Birth Reporting Webinar Conference Call Fetal Death Reporting - - PowerPoint PPT Presentation
nd and 26 th th 2017 May 22 nd 2017 Birth Reporting Webinar Conference Call Fetal Death Reporting Public Health Division Center for Public Health Practice Center for Health Statistics Todays Presenters JoAnn Jackson State Registration
Public Health Division Center for Public Health Practice Center for Health Statistics
May 22nd
nd and 26th th 2017
2017
JoAnn Jackson State Registration Manager Krystalyn Salyer OVERS Training Coordinator
Choose the 2nd
speaker is presenting; no hold music
for a question and answer session in between sections
Q & A chat box; we will respond to questions to the whole group during
Worksheets
De Defin inition: (O (ORS 43 432. 2.005 (14 (14)) “Fetal death” means death pri rior to to th the co comple lete expulsion or
from its its mother
a pro roduct of
conception, irre irrespective of
the dura ration of
regnancy, th that is is not
an an in induced ter termin ination of
ath is is in indic icated by y th the fa fact th that aft after su such ch expuls lsion or
traction th the fe fetus doe
reathe or
show an any y ot
vidence of
life su such as as beatin ing of
the heart, puls lsation of
the umbili lical l co cord or
inite movement of
the vol voluntary muscle les.
ilitie ies may use se terms su such as: as: peri rinatal, l, neonatal, l, post neonatal l or
infant death
ital l statistic ics use se on
ly th the foll llowin ing terms: Fetal l De Death an and Liv Live Birth irth
Whether a
a deliv livery is is a a fe fetal l deat ath or
is a a live live birt irth, a a medical l determin ination must be mad ade.
De
Defin ined by y law law
Sign igns of
life, ev even en if if alive live for for on
ly seco econds and ve very ea early ly ge gesta tation = LIV LIVE BIR BIRTH req requiring a birth irth rec record and a dea eath th rec record
No No sign igns of
life afte fter extr extraction or
expulsion = FETAL DE DEATH req requiring a feta fetal l dea eath th rep report on
ly if if th the e deliv elivery weig eight t is is 350 gra grams or
weeks ge gesta tation if if deliv livery weigh ight is is unknown
When a
a pre regnancy ends unin intentionally ly
Fe
Fetus is is deli livered with ithout a a heart beat, bre reath, umbili ilical co cord puls lsation or
Birt
irth att attendant re requests s th the eve vent be re reported usi sing a a fe fetal l death re report
If
If an an in infant is is born sh showin ing si signs of
life but t die ies s sh shortly aft after
Sign
igns of
life in inclu clude
He Heartbeat
Brea Breath
Mov
An In
Induced Termin ination of
regnancy (IT (ITOP) is is NO NOT a a fe fetal l death
ITO
ITOP is is th the e purp rposeful in inte terrupti tion of
regnancy and feta fetal l dea eath th is is an unin inten tentional occ
ence
ITO
ITOP is is rep reported th thro rough a diff ifferent mod
in OVERS or
er for form
Fetal weight is 350 grams or more? File Fetal Death Report Fetal Death Report is
Gestation greater than 20 weeks?
UNKNOWN YES NO YES NO
Mandatory reports of fetal deaths must be file iled at the Center for Healt lth Statis istics wit ithin in 5 days ys of the event
YES
Hospital facility staff is required to file the report using OVERS (Only report events that
premises or in route to the hospital)
NO
(at home)
YES NO
Did the fetal death occur in a hospital facility? Did the fetal death occur in another licensed facility? Staff member from that facility must complete report Fetal death report must be completed by attending physician or Medical Examiner
NOTE: If the family brings the baby to your facility, contact the Medical Examiner. If the family calls your facility by phone, refer them to the Medical Examiner.
Parent Worksheet: Mother’s prenatal
car care
Fac
Facili lity Worksheet: Medical an and heal alth in information
Birt
irth Par Parent & Fac Facili lity Worksheets htt ttp://publi lic.health.oregon.gov/BirthDeathCertificates/Regis isterVit italRecords/Pages/Ins tru tructionsBir irth.aspx
Fet
Fetal l De Death Par Parent & Fac Facili lity Worksheets htt ttp://publi lic.health.oregon.gov/BirthDeathCertificates/Regis isterVit italRecords/Pages/Ins tru tructionsFetalDeath.aspx
Before th
the fe fetal re remain ins can can be re removed fo for dis isposit ition fr from th the fa facili ility where th the deliv livery oc
the fa facili ility must co comple lete a a dis isposit ition permit it an and give ive it it to to th the fu funeral l dire irector or
arents when th they tak take th the re remain ins.
The dis
isposition permit giv ives permis ission to to tra transport re remain ins to to th the loc location of
rial l
cremation.
The permit
it re requir ires ID ID Tag ag Nu Number an and so some buria rial or
cremation details ils.
Auth thori rizatio ion fo for r Feta tal l Disp isposit itio ion 45-3D 3D
Use
sed fo for a a fe fetal deat ath
Hos
l can can dis ispose of
fetal l re remain ins
Di
Disp sposition permit can can be co comple leted by y birth irth in information sp speciali list
Auth thori rizatio ion fo for r Disp isposit itio ion 45-9
Use
sed when deliv livery was as a a live live birt irth with ith a a su subsequent death
Bab
aby alw always le leav aves th the hos
ital
Authorization fo
for Di Disposit ition must hav ave doctor ap approval
Auth thori rizatio ion fo for r Feta tal l Disp isposit itio ion (4 (45-3D)
Live Birth with subsequent death Fetal Death Records required 1) Certificate of Live Birth in every case, regardless of birth weight, gestation, or length of life 2) Death record in every case 1) Report of Fetal Death only if delivery weight is 350 grams or more, or if weight is unknown 20 weeks gestation 2) Optional Commemorative Certificate if family wants one; a fetal death report is required. Disposition 1) Authorization for Disposition must have a doctor’s approval 2) Baby always leaves the hospital 1) Authorization for Fetal Disposition completed by birth information specialist 2) Disposal of fetal remains by hospital possible
JoAnn Jackson,
State Registration Manager JoAnn.Jackson@state.or.us 971-673-1160
Krystalyn Salyer,
OVERS Training Coordinator Krystalyn.Salyer@state.or.us 971-673-1197