Perinatal perimortem and postmortem examination: obligations and considerations for perinatal, neonatal, and pediatric clinicians.
Clinicians are called upon to participate in a variety of clinical scenarios in which babies will die. A number of factors have caused the most appropriate method of evaluating cause(s) of death, namely autopsy, to fall to record low numbers during the past decade. Because of obligations unique to the stillborn fetus, dead or dying infant or child, and family and siblings, it is important for clinicians to understand the importance and utility of postmortem examination. Postmortem examination is of multidisciplinary importance to determine the cause of death and contributing and related diagnoses. This article summarizes some of what is known about postmortem examination and provides a list of guidelines available on the Internet and in the medical literature for the systematic assessment of perinatal death and the provision of appropriate testing. Clinicians are encouraged to use their leadership roles to improve rates of postmortem examination and to participate in research and education to improve its occurrence.
Putman
Margaret A
MA
Neonatology Associates, Ltd., Banner Thunderbird Medical Center, Glendale, Arizona, USA. margaretaputman@yahoo.com
D001344:Autopsy / Q000941:ethics / Q000379:methods; D001601:Bereavement; D002423:Cause of Death; D005817:Genetic Counseling; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D008485:Medical Audit; D017410:Practice Guidelines as Topic; D012944:Social Support