A short cervix preterm
18915-432: The case of psychological decompensation or overconfidence due to having evaded capture. Organized serial killers often plan their crimes methodically, usually abducting victims, killing them in one place and disposing of them in another. They often lure the victims with ploys appealing to their sense of sympathy. Others specifically target prostitutes, who are likely to go voluntarily with a stranger. These killers maintain
19110-506: The case should be dealt with by a jury. The trial proper was set to commence on 5 May 1981. Sutcliffe's trial lasted two weeks, and despite the efforts of his counsel, James Chadwin QC, Sutcliffe was found guilty of murder on all counts and was sentenced to twenty concurrent sentences of life imprisonment . The jury rejected the evidence of four psychiatrists who gave testimony that Sutcliffe had paranoid schizophrenia, possibly influenced by
19305-399: The categories of the black widow or team killer. Although motivations for female serial killers can include attention seeking, addiction, or the result of psychopathological behavioral factors, female serial killers are commonly categorized as murdering men for material gain, usually being emotionally close to their victims, and generally needing to have a relationship with the victim, hence
19500-407: The cervix and therefore is limited in discerning what is or is not normal. Four different pathways have been identified that can result in preterm birth and have considerable evidence: precocious fetal endocrine activation, uterine overdistension ( placental abruption ), decidual bleeding, and intrauterine inflammation or infection . Identifying women at high risk of giving birth early would enable
19695-444: The chance of preterm delivery. Tobacco is the most commonly used drug during pregnancy and contributes significantly to low birth weight delivery. Babies with birth defects are at higher risk of being born preterm. Passive smoking and/or smoking before the pregnancy influences the probability of a preterm birth. The World Health Organization published an international study in March 2014. Presence of anti-thyroid antibodies
19890-448: The child finds a way to develop substantial relationships and fight the label they receive. If a child receives no support from anyone, then they are unlikely to recover from the traumatic event in a positive way. As stated by E. E. Maccoby, "the family has continued to be seen as a major—perhaps the major—arena for socialization". There have been studies looking into the possibility that an abnormality with one's chromosomes could be
20085-426: The child up for deviant behavior in adulthood; the child's environment (either their parents or society) is the dominant factor determining whether or not the child's behavior escalates into homicidal activity. Family, or lack thereof, is the most prominent part of a child's development because it is what the child can identify with on a regular basis. "The serial killer is no different from any other individual who
20280-472: The control of preterm birth risk factors (e.g. working long hours while standing on feet, carbon monoxide exposure, domestic abuse, and other factors). Reducing physical activity during pregnancy has not been shown to reduce the risk of a preterm birth. Healthy eating can be instituted at any stage of the pregnancy including nutritional adjustments and consuming suggested vitamin supplements. Calcium supplementation in women who have low dietary calcium may reduce
20475-601: The course in 1977 and began teaching, she and Sutcliffe used her salary to buy a house at 6 Garden Lane in Heaton , into which they moved on 26 September 1977, and where they were living at the time of Sutcliffe's arrest in 1980. Sutcliffe's first documented assault was of a female prostitute, who he had met while searching for another woman who had tricked him out of money. Sutcliffe left his friend Trevor Birdsall's minivan and walked up St. Paul's Road in Bradford until he
20670-463: The course of their five-year investigation. Owing to the sensational nature of the case, investigators handled an exceptional amount of information, some of it misleading including hoax correspondence purporting to be from the "Ripper." Following Sutcliffe's conviction, the government ordered a review of the Ripper investigation, conducted by the Inspector of Constabulary Lawrence Byford , known as
20865-453: The difference between aerobic vaginitis and bacterial vaginosis, which may explain some of the contradiction in the results. Untreated yeast infections are associated with preterm birth. A review into prophylactic antibiotics (given to prevent infection) in the second and third trimester of pregnancy (13–42 weeks of pregnancy) found a reduction in the number of preterm births in women with bacterial vaginosis. These antibiotics also reduced
21060-665: The early 1890s. The case was one of the first involving a serial murderer that gained widespread notoriety and publicity through sensationalized accounts in William Randolph Hearst 's newspapers. However, at the same time of the Holmes case, in France, Joseph Vacher became known as "The French Ripper" after killing and mutilating 11 women and children. He was executed in 1898 after confessing to his crimes. Another notable non-American serial killer is Pedro Lopez ,
21255-640: The elderly". Other studies indicate that since 1975, increasingly strangers are marginally the most preferred victim of female serial killers, or that only 26% of female serial killers kill for material gain only. Sources state that each killer will have her own proclivities, needs and triggers. A review of the published literature on female serial murder stated that "sexual or sadistic motives are believed to be extremely rare in female serial murderers, and psychopathic traits and histories of childhood abuse have been consistently reported in these women." A study by Eric W. Hickey (2010) of 64 female serial killers in
21450-553: The end of this period. One of the main organs greatly affected by premature birth is the lungs. The lungs are one of the last organs to mature in the womb; because of this, many premature babies spend the first days and weeks of their lives on ventilators . Therefore, a significant overlap exists between preterm birth and prematurity. Generally, preterm babies are premature and term babies are mature. Preterm babies born near 37 weeks often have no problems relating to prematurity if their lungs have developed adequate surfactant , which allows
21645-469: The envelopes he sent showed he had the same blood group as that which Sutcliffe had left at crime scenes, a type shared by only 6% of the population. Humble, the hoaxer, appeared to know details of the murders that supposedly had not been released to the press, but which in fact he had acquired from his local newspaper and from pub gossip. Serial killer Note: Varies by jurisdiction Note: Varies by jurisdiction A serial killer (also called
21840-440: The evidence of a prison officer who heard him say to his wife that if he convinced people he was mad, he might get ten years in a "loony bin." Justice Boreham stated that Sutcliffe was beyond redemption and hoped he would never leave prison. He recommended a minimum term of thirty years to be served before parole could be considered, meaning Sutcliffe would have been unlikely to be freed until at least 2011. On 16 July 2010,
22035-608: The experience in assisted reproduction has shown when the number of embryos during embryo transfer was limited. Many countries have established specific programs to protect pregnant women from hazardous or night-shift work and to provide them with time for prenatal visits and paid pregnancy-leave. The EUROPOP study showed that preterm birth is not related to type of employment, but to prolonged work (over 42 hours per week) or prolonged standing (over 6 hours per day). Also, night work has been linked to preterm birth. Health policies that take these findings into account can be expected to reduce
22230-418: The first step in the process of a dissociative state, which, in the words of Stephen Giannangelo, "allows the serial killer to leave the stream of consciousness for what is, to him, a better place". Criminologist Jose Sanchez reports, "The young criminal you see today is more detached from his victim, more ready to hurt or kill. The lack of empathy for their victims among young criminals is just one symptom of
22425-450: The ground. He then proceeded to stab her with a screwdriver twenty-one times in the chest and stomach and six times in the right leg before also thrusting the screwdriver into her vagina . Whitaker's skull was fractured from ear to ear. Despite forensic evidence , police efforts were diverted for several months following the receipt of a taped message purporting to be from the murderer, taunting Assistant Chief Constable George Oldfield of
22620-537: The grounds of diminished responsibility . The basis of his defence was that he claimed to be the tool of God 's will. Sutcliffe said he had heard voices that ordered him to kill prostitutes while working as a gravedigger, which he claimed originated from the headstone of a Polish man, Bronisław Zapolski, and that the voices were that of God. Sutcliffe pleaded guilty to seven charges of attempted murder . The prosecution intended to accept his plea after four psychiatrists diagnosed him with paranoid schizophrenia , but
22815-491: The head with a ball-peen hammer , then jumped on her chest before stuffing horsehair into her mouth from a discarded sofa, under which he hid her body near Lumb Lane. Ten days later, on 31 January, Sutcliffe killed Elena "Helen" Rytka, an 18-year-old prostitute from Huddersfield , striking her on the head five times as she exited his vehicle at Garrards timber yard before stripping most of her clothes, although her bra and polo-neck jumper were positioned above her breasts. Rytka
23010-464: The head, knocking her out. Long was suffering from hypothermia when found and was hospitalized for nine weeks. A witness misidentified the make of Sutcliffe's car, resulting in more than 300 police officers checking thousands of cars without success. On 1 October 1977, Sutcliffe murdered 20-year-old Jean Bernadette Jordan, a prostitute and mother of two from Manchester known to friends as "Scottish Jean." Shortly after 9:00 p.m., Sutcliffe
23205-496: The head, rendering her unconscious, then, when he was startled, dragged her along the street with a rope around her neck and fled. Maureen Lea, a 21-year-old art student at Leeds University , was attacked by Sutcliffe on 25 October. Lea had finished visiting a pub with friends in Chapeltown when she was attacked as she hurried down a dark street to catch the bus home. She suffered from significant wounds when she awoke in
23400-459: The health problems of premature infants and children. Smoking bans are effective in decreasing preterm births. Different strategies are used in the administration of prenatal care, and future studies need to determine if the focus can be on screening for high-risk women, or widened support for low-risk women, or to what degree these approaches can be merged. Adoption of specific professional policies can immediately reduce risk of preterm birth as
23595-408: The health services to provide specialized care for these women and their babies, for example a hospital with a special care baby unit such as a neonatal intensive care unit (NICU). In some instances, it may be possible to delay the birth. Risk scoring systems have been suggested as an approach to identify those at higher risk, however, there is no strong research in this area so it is unclear whether
23790-444: The hoax letters and tape. He was remanded in custody and on 21 March 2006 was convicted and sentenced to eight years in prison. Humble died on 30 July 2019, aged 63. At approximately 1:00 a.m. on 1 September, Sutcliffe murdered 20-year-old Barbara Janine Leach, a Bradford University social psychology student who had earlier left a pub. Leach was attacked with a hammer after walking past Sutcliffe. He dragged her to
23985-547: The hospital where she worked, attempted to kill three more, and injured a further six over the course of two months. A 21st-century example is Canadian nurse Elizabeth Wettlaufer , who murdered elderly patients in the nursing homes where she worked. William George Davis is another hospital nurse who was sentenced to death in Texas for the murder of four patients. Female serial killers are rare compared to their male counterparts. Sources suggest that female serial killers represented less than one in every six known serial murderers in
24180-554: The hospital, including a puncture hole to the back of her skull, a fractured skull, a fractured cheekbone, a broken jaw and numerous scratches and bruises. Theresa Sykes, aged 16, was attacked in Huddersfield on the night of 5 November. Sykes was going to a shop in Oakes when Sutcliffe hit her from behind. Her boyfriend heard her screams and ran out, scaring off Sutcliffe. Sykes was recovering from brain surgery when Sutcliffe
24375-480: The infectious response. As the condition is more prevalent in black women in the U.S. and the UK, it has been suggested to be an explanation for the higher rate of preterm birth in these populations. It is opined that bacterial vaginosis before or during pregnancy may affect the decidual inflammatory response that leads to preterm birth. The condition known as aerobic vaginitis can be a serious risk factor for preterm labor; several previous studies failed to acknowledge
24570-422: The investigation concluded: "The ineffectiveness of the major incident room was a serious handicap to the Ripper investigation. While it should have been the effective nerve centre of the whole police operation, the backlog of unprocessed information resulted in the failure to connect vital pieces of related information. This serious fault in the central index system allowed Peter Sutcliffe to continually slip through
24765-542: The journey she was attacked by Sutcliffe in Reginald Street at around 2:00 a.m. MacDonald's body was discovered the following morning at 9:45 a.m. by children in the playground between Reginald Terrace and Reginald Street in Chapeltown. A post mortem was carried out by the Home Office pathologist Professor David Gee. The extent of her injuries was not revealed at the time by police, although it
24960-399: The killing acts for days or weeks" while the "methods of murder and types of victims vary". Andrew Cunanan is given as an example of spree killing, while Charles Whitman is mentioned in connection with mass murder, and Jeffrey Dahmer with serial killing. In 2005, the FBI hosted a multi-disciplinary symposium in San Antonio, Texas, which brought together 135 experts on serial murder from
25155-452: The killing of Joan Harrison, which he vehemently denied having carried out. Harrison's murder had been linked to the Ripper killings by "Wearside Jack," but in 2011 DNA evidence revealed the crime had actually been committed by convicted sex offender Christopher Smith, who had died in 2008. Sutcliffe was charged on 5 January 1981. At his trial that May, he pleaded not guilty to thirteen charges of murder, but guilty to manslaughter on
25350-505: The last century." According to The Journal of Forensic Psychiatry & Psychology , there is evidence that 16% of all serial killers are women. Michael D. Kelleher and C. L. Kelleher created several categories to describe female serial killers. They used the classifications of black widow , angel of death , sexual predator , revenge , profit or crime , team killer , question of sanity , unexplained , and unsolved . In using these categories, they observed that most women fell into
25545-580: The leaking of fluid from the vagina before 37 weeks. Premature infants are at greater risk for cerebral palsy , delays in development , hearing problems and problems with their vision . The earlier a baby is born, the greater these risks will be. The cause of spontaneous preterm birth is often not known. Risk factors include diabetes , high blood pressure , multiple gestation (being pregnant with more than one baby), being either obese or underweight , vaginal infections , air pollution exposure, tobacco smoking , and psychological stress . For
25740-474: The length of the cervix may identify women at risk of preterm labour and tentative evidence suggests ultrasound measurement of the length of the cervix in those with preterm labor can help adjust management and results in the extension of pregnancy by about four days. Screening for the presence of fibronectin in vaginal secretions is not recommended at this time in women at low risk of preterm birth. Women are identified to be at increased risk for preterm birth on
25935-487: The long-term effects of the antibiotics on mothers or babies. More research in this area is needed to find the full effects of giving antibiotics throughout the second and third trimesters of pregnancy. A number of maternal bacterial infections are associated with preterm birth including pyelonephritis , asymptomatic bacteriuria , pneumonia , and appendicitis . A review into giving antibiotics in pregnancy for asymptomatic bacteriuria (urine infection with no symptoms) found
26130-607: The lungs to remain expanded between breaths. Sequelae of prematurity can be reduced to a small extent by using drugs to accelerate maturation of the fetus, and to a greater extent by preventing preterm birth. Historically efforts have been primarily aimed to improve survival and health of preterm infants (tertiary intervention). Such efforts, however, have not reduced the incidence of preterm birth. Increasingly primary interventions that are directed at all women, and secondary intervention that reduce existing risks are looked upon as measures that need to be developed and implemented to prevent
26325-422: The midst of the wealth of London focused the media's attention on the plight of the urban poor and gained coverage worldwide. Jack the Ripper has also been called the most infamous serial killer of all time, and his legend has spawned hundreds of theories on his real identity and many works of fiction . H. H. Holmes was a serial killer in the United States, responsible for the death of at least nine victims in
26520-835: The misconceptions concerning female criminality. In the article, Perri and Lichtenwald analyze the current research regarding female psychopathy, including case studies of female psychopathic killers featuring Munchausen syndrome by proxy , cesarean section homicide, fraud detection homicide, female kill teams, and a female serial killer. Juvenile serial killers are rare. There are three main categories that juvenile serial killers can fit into: primary, maturing, and secondary killers. There have been studies done to compare and contrast these three groups and to discover similarities and differences between them. Although these types of serial killers are less common, oftentimes adult serial killers may make their debut at an early age and it can be an opportunity for researchers to study what factors brought about
26715-545: The most common motive for female serial killers was for financial gain and almost 40% of them had experienced some sort of mental illness. Peter Vronsky in Female Serial Killers (2007) maintains that female serial killers today often kill for the same reason males do: as a means of expressing rage and control. He suggests that sometimes the theft of the victims' property by the female "black widow" type serial killer appears to be for material gain, but really
26910-506: The mother and baby. This ought not be confused with massage therapy conducted by a fully trained and certified/licensed massage therapist or by significant others trained to provide massage during pregnancy, which—in a study involving pregnant females with prenatal depression—has been shown to have numerous positive results during pregnancy, including the reduction of preterm birth, less depression, lower cortisol, and reduced anxiety. In healthy women, however, no effects have been demonstrated in
27105-407: The mother may not have warning signs until very late in the birthing process. The main categories of causes of preterm birth are preterm labor induction and spontaneous preterm labor. The exact cause of spontaneous preterm birth is difficult to determine and it may be caused by many different factors at the same time as labor is a complex process. The research available is limited with regard to
27300-508: The motives of any given killer may display considerable overlap among these categories. Visionary serial killers suffer from psychotic breaks with reality, sometimes believing they are another person or are compelled to murder by entities such as the Devil or God. The two most common subgroups are "demon mandated" and "God mandated". Herbert Mullin believed the American casualties in
27495-414: The motives of serial killers can include anger, thrill-seeking , financial gain, and attention seeking , and killings may be executed as such . The victims tend to have things in common, such as demographic profile , appearance, gender, or race . As a group, serial killers suffer from a variety of personality disorders . Most are often not adjudicated as insane under the law. Although a serial killer
27690-518: The national database. The DNA matched that of John Samuel Humble, an unemployed alcoholic and longtime resident of the Ford Estate in Sunderland — a few miles from Castletown — whose DNA had been taken following a drunk and disorderly offence in 2001. On 20 October 2005, Humble was charged with attempting to pervert the course of justice for sending
27885-479: The net." The choice by Chief Constable Ronald Gregory of Oldfield to lead the inquiry was criticised by Byford: "The temptation to appoint a 'senior man' on age or service grounds should be resisted. What is needed is an officer of sound professional competence who will inspire confidence and loyalty". Byford found Oldfield's focus on the hoax tape wanting, and that Oldfield had ignored advice from survivors of Sutcliffe's attacks, from several eminent specialists, from
28080-401: The next day, he calmly described his many attacks. Several weeks later he claimed God had told him to murder his victims. "The women I killed were filth," he told police. "Bastard prostitutes who were littering the streets. I was just cleaning up the place a bit." Sutcliffe displayed regret only when talking of his youngest murder victim, Jayne MacDonald, and showed emotion when questioned about
28275-406: The number of murders, they need to have been committed at different times, and are usually committed in different places. The lack of a cooling-off period (a significant break between the murders) marks the difference between a spree killer and a serial killer. The category has, however, been found to be of no real value to law enforcement, because of definitional problems relating to the concept of
28470-558: The number of negative outcomes including preterm birth, pre-eclampsia, and maternal death. The World Health Organization (WHO) suggests 1.5–2 g of calcium supplements daily, for pregnant women who have low levels of calcium in their diet. Supplemental intake of C and E vitamins have not been found to reduce preterm birth rates. While periodontal infection has been linked with preterm birth, randomized trials have not shown that periodontal care during pregnancy reduces preterm birth rates. Smoking cessation has also been shown to reduce
28665-418: The number of waters breaking before labor in full-term pregnancies, reduced the risk of infection of the lining of the womb after delivery (endometritis), and rates of gonococcal infection. However, the women without bacterial vaginosis did not have any reduction in preterm births or pre-labor preterm waters breaking. Much of the research included in this review lost participants during follow-up so did not report
28860-408: The pages of The New York Times , one of the major national news publications of the United States, on 233 occasions. By the end of the 1990s, the use of the term had increased to 2,514 instances in the paper. When defining serial killers, researchers generally use "three or more murders" as the baseline, considering it sufficient to provide a pattern without being overly restrictive. Independent of
29055-475: The pelvis, or abdominal or back pain could be indicators that a preterm birth is about to occur. A watery discharge from the vagina may indicate premature rupture of the membranes that surround the baby. While the rupture of the membranes may not be followed by labor, usually delivery is indicated as infection ( chorioamnionitis ) is a serious threat to both fetus and mother. In some cases, the cervix dilates prematurely without pain or perceived contractions, so that
29250-553: The place of the attack up the driveway and into a high-walled garden, Sutcliffe first tied a length of rope around Walls' neck and tightened it. There he suffocated her and removed almost every piece of clothing save for her tights. He partially covered the body with grass and leaves before he left. On 24 September, a 34-year-old doctor from Singapore, Upadhya Bandara, was walking home from meeting friends when Sutcliffe followed her into an alley in Headingley . He struck her on
29445-433: The police interviewed 5,000 men, including Sutcliffe. The police found that Sutcliffe's alibi , the family party, was credible. Weeks of intense investigations pertaining to the origins of the note led to nothing, leaving investigators frustrated that they collected an important clue but had been unable to trace the actual firm to which or whom the note had been issued. On 14 December, Sutcliffe attacked Marilyn Moore,
29640-418: The popular media ignores black serial killers because of a fear of allegations of racism, and that this may enable black serial killers to operate more effectively, as their crimes do not get the same media attention as the crimes of non-black serial killers. The motives of serial killers are generally placed into four categories: visionary , mission-oriented , hedonistic , and power or control ; however,
29835-478: The pregnancy is primarily a function of socioeconomic factors (low family income and education), access to medical consultations (large distance from the place of residence to the healthcare unit and transportation costs), quality of healthcare, and social support. Efforts to decrease rates of preterm birth should aim to increase the deficits posed by the aforementioned barriers and to increase access to prenatal care. Placental alpha microglobulin-1 (PAMG-1) has been
30030-472: The rate of preterm birth. Preconceptional intake of folic acid is recommended to reduce birth defects. There is also some evidence that folic acid supplement preconceptionally (before becoming pregnant) may reduce premature birth. Reducing smoking is expected to benefit pregnant women and their offspring. Self-care methods to reduce the risk of preterm birth include proper nutrition, avoiding stress, seeking appropriate medical care, avoiding infections, and
30225-734: The research was of very low quality but that it did suggest that taking antibiotics reduced the numbers of preterm births and babies with low birth weight. Another review found that one dose of antibiotics did not seem as effective as a course of antibiotics but fewer women reported side effects from one dose. This review recommended that more research is needed to discover the best way of treating asymptomatic bacteriuria. A different review found that preterm births happened less for pregnant women who had routine testing for low genital tract infections than for women who only had testing when they showed symptoms of low genital tract infections. The women being routinely tested also gave birth to fewer babies with
30420-464: The result of a study conducted in the US showed that between 1989 and 2006, marriage became less protective of preterm births which was attributed to the changing social norms and behaviors surrounding marriage. Medications during pregnancy, living conditions, air pollution, smoking, illicit drugs or alcohol, infection, or physical trauma may also cause a preterm birth. Air pollution: Living in an area with
30615-399: The risk of preterm birth. Extensive studies have been carried out to determine if other forms of screening in low-risk women followed by appropriate intervention are beneficial, including screening for and treatment of Ureaplasma urealyticum , group B streptococcus, Trichomonas vaginalis , and bacterial vaginosis did not reduce the rate of preterm birth. Routine ultrasound examination of
30810-561: The risk of preterm birth. It has been suggested that chronic chorioamnionitis is not sufficiently treated by antibiotics alone (and therefore they cannot ameliorate the need for preterm delivery in this condition). Progestogens —often given in the form of vaginal progesterone or hydroxyprogesterone caproate —relax the uterine musculature, maintain cervical length, and possess anti-inflammatory properties; all of which invoke physiological and anatomical changes considered to be beneficial in reducing preterm birth. Two meta-analyses demonstrated
31005-800: The risk. The use of personal at home uterine monitoring devices to detect contractions and possible preterm births in women at higher risk of having a preterm baby have been suggested. These home monitors may not reduce the number of preterm births, however, using these devices may increase the number of unplanned antenatal visits and may reduce the number of babies admitted to special care when compared with women receiving normal antenatal care . Support from medical professionals, friends, and family during pregnancy may be beneficial at reducing caesarean birth and may reduce prenatal hospital admissions, however, these social supports alone may not prevent preterm birth. Screening for asymptomatic bacteriuria followed by appropriate treatment reduces pyelonephritis and reduces
31200-496: The services of prostitutes but note that he nonetheless developed an obsession with them, including "watching them soliciting on the streets of Leeds and Bradford." On 14 February 1967, Sutcliffe met 16-year-old Sonia Szurma , the daughter of Ukrainian and Polish refugees from Czechoslovakia , at the Royal Standard pub on Manningham Lane in Bradford's red-light district ; they married on 10 August 1974. Sonia
31395-492: The single best predictor of imminent spontaneous delivery within 7 days of a patient presenting with signs, symptoms, or complaints of preterm labor. Specifically, the PPV, or positive predictive value , of the tests were 76%, 29%, and 30% for PAMG-1, fFN and CL, respectively (P < 0.01). Fetal fibronectin (fFN) has become an important biomarker—the presence of this glycoprotein in the cervical or vaginal secretions indicates that
31590-561: The snow. After her husband's death, she and four collaborators were accused of torturing and killing hundreds of girls and young women, with one witness attributing to them over 600 victims, though the number for which they were convicted was 80. Elizabeth herself was neither tried nor convicted. In 1610, however, she was imprisoned in the Csejte Castle, where she remained bricked in a set of rooms until her death four years later. A 2010 article by Perri and Lichtenwald addressed some of
31785-467: The subject of several investigations evaluating its ability to predict imminent spontaneous preterm birth in women with signs, symptoms, or complaints suggestive of preterm labor . In one investigation comparing this test to fetal fibronectin testing and cervical length measurement via transvaginal ultrasound , the test for PAMG-1 (commercially known as the PartoSure test) has been reported to be
31980-403: The traditional cultural image of the "black widow". The methods that female serial killers use for murder are frequently covert or low-profile, such as murder by poison (the preferred choice for killing). Other methods used by female serial killers include shootings (used by 20%), suffocation (16%), stabbing (11%), and drowning (5%). They commit killings in specific places, such as their home or
32175-469: The trial judge, Justice Sir Leslie Boreham , demanded an unusually detailed explanation of the prosecution's reasoning. After a two-hour representation by the Attorney-General , Sir Michael Havers , a ninety-minute lunch break and another forty minutes of legal discussion, Justice Boreham rejected the diminished responsibility plea and the expert testimonies of the psychiatrists, insisting that
32370-610: The trigger for serial killers. Two serial killers, Bobby Joe Long and Richard Speck , came to attention for reported chromosomal abnormalities. Long had an extra X chromosome . Speck was erroneously reported to have an extra Y chromosome ; in fact, his karyotype was performed twice and was normal each time. While attempts have been made to link the XYY karyotype to violence, including serial murder, research has consistently found little or no association between violent criminal behaviour and an extra Y chromosome. Children who do not have
32565-591: The unwitting getaway driver in his first documented assault in 1969, reported him to the police as a suspect. In total, Sutcliffe had been questioned by the police on nine separate occasions in connection with the Ripper enquiry before his eventual arrest and conviction. On 2 January 1981, Sutcliffe was stopped by police with 24-year-old prostitute Olivia Reivers in the driveway of Light Trades House on Melbourne Avenue, Broomhill , Sheffield , South Yorkshire . A police check by Probationary Constable Robert Hydes revealed that Sutcliffe's car had false number plates; he
32760-664: The use of risk scoring systems for identifying mothers would prolong pregnancy and reduce the numbers of preterm births or not. Risk factors in the mother have been identified that are linked to a higher risk of a preterm birth. These include age (either very young or older ), high or low body mass index (BMI), length of time between pregnancies, endometriosis , previous spontaneous (i.e., miscarriage ) or surgical abortions , unintended pregnancies, untreated or undiagnosed celiac disease, fertility difficulties, heat exposure, and genetic variables. Studies on type of work and physical activity have given conflicting results, but it
32955-773: The van of their family roofing business. Sutcliffe picked up Jackson, who was soliciting outside the Gaiety pub on Roundhay Road, then drove about half a mile to some derelict buildings on Enfield Terrace in the Manor Industrial Estate. Sutcliffe hit Jackson on the head with a hammer, dragged her body into a rubbish-strewn yard, then used a sharpened screwdriver to stab her in the neck, chest and abdomen. He stamped on her thigh, leaving behind an impression of his boot. Sutcliffe attacked 20-year-old Marcella Claxton in Roundhay Park on 9 May. Walking home from
33150-439: The victim threshold from three to two victims given that serial murderers from these groups share similar pathologies. Historical criminologists suggest that there have been serial killers throughout history. Some sources suggest that legends such as werewolves and vampires were inspired by medieval serial killers. In Africa, there have been periodic outbreaks of murder by leopard men . Liu Pengli of China, nephew of
33345-525: The vulnerability of prostitutes and the perceived ambivalent attitude of police to prostitutes' safety. After his arrest in Sheffield by South Yorkshire Police for driving with false number plates in January 1981, he was transferred to the custody of West Yorkshire Police , who questioned him about the killings. Sutcliffe confessed to being the perpetrator, saying that the voice of God had sent him on
33540-464: The white population. Many Black women have higher preterm birth rates due to multiple factors but the most common is high amounts of chronic stress, which can eventually lead to premature birth. Adult chronic disease is not always the case with premature birth in Black women, which makes the main factor of premature birth challenging to identify. Filipinos are also at high risk of premature birth, and it
33735-412: Was born premature , having to spend two weeks in hospital. Sutcliffe's father was a heavy drinker who once smashed a beer glass over Sutcliffe's head for sitting in his chair at Christmas dinner. He also hated Sutcliffe's mother: "She was a bitch and the least said about her, the better." Sutcliffe's father would frequently dismiss his slightly built son as "a wimp, always hanging from his mother's apron,
33930-641: Was dismissed from this employment for the theft of used tyres. He was unemployed until October 1976, when he found a job as an HGV driver for T. & W.H. Clark Holdings Ltd. on the Canal Road Industrial Estate in Bradford . Sutcliffe reportedly hired prostitutes as a young man, and it has been speculated that he had a bad experience during which he was conned out of money by a prostitute and her pimp . Other analyses of Sutcliffe's actions have not found evidence that he actually sought
34125-455: Was psychologically traumatised by the attack. She later said: "I've been afraid to go out much because I feel people are staring and pointing at me. The whole thing is making my life a misery. I sometimes wish I had died in the attack." On the night of 15 August, Sutcliffe attacked 46-year-old Olive Smelt in Halifax . Employing the same modus operandi , he briefly engaged Smelt with
34320-476: Was "bursting for a pee." Sutcliffe hid a second knife in the toilet cistern at Dewsbury police station when he was permitted to use the toilet. Police obtained a search warrant for his home in Heaton and brought his wife in for questioning. When Sutcliffe was stripped at Dewsbury police station, he was found to be wearing an inverted V-necked jumper under his trousers. The sleeves had been pulled over his legs, and
34515-520: Was arrested and transferred to Dewsbury police station in West Yorkshire. There, Sutcliffe was questioned in relation to the Ripper case as he matched many of the known physical characteristics. The next day, Sergeant Robert Ring decided on a "hunch" to return to the scene of Sutcliffe's arrest, where he discovered a knife, hammer and rope that Sutcliffe had discarded behind an oil storage tank when he briefly slipped away after telling police he
34710-472: Was arrested. Jacqueline Hill, a 20-year-old student at Leeds University, was murdered on the night of 17 November. Hill was returning home to her students' hall of residence in Headingley when Sutcliffe delivered a blow to her head before removing her clothes and stabbing her repeatedly in the chest and once in the eye with a screwdriver. On 25 November, Trevor Birdsall, Sutcliffe's friend and
34905-503: Was arrested. Whilst awaiting trial for this, due in mid-January 1981, he killed 47-year-old civil servant Marguerite Walls on the night of 20 August. Walls left her office between 9:30 p.m. and 10:30 p.m. to walk to her home in Farsley . Sutcliffe incapacitated her with a hammer blow to the back of her head as he continued to strike her while yelling "filthy prostitute" beside a driveway. In order to move her twenty yards from
35100-570: Was associated overall with a 20% increase in total adverse outcomes, even at a time when Finland provided free maternity care. A study in Quebec of 720,586 births from 1990 to 1997 revealed less risk of preterm birth for infants with legally married mothers compared with those with common-law wed or unwed parents. A study conducted in Malaysia in 2015 showed a similar trend, with marital status being significantly associated with preterm birth. However,
35295-427: Was collected and suspects were identified and traced. Police surgeon Thomas Bond assembled one of the earliest character profiles of the offender . The Ripper murders also marked an important watershed in the treatment of crime by journalists. While not the first serial killer in history, Jack the Ripper's case was the first to create a worldwide media frenzy. The dramatic murders of financially destitute women in
35490-497: Was cruising the area of Moss Side when he picked up Jordan. After they arrived in Princess Road near Southern Cemetery , he hit her once in the head before proceeding to hit her ten more times. In a later confession, Sutcliffe admitted he had realised the new five-pound note he had given to Jordan was traceable. After hosting a family party at his home, he returned to the wasteland behind Southern Cemetery, where he had left
35685-559: Was going out to buy cigarettes. Sutcliffe picked up Millward and drove her to the parking compound of the Manchester Royal Infirmary in Chorlton-on-Medlock . After she got out of his car, Sutcliffe attacked Millward with a hammer. She was also slashed across the stomach and stabbed repeatedly with a screwdriver through the same wound in her back. After she died, Sutcliffe dragged Millward's body against
35880-456: Was interviewed on this issue. Police discontinued the search for the person who received the five-pound note in January 1978. Although Sutcliffe was interviewed about the matter, he was not investigated further and was contacted and disregarded by the Ripper investigation on several further occasions. That month, Sutcliffe killed Yvonne Ann Pearson, a 21-year-old prostitute from Bradford, on 21 January 1978. He repeatedly bludgeoned her about
36075-553: Was made during last-ditch efforts to appeal his death sentence. In the 1970s and 1980s, FBI profilers instigated a simple division of serial killers into "organized" and "disorganized"; that is, those who plan their crimes, and those who act on impulse. The FBI's Crime Classification Manual now places serial killers into three categories: organized , disorganized , and mixed (i.e., offenders who exhibit organized and disorganized characteristics). Some killers descend from organized to disorganized as their killings continue, as in
36270-505: Was not a prostitute alarmed the public and prompted an expensive publicity campaign emphasising the Wearside connection. Despite the false lead, Sutcliffe was interviewed on at least two other occasions in 1979. Despite matching several forensic clues and being on the list of 300 names in connection with the five-pound note, he was not strongly suspected. On 26 June, Sutcliffe was stopped while driving, tested positive for drink driving and
36465-477: Was not convicted of the attack but confessed in 1992. Browne later said that she had been charmed by Sutcliffe at first: "We had walked together for almost a mile – for about 30 minutes and I never once felt intimidated or in danger." The first victim to be killed by Sutcliffe was 28-year-old Wilma Mary McCann, a mother of four from Scott Hall , on 30 October. McCann was last seen alive at 7:30 p.m. when she left her council house on Scott Hall Avenue, in
36660-399: Was not until the 29th year of his reign that the son of one of his victims finally sent a report to the emperor. Eventually, it was discovered that he had murdered at least 100 people. The officials of the court requested that Liu Pengli be executed; however, the emperor could not bear to have his own nephew killed, so Liu Pengli was made a commoner and banished. In the 9th century (year 257 of
36855-414: Was out of sight. When he returned, Sutcliffe was out of breath, as if he had been running; he told Birdsall to drive off quickly. Sutcliffe said he had followed a prostitute into a garage and hit her over the head with a stone in a sock. Police visited Sutcliffe's home the next day, as the woman he had attacked had noted Birdsall's vehicle registration plate . Sutcliffe admitted he had hit her, but claimed it
37050-475: Was stored on handwritten index cards . Aside from difficulties in storing and accessing the paperwork, it was difficult for investigators to overcome the information overload of such a large manual system. Sutcliffe was interviewed nine times, but all information police had about the case was stored in paper form, making cross-referencing difficult, compounded by television appeals for information, which generated thousands more documents. The 1982 Byford Report into
37245-423: Was studying to become a teacher when she was diagnosed with paranoid schizophrenia . Her relationship with Sutcliffe was later characterised by the writer Gordon Burn as domineering, with Sonia willing to slap down her husband "like a naughty schoolboy," while Sutcliffe even had to occasionally "contain her physically by pinning her arms to her side" during her common "unprovoked outbursts of rage." Barbara Jones,
37440-399: Was subsequently revealed she had been hit on the head three times with a hammer and had been stabbed in the chest and back; a broken bottle was found embedded in her chest. The following month, on 10 July 1977, Sutcliffe assaulted 43-year-old Maureen Long in Bradford. Long was leaving a nightclub when Sutcliffe offered her a lift home. Long stopped to urinate and Sutcliffe struck her on
37635-446: Was the most influential factor that contributed to their homicidal activity. Almost all of the serial killers in the study had experienced some sort of environmental problems during their childhood, such as a broken home caused by divorce, or a lack of a parental figure to discipline the child. Nearly half of the serial killers had experienced some type of physical or sexual abuse, and more of them had experienced emotional neglect. When
37830-416: Was then sexually assaulted as she lay on the ground. Rytka was the sole victim that Sutcliffe had intercourse with. After Rytka staggered to her feet, Sutcliffe again struck her on the back of the head with his hammer a number of times before retrieving a knife from his car and stabbing her several times through the heart and lungs. Rytka's body was found three days later behind a stack of timber, placed under
38025-509: Was with his hand. Officers told Sutcliffe he was "very lucky," as the woman did not want to press charges. Sutcliffe committed his second assault in Keighley on the night of 5 July 1975. He attacked 36-year-old Anna Rogulskyj, who was walking alone, striking her unconscious with a hammer and slashing her stomach with a knife. Disturbed by a neighbour, Sutcliffe left the scene without killing her. Rogulskyj survived after brain surgery but
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