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Birth certificates and information sharing???

679 Views 12 Replies 8 Participants Last post by  Kiki Runs
I just finished reading the March/April 2003 Mothering (yes, I'm just now reading it - now stop snickering! :LOL ). There was an article (Homebirth Under Fire) that referred to a study done in Washington state.

Now help me make sure I'm reading this right - the article referred several times to information retrieved from birth (and death) certificates. I'm not talking DOB, height/weight info - I'm talking "pregnancy complications" (the article lists some of these as: "a previous large, preterm, or low-birthweight baby, or herpes") and "complications such as cesarean delivery, postpartum bleeding, and prolonged labor" !!!


Have I just been hiding my head in the sand? I had no idea these types of things were reported on the birth certificate!!! Are they reported across the US, or just in Washington state??

Another aspect of this is that I just looked at my son's official birth certificate and NONE of this is on there (which would make sense if the reporting is only done in Washington state - DS was born in NC). Ummmm.....if this type of information IS being reported, why don't I have all of it?

Now that I have read the article, I DO remember arguing with a horrible nurse (and a medical records person) while in the hospital after DS was born. They kept wanting me to fill out a form for the birth certificate and I refused to answer questions like: how many previous pregnancies I've had, how many live births, etc. IMO, those things were not necessary to issue a birth certificate for my son. He was born alive whether he's my first or 18th child - just give me the birth certificate!!

Does anyone know if this type of reporting is done in all states? How can this NOT violate privacy? It's none of the state's business how long I was in labor or if DS was born by c/s (again, IMO).

Did anyone else read this article? It was quite interesting, but I'll have to go back and read it again (the first time, I couldn't concentrate on the topic, I was too shocked at this invasion of privacy!).

nak, so won't say much more - discuss amongst yourselves!

Kinsey
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I filled out the bc for both my kids.All I can recall in the first one(uc birth) was questions about complications during birth and apgar scores in the form.
sara
Sara - do you have your kids' birth certificates? Do they have that information (assuming you filled it in)?

Kinsey
both of mine were born at home in california. the birth certificates does not have any of that extra info you were talking about, but i remember there was a bit of extra paper work we turned in with the birth certficates and it asked those kind of questions.

so, what i am saying the government collects this info, but it may vary from state to state? but the copy of the birth certificate you and i receive does not have any of this on it just the basics.
I've only praqcticed in one state, but as far as I know, that data is collected at the time of birth certificate data, but is reported separately. This is where we get most of our birth statistics, such as the rate of uterine rupture, pre-eclampsia, etc. I believe these statistics are then available, without personal identifying data. It would otherwise be difficult to acquire all this data accurately. (Actually, it still isn't all that accurate. For example, one of the OBs here lists "CPD" as the reason for all his repeat c-sections. Obviously, this is not the case. Same with uterine rupture -- many times assymptomatic windows, or even just thinning of the old scare is coded the same as catastrophic uterine rupture.)
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Quote:

Originally Posted by juju
both of mine were born at home in california. the birth certificates does not have any of that extra info you were talking about, but i remember there was a bit of extra paper work we turned in with the birth certficates and it asked those kind of questions.

so, what i am saying the government collects this info, but it may vary from state to state? but the copy of the birth certificate you and i receive does not have any of this on it just the basics.
I am in California. My children were born in 1980, 1983, 1985, and 1992. They were born at home. My last was a UC and I filled out a delayed certificate of birth.

Yes, this kind of information is on their birth certificates. The reason you do not see it is because it is on the half that the County does not give to you when you order the certified copy. You have to ask!

On that half is information about you and your DP - your age, race, ethnicity, what you both do for a living, your LMP, what month of pregnancy you began prenatal care, who paid for your prenatal care and delivery (insurance, government program, private insurance, yourself) complications of pregnancy and concurrent disease, complications of delivery, method of delivery, birth injuries, apgar scores, congential malformations of the baby, productive history as in how many live babies you have had, how many miscarriages you have had, how many abortions you have had (so much for privacy and abortion being a very private decision between a woman and her doctor).

I asked for both halves when I ordered it, that is why I have it!

I asked a county clerk why this information is collected and recorded and she said it was for statistical reasons.
:

I do believe that all fifty states collect this information and record it.

I firmly believe that it is none of their f***ing business, but there it is.

So, does that answer your question Kinsey? Good for you for fighting back!
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What Applejuice said. If you didn't get asked those things, it's because your provider filled out that info herself from what was listed in your chart.

They wanted to know how much weight I gained, whether a vaginal delivery was assisted, whether a c-section was a primary or repeat, and any complications such as anemia or prolonged pushing stage.
I am remembering more of the questions from the form they showed me in hospital.

Actually, my OB's office gave me the form to fill out and turn back in, and I basically turned in a blank form :LOL. All the pertinent info was yet to be determined (when DS was born, his size, etc).

After DS was born, they showed me a form that had some of the info filled in (I'm sure from my OB's records) and I crossed it out. I was pretty PO'd with the entire hospital at that point (I had a horrible labor, ended up with a c/s, they took DS to the NICU and I was down there pretty much every minute except for the time back in my room pumping for him), so I dug in my heels and told them no.

They said they couldn't send the form in with the questions blank, so I told them to put in N/A or unavailable or X.

I think I'm going to request that second half of DS' birth certificate and double check the information there.

Applejuice said: "I firmly believe that it is none of their f***ing business,". Me, too!

I guess I can see *some* benefit in collecting this information, but *I* should have control over who has access to it. Grrr....

Next birth will be so different....and I thought I had done my research for DS' birth! Just goes to show you can never have too much knowledge.....

Thanks for your replies. It seems that maybe others aren't as surprised as I am - does that mean you (general you) are okay with this information out there (applejuice excepted)?

Kinsey
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FYI...I live in NC and had a UC in March. We filled out the birth cert info at the local vital stats office. All that info was asked for, but did not, of course, show up on the certified copy of the bc.

I generally HATE to give out info that I don't believe is anyone else's business, but...I feel pretty confident that all of this info is used annonymously (sp?). And more importantly, I REALLY enjoyed screwing up their stats!
None of my info fits together with the picture that the stats usually paint. I could just picture some paper-pushing clerk in Raleigh entering our info into their computer system and saying, What?? The mom and dad have a Bachelor's Degree and a Master's Degree, respectively, she doesn't know how much weight she gained, she had only three prenatal visits, she went to 43 weeks, and the baby had a nuchal cord and hand?
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Quote:

Originally Posted by kinsey43
Sara - do you have your kids' birth certificates? Do they have that information (assuming you filled it in)?

Kinsey
>>>

There was one long form for dd's bc that had everything on it(with questions),but when I got a copy of the bc it was only the top section that showed up,and that did not include the section on diseases,/pregnancybirth complications,apgar scores.

I had no idea others went through records to compile info.I left it very basic:no diseases,no complications,and high apgars
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See, now I'm itching to get my hands on the rest of DS' certificate. I have a strong suspicion that the information was filled back in after I crossed it out....not only that, but I would bet dollars to donuts that it will be misleading.

Kinsey
I have seen many birth certificate worksheets here in MA. They ask all sorts of questions! Some parts are optional, like you and DH education levels! I honestly had no idea that these things were attached to our DD birth certificate. I thought they were added anonomously to a statistical list!! I do know that our birth registrar goes through the mama and baby's charts for her data on reasons of c/s, lengthened hospital stays etc, etc! Wow what I learn here...
Quote:

Originally Posted by obnurse
Wow what I learn here...
Amazing, isn't it. If it weren't for MDC, I'd be one of those women telling everyone how I "HAD to have a c/s - DS was SOOOO big, I NEVER could have pushed him out" yada yada yada.

So thanks, everyone!!


Kinsey
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