Section 69-9.3 - New York State Infant Autopsy Protocol
Effective Date
Section 69-9.3 New York State Infant Autopsy Protocol.
NEW YORK STATE DEPARTMENT OF HEALTH
INFANT AUTOPSY PROTOCOL
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Maternal Age: ________
Birth Weight (in grams): ________
Gestational Age: ________
Pregnancy Complications: __________________________________________________________________________
PATHOLOGIST
______________________________________Date Form Completed_________________________________
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Autopsy Format
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Final Diagnoses
§
Final Cause and Manner of Death
§
External Examination
§
Postmortem Changes
§
Scars / Other Distinguishing Characteristics
§
Clothing
§
Weights and Measures
§
General Appearance / Development
§
Injuries (External and Internal)
§
Therapeutic Procedures
§
Resuscitation Evidence
§
External Integument
§
Internal Examination
Head
Neck
Body Cavities
Cardiovascular System
Respiratory System
Liver, Gallbladder and Pancreas
Hemolymphatic System
Genitourinary System
Endocrine System
Digestive System
Musculoskeletal System
§
Post-Mortem Studies
Full body X-rays
Histopathology
Toxicology
Metabolic Screen
Neuropathology
Cultures
Blood/Tissue retained for future studies
Other
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