PUBLIC HEALTH REGULATION 2012 - SCHEDULE 2

PUBLIC HEALTH REGULATION 2012 - SCHEDULE 2

SCHEDULE 2 – Notification of certain deaths: particulars

(Clause 37)

Part 1 - Perinatal death

Full name of mother of deceased infant.

Usual residential address of mother at time of birth of deceased infant.

Date of birth of mother.

Date of first day of mother's last menstrual period (if known) and estimated gestational age of deceased infant at time of birth.

Date of birth of infant.

Vital status at time of birth: liveborn or stillborn.

Date of death (if liveborn).

Name of hospital of birth, or address of place of birth (if not a hospital).

For liveborn infant, name of hospital where death occurred, or address of place of death (if not a hospital).

Sex of infant.

Plurality: single or multiple birth.

If multiple birth: total number of infants at that birth.

If multiple birth: the number of the deceased infant in the birth order.

Birth weight in grams.

Cause of death, as recorded on Medical Certificate of Cause of Perinatal Death.

Part 2 - Sudden infant death syndrome

Full name of mother of deceased infant.

Usual residential address of mother at time of birth of infant.

Date of birth of mother.

Full name of infant.

Date of birth of infant.

Name of hospital of birth, or address of place of birth (if not a hospital).

Sex of infant.

Usual residential address of infant.

Address of place at which infant was found deceased or moribund.

Date of death of infant.