Your role as birth registrar Collect the data from the delivery and pregnancy Ask the mother if she wants to name the baby and tell her about the Certificate of Birth Resulting in Stillbirth Report the information properly Follow up with MD for cause of death
Birth certificates Required for babies who are born alive at any gestation - even Pre-viable Fatal fetal anomalies Neo-natal deaths
Fetal death reports Required for fetuses delivered at 20 weeks gestation Required when families want a Certificate of birth Resulting in Stillbirth Optional at < 20 week gestations
Paternity documents are not required for fetal deaths. Mom can name the father on the fetal death report regardless of her marital status Mom does not have to name any father What about the dads?
Look for a charted time of birth & time of death Signs of life – pulsation of the cord, purposeful movements, heartbeat, respiratory efforts Apgar score at one minute …these indicate live birth Live born or fetal death?
Not a birth registration responsibility. Contact MDH Mortuary Science at Disposition
Mothers record – dictated delivery information product of delivery PREFERRED - autopsy results Cause of death terminology is important as several factors may be present, but not be the cause of death. Cause of death
Application available from MDH website Two-page application; form & fees Only parents named on fetal death report can purchase Available by mail from MDH Cost $16 Certificate of Birth Resulting in Stillbirth
Use MR&C to report this scenario absorbed or vanishing twin is not reported as they are not delivered separately (no time of delivery, no report) Multiple birth follow-on action can be used for twins born on different days Twins; 1 live, 1 stillborn
Some funeral homes will offer discounted funeral services and/or disposition for stillbirths Financial relief
A birth record and a fetal death report A fetal death report and a death record Never file
MDH Mortuary Science – for disposition information MDH OSR – for information about registration Resources