ࡱ> KMHIJP` *<bjbjss 3BFFFF>^>^>^>^_LJcPkkkkm,p )q5777777$h [um@muu[FFkkpxxxuXFRkk5xu5xxu{"{k>c %>^Av({ }t 0{.ivn{{q,rxs_tqqq[[xqqquuuu$$BIDIFFFFFF  INDIANA STATE - CERTIFICATE OF FETAL DEATH State Form 11410 (R5/06-08) Local No:THE RECORDS IN THIS SERIES ARE CONFIDENTIAL PER IC 16-37-1-10State File No:1. NAME OF FETUS (optional at the discretion of the parents)2. Time of Delivery (24 hr)3. SEX (M/F/Unk)4. DATE OF DELIVERY (Mo/Day/Yr)5a. CITY, TOWN, OR LOCATION OF DELIVERY7. PLACE WHERE DELIVERY OCCURRED (Check one) Hospital  FORMCHECKBOX  Freestanding birthing center  FORMCHECKBOX  Home Delivery:Planned to deliver at home?Yes  FORMCHECKBOX  No FORMCHECKBOX  Clinic/Doctors Office  FORMCHECKBOX  Other  FORMCHECKBOX  Specify:8. FACILITY NAME (If not institution, give street and number)5b. ZIP CODE OF DELIVERY6. COUNTY OF DELIVERY9. FACILITY I.D. (NPI)10a. MOTHERS CURRENT LEGAL NAME (First, Middle, Last, Suffix)10b. DATE OF BIRTH (Mo/Day/Yr)10c. MOTHERS NAME PRIOR TO FIRST MARRIAGE (First, Middle, Last, Suffix)10d. BIRTHPLACE (State, Territory, or Foreign Country)11a. RESIDENCE OF MOTHER STATE11b. COUNTY11c. CITY, TOWN, OR LOCATION11d. STREET AND NUMBER11e. APT #11f. ZIP CODE11g. INSIDE CITY LIMITS? Yes  FORMCHECKBOX  No  FORMCHECKBOX 12a. FATHERS CURRENT LEGAL NAME12b. DATE OF BIRTH (Mo/Day/Yr)12c. BIRTHPLACE (State, Territory, or Foreign Country)13. METHOD OF DISPOSITION: Donation  FORMCHECKBOX  Burial  FORMCHECKBOX  Cremation  FORMCHECKBOX  Hospital Disposition  FORMCHECKBOX  Removal from State  FORMCHECKBOX  Other  FORMCHECKBOX  Specify: ___________14. ATTENDANTS NAME AND NPI 14a. Title:  FORMCHECKBOX  MD FORMCHECKBOX  DO  FORMCHECKBOX  CNM/CM  FORMCHECKBOX  OTHER MIDWIFE OTHER  FORMCHECKBOX  Specify 15. Name of Funeral Home: 15a. PLACE OF DISPOSITION: 15b. Signature Of Indiana Funeral Service Licensee: 15c. License Number (Of Licensee):16. Signature of Local Health Officer: 16a. FILE DATE (month,day,year)17.CAUSE/CONDITIONS CONTRIBUTING TO FETAL DEATH17a. INITIATING CAUSE/CONDITION Among the choices below, please select the one that most likely began the sequence of events resulting in the death of the fetus.17b. OTHER SIGNIFICANT CAUSES OR CONDITIONS Select or specify all other conditions contributing to death in Item 17a.Maternal Conditions/Diseases (Specify):Maternal Conditions/Diseases (Specify):Complications of Placenta, Cord, or MembranesComplications of Placenta, Cord, or Membranes FORMCHECKBOX  Rupture of membranes prior to onset of labor  FORMCHECKBOX  Abruptio placenta  FORMCHECKBOX  Placental insufficiency  FORMCHECKBOX  Prolapsed cord  FORMCHECKBOX Chorioamnioitis FORMCHECKBOX  Rupture of membranes prior to onset of labor  FORMCHECKBOX  Abruptio placenta  FORMCHECKBOX  Placental insufficiency  FORMCHECKBOX  Prolapsed cord  FORMCHECKBOX Chorioamnioitis FORMCHECKBOX Other (Specify): FORMCHECKBOX Other (Specify):Other Obstetrical or Pregnancy Complications (Specify):Other Obstetrical or Pregnancy Complications (Specify):Fetal Anomaly (Specify):Fetal Anomaly (Specify):Fetal Injury (Specify):Fetal Injury (Specify):Fetal Infection (Specify):Fetal Infection (Specify):Other Fetal Conditions/Disorders (Specify):Other Fetal Conditions/Disorders (Specify): FORMCHECKBOX  Unknown FORMCHECKBOX  Unknown17c. Mothers Manner of Death (if applicable): check one box  FORMCHECKBOX  Natural  FORMCHECKBOX  Accident  FORMCHECKBOX  Suicide  FORMCHECKBOX  Homicide17d. DATE OF INJURY (Mo/Day/Yr)17e. TIME OF INJURY17f. INJURY AT WORK?  FORMCHECKBOX  Yes  FORMCHECKBOX  No17g. DESCRIBE HOW INJURY OCCURRED FORMCHECKBOX  Pending Investigation17h. PLACE OF INJURYat home, farm, street, factory, etc. Specify:17i. LOCATION (Street & Number or Rural Route Number, City or Town, State) FORMCHECKBOX  Could not be determined17j. DATE PRONOUNCED DEAD (Month, Day, Year)17k. MOTOR VEHICLE ACCIDENT?  FORMCHECKBOX  Yes  FORMCHECKBOX  No17l. IF YES, SPECIFY DRIVER, PASSENGER, PEDESTRIAN, ETC.17m. WEIGHT OF FETUS (grams preferred, specify unit)17o. ESTIMATED TIME OF FETAL DEATH17p. WAS AN AUTOPSY PERFORMED? FORMCHECKBOX  grams  FORMCHECKBOX  lb/oz FORMCHECKBOX  Dead at time of first assessment, no labor ongoing FORMCHECKBOX  Yes  FORMCHECKBOX No  FORMCHECKBOX  Planned FORMCHECKBOX  Dead at time of first assessment, labor ongoing FORMCHECKBOX  Died during labor, after first assessment17q. WAS A HISTOLOGICAL PLACENTAL EXAMINATION PERFORMED?17n. OBSTETRIC ESTIMATE OF GESTATION AT DELIVERY FORMCHECKBOX  Unknown time of fetal death FORMCHECKBOX  Yes  FORMCHECKBOX No  FORMCHECKBOX  Planned(completed weeks)17r. WERE AUTOPSY OR HISTOLOGICAL PLACENTAL EXAMINATION RESULTS USED IN DETERMINING THE CAUSE OF FETAL DEATH?  FORMCHECKBOX  Yes  FORMCHECKBOX  No18. Signature, Of Person Certifying Cause Of Death: 18a. License Number18b. Name, Address And Zip Code Of Person Certifying Cause Of Death: 18c. Date Certified (month,day,year) 19. MOTHERS EDUCATION (Check the box that best describes the highest degree or level of school completed at the time of delivery)  FORMCHECKBOX  8th grade or less  FORMCHECKBOX  9th-12th grade, no diploma  FORMCHECKBOX  High school graduate or GED completed  FORMCHECKBOX  Some college credit but no degree  FORMCHECKBOX  Associate degree (e.g., AA, AS)  FORMCHECKBOX  Bachelors degree (e.g., BA, AB, BS)  FORMCHECKBOX  Masters degree (e.g., MA, MS, MEng, MEd, MSW, MBA)  FORMCHECKBOX  Doctorate (e.g., PhD, EdD) or professional degree (e.g., MD, DDS, DVM, LLB, JD)20. MOTHER OF HISPANIC ORIGIN? (Check the box that best describes whether the mother is Spanish/Hispanic/Latina. Check the No box if mother is not Spanish/Hispanic/Latina.)  FORMCHECKBOX  No, not Spanish/Hispanic/Latina  FORMCHECKBOX  Yes, Mexican, Mexican American, Chicana  FORMCHECKBOX  Yes, Puerto Rican  FORMCHECKBOX  Yes, Cuban  FORMCHECKBOX  Yes, other Spanish/Hispanic/Latina21. MOTHERS RACE (Check one or more races to indicate what the mother considers herself to be)  FORMCHECKBOX  White  FORMCHECKBOX  Black or African American FORMCHECKBOX  American Indian or Alaska Native (Name of the enrolled orprincipal tribe) FORMCHECKBOX  Asian Indian  FORMCHECKBOX  Chinese  FORMCHECKBOX  Filipino  FORMCHECKBOX  JapaneseSpecify: FORMCHECKBOX  Korean  FORMCHECKBOX  Vietnamese FORMCHECKBOX  Other Asian Specify: FORMCHECKBOX  Native Hawaiian  FORMCHECKBOX  Guamanian or Chamorro  FORMCHECKBOX  Samoan FORMCHECKBOX  Other Pacific IslanderSpecify: FORMCHECKBOX  OtherSpecify:22. MOTHER MARRIED? (At delivery, conception, or anytime between)  FORMCHECKBOX  Yes  FORMCHECKBOX  No23a. DATE OF FIRST PRENATAL CARE VISIT23b. DATE OF LAST PRENATAL CARE VISIT23c. TOTAL NUMBER. OF PRENATAL VISITS FOR THIS PREGNANCY MM/DD/YYYY FORMCHECKBOX  No Prenatal CareMM/DD/YYYYIf none, enter 024. MOTHERS HEIGHT25. MOTHERS PREPREGNANCY WEIGHT26. MOTHERS WEIGHT AT DELIVERY27. DID MOTHER GET WIC FOOD FOR HERSELF DURING THIS PREGNANCY?  FORMCHECKBOX  Yes  FORMCHECKBOX  No(feet/inches)(pounds)(pounds)28. NUMBER OF PREVIOUS LIVE BIRTHS29. NUMBER OF OTHER PREGNANCY OUTCOMES (spontaneous or induced losses or ectopic pregnancies)30. CIGARETTE SMOKING BEFORE AND DURING PREGNANCY (For each time period, enter either the number of cigarettes or the number of packs of cigarettes smoked. IF NONE, ENTER 0 Avg. # of cigarettes, or packs, smoked/day # Cigarettes # Packs28a. NOW LIVING28b. NOW DEAD29a. Other OutcomesThree months before pregnancyORFirst three months of pregnancyOR(number)  FORMCHECKBOX  None(number)  FORMCHECKBOX  None(number do not include this fetus)  FORMCHECKBOX  NoneSecond three months of pregnancyORThird trimester of pregnancyOR28c. DATE OF LAST LIVE BIRTH29b. DATE OF LAST OTHER PREGNANCY OUTCOME31. DATE LAST NORMAL MENSES BEGAN32. PLURALITY Single, Twin, Triplet, etc.32a. IF NOT SINGLE BIRTH Born First, Second, Third, etc.MM/DD/YYYYMM/DD/YYYYMM/DD/YYYYSpecify:Specify:33. MOTHER TRANSFERRED FOR MATERNAL MEDICAL OR FETAL INDICATIONS FOR DELIVERY?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoIF YES, ENTER NAME OF FACILITY MOTHER TRANSFERRED FROM:34. RISK FACTORS IN THIS PREGNANCY (check all that apply) Diabetes  FORMCHECKBOX  Prepregnancy (diagnosis prior to this pregnancy)  FORMCHECKBOX  Gestational (diagnosis in this pregnancy) Hypertension  FORMCHECKBOX  Prepregnancy (chronic)  FORMCHECKBOX  Gestational (PIH, preeclampsia)  FORMCHECKBOX  Eclampsia  FORMCHECKBOX  Previous preterm birth  FORMCHECKBOX  Other previous poor pregnancy outcome (includes perinatal death, small-for-gestational age/intrauterine growth restricted birth)  FORMCHECKBOX  Pregnancy resulted from infertility treatment- If yes, check all that apply:  FORMCHECKBOX  Fertility-enhancing drugs, Artificial insemination or intrauternine insemination  FORMCHECKBOX  Assisted reproductive technology(e:g: in vitro fertilization ( IVF), gamete intrafallopian transfer (GIFT))  FORMCHECKBOX  Mother had a previous cesarean delivery,If checked, how many previous cesarean deliveries?  FORMCHECKBOX   FORMCHECKBOX  None of the above 35. INFECTIONS PRESENT AND/OR TREATED DURING THIS PREGNANCY (check all that apply)  FORMCHECKBOX  Gonorrhea  FORMCHECKBOX  Syphilis  FORMCHECKBOX  Chlamydia  FORMCHECKBOX  Listeria  FORMCHECKBOX  Group B Streptococcus  FORMCHECKBOX  Cytomegalovirus  FORMCHECKBOX  Parvovirus  FORMCHECKBOX  Toxoplasmosis  FORMCHECKBOX  None of the above FORMCHECKBOX  OtherSpecify:Was A Standard Licensed Diagnostic Test For Syphilis Performed For The Mother: YES  FORMCHECKBOX  NO  FORMCHECKBOX  UNKNOWN  FORMCHECKBOX  Date the blood specimen was taken: _________________ Was the test made During Pregnancy  FORMCHECKBOX  Time of Delivery  FORMCHECKBOX  If Test Not Given Specify Reason:  FORMCHECKBOX  Mother Refusal  FORMCHECKBOX  Syphilis Status Known  FORMCHECKBOX  Insurance Would Not Pay  FORMCHECKBOX  Other  FORMCHECKBOX  Unknown Other Specify: __________________________________ Was A Standard Licensed Diagnostic Test For Hiv Performed? YES  FORMCHECKBOX  NO  FORMCHECKBOX  UNKNOWN  FORMCHECKBOX  Test Given During Pregnancy or at Delivery: During Pregnancy  FORMCHECKBOX  At Delivery  FORMCHECKBOX  If Test Given Specify Date ________________ If Test Not Given, Specify Reason:  FORMCHECKBOX  Mother Refusal  FORMCHECKBOX  Syphilis Status Known  FORMCHECKBOX  Insurance Would Not Pay  FORMCHECKBOX  Other  FORMCHECKBOX  Unknown Other Specify: __________________________________ 36. METHOD OF DELIVERY A. Was delivery with forceps attempted but unsuccessful?  FORMCHECKBOX  Yes  FORMCHECKBOX  No B. Was delivery with vacuum extraction attempted but unsuccessful?  FORMCHECKBOX  Yes  FORMCHECKBOX  No C. Fetal presentation at delivery  FORMCHECKBOX  Cephalic  FORMCHECKBOX  Breech  FORMCHECKBOX  Other D. Final route and method of delivery (check one)  FORMCHECKBOX  Vaginal/Spontaneous  FORMCHECKBOX  Vaginal/Forceps  FORMCHECKBOX  Vaginal/Vacuum  FORMCHECKBOX  Cesarean If cesarean, was a trial of labor attempted?  FORMCHECKBOX  Yes  FORMCHECKBOX  No E. Hysterotomy/Hysterectomy  FORMCHECKBOX  Yes  FORMCHECKBOX  No37. MATERNAL MORBIDITY (check all that apply) Complications associated with labor and delivery  FORMCHECKBOX  Maternal transfusion  FORMCHECKBOX  Third or fourth degree perineal laceration  FORMCHECKBOX  Ruptured uterus  FORMCHECKBOX  Unplanned hysterectomy  FORMCHECKBOX  Admission to intensive care unit  FORMCHECKBOX  Unplanned operating room procedure following delivery  FORMCHECKBOX  None of the above38. CONGENITAL ANOMALIES OF THE FETUS (check all that apply)  FORMCHECKBOX  Anencephaly  FORMCHECKBOX  Meningomyelocele/Spina bifida  FORMCHECKBOX  Cyanotic congenital heart disease  FORMCHECKBOX  Congenital diaphragmatic hernia  FORMCHECKBOX  Omphalocele  FORMCHECKBOX  Gastroschisis  FORMCHECKBOX  Limb reduction defect (excluding congenital amputation and dwarfing syndromes)  FORMCHECKBOX  Cleft Lip with or without Cleft Palate  FORMCHECKBOX  Cleft Palate alone  FORMCHECKBOX  Down Syndrome  FORMCHECKBOX  Karyotype confirmed  FORMCHECKBOX  Karyotype pending  FORMCHECKBOX  Suspected chromosomal disorder  FORMCHECKBOX  Karyotype confirmed  FORMCHECKBOX  Karyotype pending  FORMCHECKBOX  Hypospadias  FORMCHECKBOX  None of the anomalies listed above  EMBED MSPhotoEd.3  Mothers Name _______________________ !"2=LM`acdfghijrstusf\OsfhRh/&CJ ^JaJ h/&CJ ^JaJ h*ph/&CJ^JaJh*ph/&CJ^JaJhSCJ^JaJh/&CJ^JaJh dh dCJaJh dh dCJ^JaJh1CJ^JaJh`CJ^JaJhK#CJ^JaJhCJ^JaJhO5CJ^JaJh/&5CJ^JaJh1!h/&jh`UmHnHu"Mijtu $$Ifa$gd^r $Ifgd^r $$Ifa$gd^rgd/& ;)<   C88*$P$Ifa$gd^r ($Ifgd^rkd$$Ifl2r|D2(.4  t0644 lap     % , C L N O 񹫛r^rrJr'jdh<h<CJ U^JaJ 'jh<h<CJ U^JaJ !jh<h<CJ U^JaJ h<h<CJ ^JaJ h<CJH*^JaJh`h<6CJH*^JaJhm=h<CJH*^JaJh*ph/&CJ^JaJh^h/&6CJ ^JaJ hBSh/&CJ ^JaJ h`h/&6CJH*^JaJhBSh/&CJH*^JaJ . 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