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
Today’s Presenters JoAnn Jackson State Registration Manager Krystalyn Salyer OVERS Training Coordinator
Joining the meeting audio Choose the 2nd option to Dial-In
How we will communicate o Phones will be muted when the speaker is presenting; no hold music o We will unmute the phones and pause for a question and answer session in between sections o Feel free to type any questions in the Q & A chat box; we will respond to questions to the whole group during open discussion
Today’s Agenda: Fetal Death Reporting 1. Definition of a Fetal Death 2. Requirements to report (who, what, when) 3. Collecting information using the Fetal Death Parent and Facility Worksheets 4. Transporting Fetal Remains – Disposition Permits
Fetal Death
What is a fetal death? 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 or extraction fro from its its mother of of a a pro roduct of of human co conception, irre irrespective of of th the dura ration of of pre regnancy, th that is is not ot an an in induced ter termin ination of of pre regnancy. The deat ath is is in indic icated by y th the fa fact th that aft after su such ch expuls lsion or or extr traction th the fe fetus doe oes not ot bre reathe or or sh show an any y ot other evid vidence of of life life su such as as beatin ing of of th the heart, puls lsation of of th the umbili lical l co cord or or defin inite movement of of th the vol voluntary muscle les.
Facility vs. Vital Record’s terms • Facili ilitie ies may use se terms su such as: as: peri rinatal, l, neonatal, l, post neonatal l or or in infant death • Vit ital l statistic ics use se on only ly th the foll llowin ing terms: Fetal l De Death an and Liv Live Birth irth
How is fetal death determined? Whether a a deliv livery is is a a fe fetal l deat ath or or is 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 of life, life, ev even en if if alive live for for on only 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 of life life afte fter extr extraction or or exp expulsion = FETAL DE DEATH req requiring a feta fetal l dea eath th rep report on only ly if if th the e deliv elivery weig eight t is is 350 gra grams or or more, or or 20 weeks ge gesta tation if if deliv livery weigh ight is is unknown
Key indicators of fetal death 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 or movement Birt irth att attendant re requests s th the eve vent be re reported usi sing a a fe fetal l death re report
What is not a fetal death? If If an an in infant is is born sh showin ing si signs of of life life but t die ies s sh shortly aft after Sign igns of of life life in inclu clude He Heartbeat Brea Breath Mov ovement An In Induced Termin ination of of Pre 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 of preg regnancy and feta fetal l dea eath th is is an unin inten tentional occ occurren ence ITO ITOP is is rep reported th thro rough a diff ifferent mod odule in in OVERS or or by paper er for form
Important: If after delivery the fetus showed any evidence of life, BOTH a certificate of life birth and certificate of death are required.
Reporting Requirements Who, What, When
What is mandatory to report? Fetal weight is 350 NO YES grams or more? UNKNOWN Fetal Death File Fetal Report is Death Report optional YES NO Gestation greater than 20 weeks?
When is a fetal death report required to be filed? 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
Who is responsible for reporting? Did the fetal death occur YES NO in a hospital Staff member from YES facility ? that facility must complete report NOTE: If the family Hospital facility staff is brings the baby to required to file the report Did the fetal your facility, contact Fetal death report using OVERS the Medical Examiner. death occur in must be If the family calls your (Only report events that another licensed facility by phone, refer completed by occur on the hospital them to the Medical facility ? attending Examiner. premises or in route to the NO physician or hospital) (at home) Medical Examiner
Collecting report details Using the Fetal Death Parent/Facility Worksheets
Parent and Facility Worksheets Parent Worksheet: Mother’s prenatal car care Fac Facili lity Worksheet: Medical an and heal alth in information
Website for forms 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
Transporting Fetal Remains Disposition Permits
What is needed? 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 occurred, th 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 or par 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 of buri rial l or or cr cremation. The permit it re requir ires ID ID Tag ag Nu Number an and so some buria rial or or cre cremation details ils.
Choosing the right disposition permit Auth thori rizatio ion fo for r Feta tal l Disp isposit itio ion 45-3D 3D Auth thori rizatio ion fo for r Disp isposit itio ion 45-9 Use sed fo for a a fe fetal deat ath Use sed when deliv livery was as a a live live birt irth with ith a a su subsequent death Hos ospital l can can dis ispose of of fe fetal l re remain ins Bab aby alw always le leav aves th the hos ospit ital Di Disp sposition permit can can be co comple leted by y birth irth information sp in speciali list 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 vs. Fetal Death Reporting Summary Live Birth with Fetal Death subsequent death Records required 1) Certificate of Live Birth in 1) Report of Fetal Death only if delivery every case, regardless of weight is 350 grams or more, or if weight birth weight, gestation, or is unknown 20 weeks gestation length of life 2) Optional Commemorative Certificate if 2) Death record in every case family wants one; a fetal death report is required. Disposition 1) Authorization for 1) Authorization for Fetal Disposition Disposition must have a completed by birth information specialist doctor’s approval 2) Disposal of fetal remains by hospital 2) Baby always leaves the possible hospital
Questions?
Contact Information of Presenters 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
Thank you!
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