Get the free Report of Fetal Death - public health oregon

This document is used to report the details surrounding a fetal death, including maternal data, causes of death, and other pertinent information for health statistics and reporting purposes.

How to fill out report of fetal death

How to fill out Report of Fetal Death

1. Obtain the Report of Fetal Death form from your healthcare provider or online.
2. Fill in the mother's personal information including full name, address, and date of birth.
3. Provide details about the pregnancy such as the date of conception and expected delivery date.
4. Enter information regarding the fetal death including the date and circumstances leading to the death.
5. Include medical information from the healthcare provider, such as any known health issues or complications.
6. Sign and date the report to certify that the information is accurate.
7. Submit the completed form to the appropriate state department of health or vital records office.

Who needs Report of Fetal Death?

1. Parents who have experienced a fetal death.
2. Healthcare providers involved in the care of the mother and fetus.
3. Funeral homes that provide services for stillborn infants.
4. State health departments or vital records offices for legal documentation.

People Also Ask about

What happens if a fetus dies and isn't removed?

A stillbirth happens when the fetus dies after week 20 of pregnancy. Stillbirths can have multiple causes, including problems with the placenta or umbilical cord, genetic conditions that affect the fetus or pregnancy complications.

What is the definition of fetal death CDC?

Fetal death refers to the spontaneous intrauterine death of a fetus at any time during pregnancy. Fetal deaths later in pregnancy (at 20 weeks of gestation or more, or 28 weeks or more, for example) are also sometimes referred to as stillbirths.

What is the death of a fetus called?

Stillbirth. A stillbirth happens when the fetus dies after week 20 of pregnancy. Stillbirths can have multiple causes, including problems with the placenta or umbilical cord, genetic conditions that affect the fetus or pregnancy complications.

What is fetal death in English?

Fetal death refers to the spontaneous intrauterine death of a fetus at any time during pregnancy. Fetal deaths later in pregnancy (at 20 weeks of gestation or more, or 28 weeks or more, for example) are also sometimes referred to as stillbirths.

What is fetal death description?

The United States Center for Health Statistics defines a fetal death as the delivery of a fetus showing no sign of life, as indicated by absent breathing, heartbeats, pulsation of the umbilical cord, or definite movements of voluntary muscles, irrespective of the duration of pregnancy.

What is a fetal death report?

A fetal death certificate is a permanent legal record of the fact of death. Because the information contained within the record is considered to be prima facie evidence of the fact of death, it may be introduced in court as evidence when a question about the death arises.

What is the report of fetal death?

The fetal death report is filed with the local or state registrar in the jurisdiction in which the delivery occurred, within a time period prescribed by state law. State fetal death reports are modeled on a U.S. Standard Report of Fetal Death that is revised periodically.

For pdfFiller’s FAQs

What is Report of Fetal Death?

The Report of Fetal Death is a legal document that certifies the occurrence of fetal death, typically occurring after 20 weeks of gestation. It is used for record-keeping and statistical purposes.

Who is required to file Report of Fetal Death?

The Report of Fetal Death is usually required to be filed by the attending healthcare provider, such as a doctor or midwife, who is responsible for the care of the mother during the pregnancy.

How to fill out Report of Fetal Death?

To fill out the Report of Fetal Death, the attending healthcare provider must provide detailed information about the fetal death, including maternal and fetal demographics, cause of death, and any relevant medical history. The form must be completed accurately and signed by the provider.

What is the purpose of Report of Fetal Death?

The purpose of the Report of Fetal Death is to document the death of a fetus for legal and medical record purposes, to facilitate public health data collection, and to help analyze patterns and causes of fetal loss.

What information must be reported on Report of Fetal Death?

The information that must be reported includes the date and time of fetal death, gestational age, sex of the fetus, birth weight, maternal health information, and any known causes of death.