National Vital Statistics System-Fetal Death
Fetal death refers to the spontaneous intrauterine death of a fetus at any time during pregnancy. Fetal deaths later in pregnancy (at 20 or more weeks of gestation, for example) are also sometimes referred to as stillbirths. In the United States, state laws require the reporting of fetal deaths, and federal law mandates the national collection and publication of fetal death data. Most states report fetal deaths of 20 or more weeks of gestation and/or 350 or more grams birthweight.
The National Center for Health Statistics (NCHS) obtains information on fetal deaths from the registration offices of each of the 50 states, New York City, the District of Columbia, and U.S. Territories. By law, registration of fetal deaths is the responsibility of the institution in which the delivery occurs. If delivery occurs outside of an institution, the responsibility lies with the professional attendant at, or immediately after delivery, generally a physician or midwife. 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. States provide NCHS with fetal death data, mostly in electronic format.
Fetal death information is reported by the 50 states, the District of Columbia and the U.S. Territories. The majority of reporting areas report deaths at 20 weeks of gestation or 350 grams. In 2005, approximately 26 thousand fetal deaths of 20 or more weeks were reported.
The 2003 Revision of the US Standard Report of Fetal Death is currently not fully implemented across states leading to a lack of comparability for some key data items (e.g., prenatal care and maternal educational attainment). There is evidence for under-reporting/misclassification of fetal deaths, especially at the lower range of state reporting, most typically about 20-24 weeks.
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Division of Data Services. Catalog of electronic data products. PHS 94-1213. Hyattsville, MD. 1994.