RTÉ News has learned that the Midland Regional Hospital in Portlaoise is the facility where the first case of a "tandem burial" came to light during a recent Health Service Executive review.
The case involved a mother who gave birth in the 1980s and who this summer sought details of where the remains of her baby had been buried.
It emerged that the baby was placed in a coffin at Portlaoise Hospital alongside the remains of an unrelated adult for burial.
The issue of tandem burials was revealed by RTÉ News yesterday from documents secured under the Freedom of Information Act.
The documents show the burials were conducted in a limited number of hospitals up to the 1980s.
The HSE has admitted that it is possible that the families of the deceased were not informed of the practice.
A letter obtained by RTÉ News under FOI shows the then secretary general of the Department of Health, Dr Ambrose McLoughlin, was briefed about the issue on 29 August in a letter from HSE Director General Tony O'Brien.
Mr O'Brien said it was not certain that the families of both of the deceased would always have been informed of the practice.
It occurred in "exceptional circumstances" in the case of a newborn baby who died in hospital and where the other options for burial, in a hospital or religious plot, "were not selected".
The remains of the baby would then be placed in a coffin of a deceased adult.
In the letter, Mr O'Brien stated: "Our understanding is that the remains would have been placed with adult remains and that ideally the awareness and understanding of both families involved would have been sought, though this is not guaranteed."
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