|
Genetic
Stillbirth Evaluation
Introduction
Stillbirth is usually an unexpected, devastating event for a woman
and her family. GLG has assisted obstetricians in determining the
cause of stillbirth and miscarriage for over 15 years. Identifying
the cause of the fetal demise is important to help the family understand
the event, resolve their feelings regarding the loss, and address
future pregnancies. Sometimes knowing the cause of the stillbirth
or miscarriage can prevent a recurrence. After a genetic stillbirth
evaluation, a GLG staff member frequently meets with the patient
and her partner for a follow-up discussion of the results. The physician
geneticists at GLG work with the obstetrician and the referral hospital
to make the arrangements for examination of the baby (or tissues),
the genetic testing, and the follow-up with the family. This does
not interfere with activities of the hospital pathologist or burial
arrangements.
Procedure
The genetic stillbirth examination includes a detailed external
examination of the stillborn infant and placenta at any gestational
age. It is performed by one of the physician geneticists who check
specifically for major malformations and for minor anomalies, which
may be manifestations of a genetic syndrome. Fetal measurements
and weight are obtained. A report describing both normal and abnormal
findings is prepared and sent to the referring obstetrician or family
physician as well as to the referral hospital. Depending on the
examination findings and the clinical situation, chromosome analysis
may be performed on fetal and/or placental tissue. Further laboratory
studies, x-rays, or autopsy may be recommended.
Indications
The most common indications include:
• spontaneous fetal demise
• follow-up examination after termination of pregnancy for
congenital anomalies or other genetic disorders
CPT Codes
88016 - stillborn examination
|
