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Re: Survey: Pre-viable But Living NewbornsFrom: Gary Kleinman (fuf@ix21.ix.netcom.com)Fri May 29 13:58:25 1998
> >My questions: In FL and TN, any infant showing any signs of life, regardless of gestational age are considered live births. A birth certificate and death certificate are generated. Obstetricians usually assume the responsibility and admits the previable baby to the hospital. The pediatrician fills out the forms and is the physician of record only if consulted to evaluate the baby. I dont know the rules for NV.
>- Is a livebirth certificate completed or is a stillbirth certificate (or Stillborns are born without any signs of life.
>- How is this birth counted on the hospital statistics?
Only infants of potentially viable gestational age are kept in perinatal
statistics which are usually kept by the nursery or NICU
> I like these rules. My extra paperwork and the stats are really not a problem. Remember...any infant that shows any signs of life becomes a dependant for the whole year as far as tax purposes are concerned. This can result in significant tax.savings for the parents. My CPA says that the parents should keep the birth and death certificates as documentation for this. Also , I think parents seem to deal better if the brief life of the infant is not dismissed as a "stillbirh". Many parents have argued the designation of stillbirth when they say the baby move or cry. Besides, the documentation of post-delivery life helps future doctors determine the cause of early delivery and helps determine risks of recurrence. For example, Preterm labor or incompetent cervix might be expected to produce a liveborn, but a chromosomal abnormality, abruption or cord accident, might present with a fetal demise prior to birth. There are frequent exceptions. I realize that different states have different rules. Gary
-- Gary E. Kleinman, M.D. Perinatologist/Geneticist Perinatal Center 3196 S. Maryland Ave Las Vegas, NV 89109 702 732-9332 702 732-4472 (Fax)
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