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Facility worksheet for Oregon fetal death certificate - Word version

Facility worksheet for Oregon fetal death certificate - Word version 2025

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The document is a birth record worksheet used by the Public Health Division's Center for Health Statistics. It collects detailed information about the child, mother, pregnancy factors, labor and delivery characteristics, newborn conditions, and immunization status. The form includes sections for personal details, medical history, prenatal care, and various risk factors associated with the pregnancy and delivery.

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Versions	Form popularity	Fillable & printable
2020	4.2 Satisfied (52 Votes)
2014	4.5 Satisfied (62 Votes)

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What is a fetal death certificate?

You must fill out a DH Form 524, Application for Amendment to Florida Death or Fetal Death Record. This step applies to all death certificate changes.

What is considered fetal death?

Fetal deaths occur when a fetus has reached 20 or more weeks of gestation but dies before birth due to natural causes. Infant deaths are deaths to infants live born and less than one year old.

What is the difference between infant death and fetal death?

For every fetal death weighing 350 grams or more, or if the weight is unknown, a fetus aged 20 weeks or more as calculated from the start date of the last normal menstrual period to the date of delivery, a Certificate of Fetal Death (Form VS-113) must be filed within five (5) days of the death with the local registrar

Why would you need a fetal death Certificate?

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.

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