Go
To Jail For A Miscarriage?
Report
of Fetal Death by Mother Penalty
12 months
in jail and a $2,500 fine for failing to contact the police to
report a miscarriage within 12 hours is what Delegate
John A. Cosgrove (R) of Chesapeake has in mind for a law (HB1677)
that could be in effect in a few short months in Virginia. Failure
to do so will be as punishable as a Class 1 Misdemeanor.
Cosgrove’s
bill requires any woman who experiences “fetal death” without
a doctor’s assistance to report this to the local law-enforcement
agency within twelve hours of the miscarriage.
Almost all
states mandate reporting of fetal deaths to vital statistics bureaus.
These statistics are then collected nationally by the CDC. In
most states, health care providers must provide statistics on
fetal deaths after 20 weeks gestation (or at a certain fetal weight
approximating 20 weeks gestation). Virginia is one of only 7 states,
however, that mandate the reporting of deaths of all “products
of conception” regardless of gestational age.
This includes
both spontaneous losses of pregnancy and induced terminations
of pregnancy, though the required data fields are different for
abortions. In Virginia, all losses of pregnancy must be reported
by health care providers according to current law. The reality,
though, is that countless women experience spontaneous abortions
in the first few gestational weeks without even being aware of
pregnancy, so not all pregnancies of early gestational age are
reported.
Women who
experience miscarriages at home without a doctor’s care may not
even think to inform their doctors, especially if the pregnancy
is so early that they have not yet even sought prenatal care.
Until this
bill, though, no one has suggested it was in the interest of the
Commonwealth of Virginia to track down these unreported losses
of "products of conception".
The Bill proposed
states that when a fetal death occurs without medical attendance,
it shall be the woman's responsibility to report the death to
the law-enforcement agency in the jurisdiction of which the delivery
occurs within 12 hours after the delivery. A violation of this
section shall be punishable as a Class 1 misdemeanor. This
bill proposes that a woman report a LOSS of a pregnancy to the
Commonwealth, whatever the gestational age of the embryo/fetus.
Furthermore,
this bill means that a woman who experiences a spontaneous loss
of pregnancy will have her privacy violated significantly more
than if she had chosen an abortion. Though Virginia requires that
induced terminations of pregnancy be reported, those reporting
forms require only a “patient number” and information on the procedure.
The “report
of fetal death” asks for the woman’s full name, her history of
prenatal care, her marital status, her education history, her
previous deliveries (if any), and a number of other very intrusive
data items.
If the miscarriage
occurred under a physician’s care, all of this information would
be provided by the physician out of the patient’s medical records.
Physicians and/or funeral directors are given 24 hours to file
this report. Delegate Cosgrove’s bill gives women who experience
miscarriage without a doctor only 12 hours to report, adding insult
to injury.
Since the
100-member Virginia House of Delegates is dominated by over 60
Republicans, it will take a wide public awareness campaign to
defeat this bill. It has become too easy for the Republicans in
the Virginia legislature to sneak through bills like this one,
and the most potent weapon available for defeating this bill is
awareness.