Your case merits into the Abortion and it does not go into the entry of IUFD / fetal Death.
Generally, by and large, from the date of LMP to the date of expulsion, if 22weeks and more, goes into registry of 'Delivery'; if less than 22 weeks it is accounted as 'Spontaneous Abortion'.
A late death fetal death ( IUFD) ICD- 9-CM code 656.4 - is defined in the ICD-9 tabular list as having more than 22 completed weeks of gestation , while SPONTANEOUS ABORTION appears with a separate code 634.xx presumably for earlier fetal deaths occurring prior to 22weeks. .
The importance to know whether it goes into the registry of abortion or into the fetal deaths are the main stay of the originally intended Classification and its necessity on death entry registry point of view. State fetal death certificate reporting had been the primary source for determining the risk of still birth, or late fetal death.
A cohort of 6254 pregnancies surviving at least 20weeks of gestation was identified through pregnancy testing and follow up at Califorina. In the prospective studies, gestational age at outcome is based on time between LMP and expulsion, not on birth weight equivalencies.
When the legal definition of reportable fetal death has varied from time to time and state, reasonable consistent trends in fetal death ratios ( the number of fetal deaths per1000 live births) have been observed across the country and over years.
Most states now require a fetal death over 20weeks of gestation. Some specify fetal delivery weight 350-500 gms as an alternative reporting requirements based on gestational ages less than 20weeks, OR based on fetal delivery weight have consistently higher ascertainment of fetal deaths between 20-28weeks. After 28weeks of gestation , reporting of fetal deaths appears to be fairly COMPLETE.
The chances of under reporting are more in cases like, if fetus dies in utero before 20wks of gestation but is carried for days or even weeks after wards, as in the case of missed abortion, whether or not, it should be reported may be unclear to physicians.
The same medical personnel responsible for reporting fetal deaths often use the International Classification od diseases(ICD) index, to code hospital discharge summaries. A late death fetal death (ICD-( code 656.4) is defined in the ICD-9 tabular list as having more thn 22 completed weeks of gestation , while spontaneous abortion appears with a separate code( 634) presumably for earlier fetal deaths occurring prior to 22weeks.
Reporting practices found in the Kaiser program may be representative of reporting practices elsewhere.
Perhaps Physicians may rely more on their obstetric practices and training than on state regulations to determine reportability..
Williams Obstetrics , a renounced Book for Obstetrics in our country, emphasizes birthwieght ‘as the main criterion for reportability, stating’ .. fetuses weighing less than 500 grams, usually are not considered as births, but rather as ABORTIONS, for purposes reportability.Of perinatal statistics”. Gestational age is then [/B]reffred to in terms of equivalency to birthweight. It is being practiced at some major organizations to offer a woman options for disposition of the body of the fetus if it weighs over 500 grms. Such options are not routinely offered for smaller fetuses. .
The general consensus /or trend as per this study, could be for fetal death reportablity purposes:- 'fetuses under 500 gms may seldomly get reported regardless of time since LMP.