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Level 3 Intrapartum Stillbirth is defined by four criteria: first, delivery of an infant who is reported to have no of signs of life at birth, including the following: no spontaneous movements, no umbilical cord pulse, no heartbeat, no crying, no spontaneous respirations or chest movement, and full body cyanosis; second, evidence of a live fetus prior to the onset of labor (maternal report of fetal movement prior to the onset of labor OR auscultation of fetal heart tones). NOTE: in the absence of evidence of a live fetus prior to the onset of labor, the fetal death should be reported as a stillbirth or an antepartum stillbirth; third, a non-attended delivery followed by a post-delivery physical examination that is performed by a health care professional who meets the standard of care in the immediate health care setting, and that is consistent with intrapartum death, or a verbal history that is provided by a trained health care provider, a non-medical witness, or the mother of the fetus that documents a fetus born with no signs of life and who was unresponsive to resuscitation efforts immediately after birth; fourth, gestational age within the pre-defined range for selected stillbirth definition as assessed by maternal and/or fetal parameters (level 2-3 in GA assessment algorithm).
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