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A pathologist׳s perspective on the perinatal autopsy.

Linda M Ernst1

  • 1Department of Pathology, Northwestern University Feinberg School of Medicine, Olson Pavilion 2-461, 710 N. Fairbanks Court, Chicago, IL 60611.

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Summary

The perinatal autopsy is crucial for investigating fetal and neonatal deaths. This review highlights its benefits, procedure, and value, confirming it as the gold standard for determining cause of death.

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Area of Science:

  • Perinatal Pathology
  • Medical Investigation

Background:

  • Fetal and neonatal death investigation requires understanding autopsy risks and benefits.
  • Perinatal care providers need comprehensive information on autopsy procedures.

Purpose of the Study:

  • To review the perinatal autopsy procedure, its goals, and value.
  • To discuss alternatives to the conventional perinatal autopsy.
  • To provide information for healthcare providers to discuss autopsies with families.

Main Methods:

  • Review of existing literature and clinical experience from a perinatal pathologist's perspective.
  • Detailed reporting of the autopsy procedure and its components.
  • Evaluation of the autopsy's utility in patient care and healthcare systems.

Main Results:

  • The perinatal autopsy is an essential tool for diagnosing fetal and neonatal death.
  • Despite emerging technologies, the conventional autopsy remains the gold standard.
  • Autopsies provide a comprehensive summary of pathological findings.

Conclusions:

  • The perinatal autopsy is invaluable for determining the cause of death.
  • Understanding the autopsy process aids in communicating with bereaved families.
  • Healthcare providers should be well-informed about the benefits and procedure of perinatal autopsies.