In the case of a fetal death occurring outside an institution, who is authorized to sign the report of fetal death?

In the case of a fetal death occurring outside of an institution, the authority to sign the report of fetal death typically rests with a physician. This is because a physician is trained and licensed to assess and document medical conditions leading to death, including the circumstances surrounding fetal deaths. Their professional responsibility includes ensuring the proper reporting, diagnosing the cause of death, and documenting relevant medical findings.

Unlike registered nurses and medical examiners, who may have defined roles in patient care and death investigation respectively, the physician has the exclusive credentials and authority to certify death in this context. They have the knowledge and legal status to evaluate the medical facts and provide the necessary documentation, fulfilling the legal requirements set forth by health authorities regarding fetal death reporting. The attending physician may also be involved, but the specific phrasing of the question implies that a broader designation—simply "physician"—captures the role encompassing those who are authorized to complete such reports.

This is consistent with public health guidelines and regulations that govern the documentation of such delicate situations, ensuring that accurate, informed, and professionally overseen certifications of death occur.