separately. Radiograph skeletal fragments in cases of suspected skeletal dysplasias. (b) Weigh (with cord and membranes removed) and gross placenta as described in placenta gross examination. For a pregnancy termination or fetal demise less than 19 6/7 weeks: In all cases, a gross examination should be performed. Photograph and radiograph fetus if received intact. Determine phenotypic gender (ask for assistance if needed). If fetus received intact and there is no clinical suspicion of fetal abnormality, and if the gross exam is normal an external examination only will be performed. If fetus is received intact and there is clinical suspicion of fetal abnormality, regardless if the patient has signed paperwork asking for fetal remains to be sent to a funeral home for burial, contact Dr. Goldstein and/or the attending on service to see if an internal examination should be performed in addition to a routine external examination. Although not legally required, preferably, an autopsy consent should be obtained for any internal dissection and microscopic examination of an intact fetus less than 20 weeks gestational age. In these instances, the fetus should be accessioned as an autopsy and a complete fetopsy performed. Measure crown-rump, crown-heel length, and estimate fetal age accordingly. Also measure foot length, biparietal diameter, chest circumference, abdominal circumference. If measurements cannot be taken due to fragmented nature of specimen, report this. Measurements of embryos: A. crown-rump length; B. crown-heel length; C. greatest length. Gross Template: Fragmented fetus with placental tissue Labeled with the (last name, first name), medical record number (#), patient’s name designated and received [fresh/in formalin] is a __gram, [___x___x___cm] “[ ]”, aggregate of pink-red soft tissue fragments [admixed with blood clot]. Additionally received within the specimen container is a(n) __gram, [___x___x___cm] [intact/fragmented] fetus. Identifiable fetal parts include [describe fetal parts]. The foot
separately. Radiograph skeletal fragments in cases of suspected skeletal dysplasias. (b) Weigh (with cord and membranes removed) and gross placenta as described in placenta gross examination. For a pregnancy termination or fetal demise less than 19 6/7 weeks: In all cases, a gross examination should be performed. Photograph and radiograph fetus if received intact. Determine phenotypic gender (ask for assistance if needed). If fetus received intact and there is no clinical suspicion of fetal abnormality, and if the gross exam is normal an external examination only will be performed. If fetus is received intact and there is clinical suspicion of fetal abnormality, regardless if the patient has signed paperwork asking for fetal remains to be sent to a funeral home for burial, contact Dr. Goldstein and/or the attending on service to see if an internal examination should be performed in addition to a routine external examination. Although not legally required, preferably, an autopsy consent should be obtained for any internal dissection and microscopic examination of an intact fetus less than 20 weeks gestational age. In these instances, the fetus should be accessioned as an autopsy and a complete fetopsy performed. Measure crown-rump, crown-heel length, and estimate fetal age accordingly. Also measure foot length, biparietal diameter, chest circumference, abdominal circumference. If measurements cannot be taken due to fragmented nature of specimen, report this. Measurements of embryos: A. crown-rump length; B. crown-heel length; C. greatest length. Gross Template: Fragmented fetus with placental tissue Labeled with the patient’s name (last name, first name), medical record number (#), designated “[ ]”, and received [fresh/in formalin] is a __gram, [___x___x___cm] aggregate of pink-red soft tissue fragments [admixed with blood clot]. Additionally received within the specimen container is a(n) __gram, [___x___x___cm] [intact/fragmented] fetus. Identifiable fetal parts include [describe fetal parts]. The foot
Gynecological_2018v3.docx