Record clinical data according to the surgical pathology request. Emphasize parity, gravidity, gestational age, previous and current pregnancy loss, and pregnancy details, e.g. bleeding, maternal illness, and exposure to drugs or teratogens.
Identify the source as spontaneous, ectopic, or induced. If induced, specify the indication and method.
Embryo: conception to 8 weeks, 56 days, 3.0 cm CR length
Fetus: 8 weeks until delivery
Abortus and stillbirth: Because of variation in size and weight, the attending physician’s designation of gestational age takes priority in defining an abortus or stillbirth.
Abortus: a. Fetal death < 20 weeks gestation, <450 g, <18 cm CR b. Treat as a surgical pathology specimen
Stillbirth: a. Fetal death > 20 weeks gestation, >450 g, >18 cm CR b. Post mortem examination requires the customary authorization.
Live born:: a. Alive born infant with an Apgar score of 1 or greater is never a surgical specimen no matter the gestational stage, size, or weight. b. Post mortem examination requires the customary authorization.
One section of each internal organ in a separate cassette. Start by opening the chest and abdomen with a Y-shaped incision (as in the adult autopsy). Get the gonads first as they are the smallest and easiest to lose during dissection.