Description

Gardosi et al developed the ReCoDe classification system for describing relevant (Re) conditions (Co) at the time of fetal death (De). This can help standardize the reporting of stillbirths. The authors are from the Perinatal Institute at Birmingham, England.


 

Parameter

Group

fetus

A

umbilical cord

B

placenta

C

amniotic fluid

D

uterus

E

mother

F

intrapartum

G

trauma

H

unclassified

I

 

Conditions associated with fetus (Group A):

(1) lethal congenital anomaly

(2) infection (acute or chronic)

(3) non-immune hydrops

(4) isoimmunization

(5) fetomaternal hemorrhage

(6) twin-twin transfusion

(7) significant fetal growth restriction

 

Conditions associated with umbilical cord (Group B):

(1) prolapse

(2) significant constricting loop or knot

(3) velamentous insertion

(4) other

 

Conditions associated with placenta (Group C):

(1) abruptio

(2) previa

(3) vas previa

(4) placental insufficiency on pathologic examination

(5) other

 

Conditions associated with amniotic fluid (Group D):

(1) chorioamnionitis

(2) oligohydramnios

(3) polyhydramnios

(4) other

 

Conditions associated with uterus (Group E):

(1) rupture

(2) uterine anomaly

(3) other

 

Conditions associated with mother (Group F):

(1) diabetes mellitus

(2) thyroid disease

(3) essential hypertension

(4) hypertensive disease associated with pregnancy (eclampsia, other)

(5) lupus or antiphospholipid syndrome

(6) cholestasis

(7) drug misuse

(8) other

 

Conditions associated with intrapartum (Group G):

(1) asphyxia

(2) birth trauma

 

Conditions associated with trauma (Group H):

(1) external (fall, abuse, motor vehicle, other)

(2) iatrogenic

 

Conditions associated with unclassified (Group I):

(1) no relevant condition identified

(2) no information available

 


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