Information for Health Professionals

Guiding next-of-kin through the post-mortem process

When a child dies, there are often many questions that parents may ask. One way for parents to better understand what has happened is through a post-mortem examination of their child.

Download a printable version of information for parents after the loss of your child.

Consenting to a post-mortem

Consent to perform a post-mortem is a requirement under law. We suggest that it is most appropriate for the senior clinician treating the patient to approach the family regarding a post-mortem, rather than delegate this duty to a junior medical officer or untrained interviewing officer. Requesting a post-mortem and discussing organ retention and other sensitive information should be conducted face-to-face wherever possible.

The three principles guiding consent are:

  1. Consent must be informed. The person obtaining consent must supply adequate information about the process.
  2. Consent must be freely given and free from coercion.
  3. The person giving consent must understand what is about to occur.

Who can obtain consent?

Consent is to be obtained by a senior clinician treating the patient and the signature of a senior clinician is required before the post-mortem can proceed.

The clinician’s signature must be provided and their name clearly legible.

Documentation and forms

Each case received by the mortuary must be accompanied by all the appropriate and relevant documentation before any form of examination can take place.

PathWest requires informed parental consent for all post-mortem examinations.

 

Requirement

Download a Guide or Form

Consent for Pathology Examination

NCC Form 1 - Consent for Post-Mortem Examination (Non-Coronial)
NCC Form 2B - Clinical Information for Neonatal Death or Infants
NCC Form 2C - Clinical Information for Paediatric Death

Consent for Genetic Testing Chromosomal Microarray for Fetal Loss Forms and Resources
Placenta Examination Placenta Examination Request Form
Legal Documents

Human Tissue and Transplant Act 1992

Non-Coronial Post-Mortem Examinations Code of Practice 2022

Non-Coronial Post-Mortem Examinations Amendment Code of Practice 2008

Translated Resources Having a post-mortem after the loss of your child (Arabic)
Having a post-mortem after the loss of your child (Chinese - Simplified)
Having a post-mortem after the loss of your child (Italian)
Having a post-mortem after the loss of your child (Punjabi)
Having a post-mortem after the loss of your child (Vietnamese)

 

Perinatal Post-mortem Frequently Asked Questions

Consent to perform a post-mortem is a requirement under law. We suggest that it is most appropriate for the senior clinician treating the patient to approach the family regarding a post-mortem, rather than delegate this duty to a junior medical officer or untrained interviewing officer. Requesting a post-mortem and discussing organ retention and other sensitive information should be conducted face-to-face wherever possible. 

The three principles guiding consent are:

  1. Consent must be informed. The person obtaining consent must supply adequate information about the process.
  2. Consent must be freely given and free from coercion.
  3. The person giving consent must understand what is about to occur.

NCC Form 1

Please refer to How to complete post-mortem consent educational videofor a step-by-step guide. The NCC Form 1 is to be filled in for all Perinatal (regardless of gestation) and Paediatric examinations.

Page 1

Part 1 ensures parents understand the consent process and can ask questions. Please answer any questions parents may have. Complete the parent’s name clearly. 

Complete all mother’s and baby/child’s details at the top of Page 1.

Part 2

After having read the Information for families brochure and/or watching the post-mortem service overview video, parents are to select 1 of the 3 post-mortem options by filling in part 2a for an external examination, 2b for a full examination or 2c for a limited examination.

Genetic testing is a very important diagnostic tool. Each examination type has the option for parents to consent to genetic testing or metabolic studies by ticking the ‘yes’ box. If consenting to genetic studies only, parents are to complete section 2c2.

Part 3

It is routine practice for all organs to be returned to the body at the completion of the post-mortem. However, in certain circumstances, it is helpful for an organ or organs to be retained for a period (such as the brain, for up to 2 weeks) to allow for detailed examination. You may have already discussed this possibility with the pathologist, or a pathologist may approach you with this request. If applicable, parents stated their permission for retaining, disposing and use of the organs removed.

Part 4

Parents must sign and date this section for the consent to be valid.

Part 5

Please indicate the date and time of funeral arrangements, if known.

Part 6

The Senior Clinician obtaining and witnessing parental consent must complete all fields in Part 6. A tick box is available for verbal consent and must be ticked where parental verbal consent is obtained in lieu of written consent.

Part 7

A copy of the post-mortem report will be sent to this consultant to ensure all results are acted on. The examination cannot proceed without this section being completed. The named person can be the same as in part 6.

Part 8

In addition to the named consultant provided in part 7, list any Doctors or Clinicians who require a copy of the post-mortem report. A plain language report can also be requested in this section. Please note that reports are never sent directly to parents.

Part 9

This section provides guidance on the correct form to complete for clinical information.

Parts 10, 11 and 12 are to be left blank and are completed by PathWest staff.

NCC Form 2A, 2B and 2C (forms for clinical information)

Appropriate clinical information must be provided for a post-mortem to proceed. There are 3 different forms based on the age of the baby or child.

  1. Form NCC2A: For all miscarriages, fetal deaths, and stillbirths regardless of gestational age.
  2. Form NCC2B: For all neonatal deaths up to 28 days of life, or infant deaths up to one year of life.
  3. Form NCC2C: For all paediatric deaths over 1 year, up to 18 years of life.

Each form must include the mother’s or child’s details – please ensure this matches the details provided on NCC Form 1.

Complete the relevant clinical history of the mother or child, providing as much information as possible. Attach any ultrasound reports, or other relevant results.

Original forms are to be given to the Pathology department.

 

A post-mortem is an examination performed after death to provide as much information as possible to explain the cause of death. The examination is performed by a medical specialist called a Paediatric Pathologist who is experienced and trained specifically in this area.

There are 3 types of post-mortem examination:

  • External examination
  • Limited examination
  • Full examination
The informed wishes of the parents are the basis of what happens to their child after death. The choice of type of post-mortem examination is always determined by the parents/next of kin.

 

During an external post-mortem examination, only the external part of the body is examined, and no incisions are made. No internal organs are studied. Clinical photographs, measurements and x-rays are taken as part of the procedure.

A full post-mortem examination is the most complex and detailed type of post-mortem and allows the pathologist to examine all the organs to obtain the most information possible. To perform the autopsy, incisions are made along the chest, abdomen (tummy) and scalp. After the post-mortem these incisions will delicately repaired and are usually not visible once the child has been carefully dressed.

Clinical photographs, measurements and x-rays are taken as part of the procedure.

Each of the individual organs is examined, weighed and small samples from each organ are taken for microscopic examination. If necessary, small samples are taken for investigating infectious organisms or genetic testing.

During a limited post-mortem, only a specific organ or groups of organs are examined. For example, the abdominal and chest organs are examined, but the brain is not examined. Alternatively, only the chest organs may be examined. The incision made to the body depends on the organ/s to be examined.

A limited post-mortem also applies when tissue needs to be collected for further genetic investigation (such as muscle or skin). In such a case, a small incision (approximately 1 cm in size) is made through the skin (usually the thigh) and a pea-sized piece of muscle is taken. The skin incision is then sutured closed.

Clinical photographs, measurements and x-rays are taken as part of the procedure.

No. Non-coronial mortuaries do not offer CT scanning or MRI imaging.

Yes, a child who dies outside of the hospital may have a non-coronial autopsy. The treating clinician will need to complete a post-mortem consent form as per usual practice. The post-mortem coordinator can assist with this process. The PCH mortuary staff will arrange the transport of the child to the appropriate PathWest facility for post-mortem. A Paediatric Pathologist will perform the post-mortem. To discuss the post-mortem and request the transfer, please contact the PCH mortuary staff.

Although a post-mortem is a very specialised examination, it is not always possible to determine the cause of death or explain all the findings despite extensive investigations/testing.

A set of clinical photographs are taken for every post-mortem. These photographs may be shared with other treating clinicians.

X-rays may also be taken as required by the pathologist.

For a full or limited post-mortem examination, small specimens (about the size of a pea) are routinely taken from every major organ for microscopy to detect disease. This is like a biopsy taken during life. Similar sized samples may be taken for testing by other departments (e.g. genetics, microbiology, and virology). A small piece of tissue is also taken for storage for further testing (such as genetics). The decision of what tissue is taken is determined by the pathologist at the time of the post-mortem. The results of these additional tests are included in the final report.

Unless permission is granted all tissues not used for further testing, or tissue that is stored (such as frozen tissue), are returned to the body at completion of the post-mortem.

The tissue is processed into a paraffin block from which a microscope slide is produced. The pathologist will study the slide under the microscope to determine if there is any disease. The blocks and slides are kept indefinitely as part of your child’s record and can be referred to at a later stage.

There are several reasons tissue is taken for storage. Firstly, the pathologist may not be sure what extra testing to do (such as genetic testing) on the day the post-mortem is performed. This is especially true when the examination is complex, and it is very useful to have frozen tissue available to send for additional testing once the pathologist has a clear understanding of what the underlying disease process might be. Secondly, medical science (and especially the field of genetics) is growing rapidly, and it is very helpful to have tissue available for advanced testing. The tissue that is taken is frozen at -80 degrees in a special process and is kept at a PathWest laboratory for up to 20 years. This tissue may be used for later for testing, especially genetic testing.

No. Unless the parents have consented for an organ to be retained, all organs are returned to the body. However, some organs such as the brain cannot be examined satisfactorily without chemical treatment (fixation), you may be asked by the pathologist or post-mortem coordinator to obtain parental consent for retention. If permission is granted and an organ is retained for fixation, the options for cremation and burial include:

1. Delay cremation or burial until examination is complete (this may take up to two weeks) or;
2. Proceed with cremation or burial and have a separate interment of the retained organ later.

Yes. Genetic testing is available, and consent must be obtained.  Parents can give or decline consent by ticking the ” yes” or ” no” box in Part 2a or 2b or 2c of the consent form. Whilst genetic testing is very sophisticated, it may not always provide an answer. Sometimes genetic testing may indicate that other family members could be a carrier of disease and should be tested. Please discuss the implications of genetic testing with the parents.

Yes. The law allows the use of tissue for other purposes such as research, training and education, and quality assurance purposes. Consent to allow tissue to be available for ethical research, or other purposes, can be given with the post-mortem consent process. It is important to note that all research must be consistent with the National Health and Medical Research Council National Statement on ethical conduct in research involving humans and approved by the hospital ethics team. All tissue will be de-identified.

If parents do not wish for their child’s tissue to be used for research, quality assurance or education please ensure they strike out the applicable words in the relevant section of Part 2a, 2b or 2c.

The post-mortem report is an integrated pathology report containing:

  • Clinical History
  • Final Summary
  • Comments
  • Clinicopathological Correlation
  • External Examination
  • Internal Examination (For limited and full examinations)
  • X-ray findings
  • Laboratory Investigations (microbiology, virology)
  • Microscopic Examination
The final report usually includes a comment which summarises the salient findings and integrates these into a unified cause of death. The comment may also provide suggestions for further management (such as referral of other family members for genetic testing).

The post-mortem examination may take place at one of three PathWest locations: The Paediatric & Perinatal Pathology Department at Perth Children’s Hospital (PCH), the Mortuary at Fiona Stanley Hospital (FSH) or the Mortuary at Sir Charles Gardiner Hospital (SCGH) QEll.

The choice of location is at the discretion of the pathologist.

If an examination is requested, the child will be transferred to the appropriate PathWest department:

  • Perth Children’s Hospital – for babies up to about 6 months
  • Fiona Stanley hospital – for children and teenagers
  • Sir Charles Gardiner Hospital – for any child with an infectious disease.

The child will be transported between sites by funeral directors. On arrival at the required location, a Paediatric Pathologist will perform an examination in accordance with the consent provided.

The child will remain at the hospital the examination took place.

During a post-mortem examination, a training doctor, midwife, nurse, laboratory technician or specialist may be present as part of their training or to review findings.

The full post-mortem report is issued 6 to 8 weeks after the examination.

Please note reports are never sent directly to parents.

The post-mortem report is a complex medical document, and it is important that the findings are explained to parents by an experienced medical practitioner, who can answer any questions. It may also be appropriate to plan a further care pathway.

Yes, it is possible for parents to see and hold their child after a post-mortem examination if they would like to.

More information is available on the Information for Families page.

Please contact the post-mortem coordinator who can provide more advice and direct you to a paediatric pathologist if required.

The Perth’s Children’s Hospital facilities include a viewing room that can be used by parents and their families to spend time with their child once they have left the ward.

Bookings to arrange convenient viewing times are required and can be made by phoning the department on 0456 634 579 (available 9:00am to 4:00pm Monday to Friday). 

Parents are required to produce photo ID when arriving at the viewing room unless accompanied by hospital staff. Parents are welcome to spend as much time as they wish in the quiet room with their child, subject to other bookings that may have been made for the same day.

Last Updated: 04/02/2025