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Schedule 8 REGISTER OF PREGNANCY LOSS

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“SCHEDULE 4

REGISTER OF PREGNANCY LOSS

Regulation 10

PART 1

(Information where the health authority is authorised to make arrangements by virtue of the provisions specified in regulation 10(2))

A. Details of woman

  • Woman’s surname

  • Woman’s patient identifier

B. Details of remains of fetus or stillborn child buried, cremated or hydrolysed

  • Unique identification number (assigned by the hospital)

  • The gestational age of the fetus or still-born child

C. Details of authorisation

  • The name of the individual to whom the authorisation to make arrangements for the remains of the fetus or stillborn baby to be buried, cremated or hydrolysed is communicated and the date on which the authorisation is given

  • That the woman has authorised the health authority to make arrangements for the burial, cremation or hydrolysis (where applicable)

  • Where the woman does not provide authorisation—

    the name of the individual who made the decision to authorise the health authority to make arrangements for burial, cremation or hydrolysis of the fetus and the individual’s relationship to the woman; or

    the name of the individual who made the decision to authorise the health authority to make arrangements for the burial, cremation or hydrolysis of the still-born child and the individual’s relationship to the still-born child

  • The way in which the remains of the fetus or still-born child are to be buried, cremated or hydrolysed as specified in the decision to authorise the health authority to make arrangements for burial, cremation or hydrolysis (where applicable)

  • Where there is a change in a decision to authorise the health authority or an individual of, or over the age of, 16 to make arrangements for the burial, cremation or hydrolysis of the fetus or still-born child, a record of all changes made including a change in the way in which the remains are to be buried, cremated or hydrolysed and a change to who is authorised to make the arrangements for burial, cremation or hydrolysis

D. Details of burial, cremation or hydrolysis

  • The name of the individual who collected the fetus or still-born child from the mortuary and the date of collection

  • That the remains of the fetus or still-born child were buried, cremated or hydrolysed (whichever is the case)

  • The place of the burial, cremation or hydrolysis (whichever is the case)

PART 2

(Information where the health authority is authorised to make arrangements by virtue of the provisions specified in regulation 10(3))

A. Details of woman

  • Woman’s surname

  • Woman’s patient identifier

B. Details of remains of fetus or stillborn child buried, cremated or hydrolysed

  • Unique identification number (assigned by the hospital)

  • The gestational age of the fetus or still-born child

C. Details of authorisation

  • The basis on which the health authority is authorised to make arrangements for the burial, cremation or hydrolysis of the fetus or still-born child

D. Details of burial, cremation or hydrolysis

  • The name of the individual who collected the fetus or stillborn baby from the mortuary and the date of collection

  • That the remains of the fetus were buried, cremated or hydrolysed (whichever is the case)

  • The place of the burial, cremation or hydrolysis (whichever is the case)”