Laboratory: Clinical Microbiology
Test Name:
STILLBIRTH PROTOCOL (AMNION/CHORION/NASAL SWAB), CULTURE, AEROBIC BACTERIA
Test Code: STIL
Clinical Information:
Test Indications:
Unexplained stillbirth.

Recommendations:
Carefully separate the amnion from the chorion taking care not to contaminate between the membranes. Have another staff person help if possible. Swab deep down between the two membranes with sterile swab from the M40 transport system. See photo for detailed explanation of where to swab (link below). Indicate on microbiology requisition and swab - amnion/chorion swab “culture-- unexplained stillbirth”. The specimen and requisition should be labelled with the mother's demographics and PHIN. This specimen should be sent with a nasal swab from the stillborn infant.
Collect a nasal swab from both nares of the infant PRIOR to bathing the infant.  Indicate on microbiology requisition and swab - nasal swab “culture-- unexplained stillbirth”. The specimen and requisition should be labelled with the mother's demographics and PHIN. This specimen should be sent with an amnion/chorion swab from the stillborn infant

Patient Preparation Instructions:
Accurate patient identification must be made prior to sample collection.
Samples and requisitions must be labeled/completed in accordance with the Shared Health Specimen Acceptance Policy.
Collection Devices:
Preferred Device:
1 - eSwab  - Specimens received in other collection devices will not be processed.
Specimen Required: Swab of amnion/chorion and nasal swab of stillborn infant
Referral:
Requisition:
Reference Values:
Negative for E. coli, Group B Streptococcus and Listeria.
Availability:
Daily
See Also:
More Information:
Specimen Handling:
Specimens should be received by the laboratory within 24 hours. Store at room temperature.  Ensure specimens are sent using appropriate packaging in accordance with Transportation of Dangerous Goods Regulation.