Does It Say That Your Baby Was Born via C Section on Their Birth Certificate

The personal information department of the birth document contains information required for identifying the individual and a description of when and where the birth occurred.

ROVER nascency registration results in a Signature Page that must be signed and faxed or mailed to Vital Records.  The signature on this Signature Page is the just physical acknowledgment by the parent(s) concerning the information on the nativity certificate.  It is recommended that your facility keep these pages on file.

Infants of Unknown Parentage ( 63 Os ane-312 )

Whoever assumes custody of a living infant of unknown parentage shall written report, on a class and in a manner prescribed by the State Commissioner of Health within seven (7) days to the local registrar of the district in which the child was found, the following information:

(1)  the engagement and place of finding;
(2)  sex, color or race, and judge age of child;
(3)  proper name and address of the persons or institution with whom the child has been placed for intendance;
(4)  name given to the child by the custodian; and
(5)  and other information required by the Commissioner.

The place where the kid was establish shall exist entered as the place of birth and the date of birth shall exist determined past approximation.

A report registered nether this department shall found the nativity certificate for the infant.

If the child is identified and a certificate of nascency is plant or obtained, any report registered under this section shall be sealed and filed and may be opened only past order of a court of competent jurisdiction.

Item one.  Kid's proper name (First, Center, Last)

Blazon or neatly print baby's total name exactly as given by the parent(s). Suffixes following the final name such as Jr. or Iii are acceptable. However, do not enter nicknames or names shown in parenthesis.

Item ii.  Date of Nascency (Month, Day, Year)

Enter full name of month rather than numerical representation.  Pay particular attending to this entry when the nascency occurs at midnight or on Dec 31st.

Enter the verbal time the infant was born according to local time. If you utilize a 12-hour clock format, exist sure to indicate whether the time of birth is A.Yard. or P.M.  Enter 12 noon as 12:00 P.Yard. and 12 midnight as 12:00 A.M.

If you use a 24-hour clock format, please refer to the following:

24-hour clock	12-hour clock
0000 (medical facilities) 2400 (military facilities)	12:00 midnight
0100	i:00 am
0200	ii:00 am
0300	3:00 am
0400	iv:00 am
0500	five:00 am
0600	half dozen:00 am
0700	7:00 am
0800	viii:00 am
0900	9:00 am
thou	10:00 am
1100	xi:00 am
1200	12:00 noon
1300	1:00 pm
1400	ii:00 pm
1500	3:00 pm
1600	four:00 pm
1700	v:00 pm
1800	half dozen:00 pm
1900	7:00 pm
2000	viii:00 pm
2100	nine:00 pm
2200	ten:00 pm
2300	11:00 pm

The exact fourth dimension of nativity should exist entered for each infant in a plural nascence to decide social club.

Enter "Male" or "Female". Exercise not use symbols or abbreviations. If sex cannot be determined, enter "unknown

Particular 5a.  Facility Name:  (If not institution, give street and number)

Enter full proper name of the facility where birth occurred. If built-in en route to the facility, enter full name of facility followed by "En route".

If the birth occurred at home, enter the street accost of the birthplace, not simply "residence" or "home."

If the birth occurred somewhere other than those described to a higher place, enter street accost of the location.

If the birth occurred in a moving conveyance that was not en route to a facility, enter the street address where the babe was starting time removed from the conveyance.

Particular 5b.  Place Where Nascence Occurred (Check one)

Bank check the appropriate response.  If it was a home nascency, indicate if information technology was planned to deliver at home.

Particular 6.  City, Town or Location of Birth

Enter the city, town or location for the response provided in Particular 5a.

Enter proper noun of county where the nascence occurred. If nascence occurred in a moving conveyance, enter the county where the infant was showtime removed from the conveyance.

Item 8a.  Attendant's Proper name, and Championship

Delight blazon or impress the total name of the attendant on the line provided and check the advisable box indicating the attendant's title. If "Other" is marked, specify the title of the attendant on the line provided. Lay midwives should be identified as "Other Midwife".

Particular 8b.  Attendant'due south Mailing Accost

Enter the complete mailing accost of the person whose proper name appears in Item 8a, including ZIP Code.

Items 9 and x.  State Registrar's Signature and Date Filed With Country Registrar (Month, Mean solar day, Year)

These are entered by the State Registrar'south office when the Certificate of Live Nativity is accustomed for filing.

Detail 11a.  Certifier'southward Name and Title

Blazon or print the total name on the line provided and check the advisable box indicating the certifier'south title. If "Other" is marked, specify the title of the certifier on the line provided (ex.; RN, grandmother, father, EMT, etc.). Lay (non-licensed) midwives should exist identified as "Other Midwife".

Item 11b.  Appointment Certified (Month, Day, Year)

Enter the verbal month, day, and yr the certifier signed the Certificate of Live Nascence.

Item 12a.  Mother's Current Legal Name (Get-go, Middle, Last, Suffix)

Enter total, legal name of mother at the time of her infant'due south birth.  Avoid nicknames, aliases, and initials (unless initials are all she has).  Her legal name would include her legal terminal name as it currently is, even if she prefers to apply a dissimilar name.

Item 12b.  Mother'due south Final Name Prior to First Marriage

The surname of the female parent at her birth or after she was adopted should exist entered here. Married names should not be entered in this department.

Item 12c.  Mother's Date of Nascence (Calendar month, Mean solar day, Yr)

Mother'south appointment of birth should be entered hither.  Enter full name of the month rather than the numerical representation for the month.

Item 12d.  Mother'due south Birthplace (State, Territory, or Foreign Land)

Enter mother'southward identify of nascency. If she was born in the Usa, enter the name of the state in which she was built-in. If she was born in a foreign country, enter the proper noun of the country. Do not enter city of birth.

Item 13.  Mother's Residence Address

Enter whether or non mother's residence is within the metropolis's limits.

Enter the county the mother lives in.

Enter the female parent's street address. If she does not have a street address enter the ix-1-1 address or a clarification of the residence that will aid in identifying the precise location (i.e. Northeast Corner of Hwy 281 and Wichita Road, second yellowish firm on e side northward 12 ^th and Broadway). Practice non enter a Rural Route number or PO Box in this section.

Enter the city, town or location the female parent lives in. This may or may non be the same as her mailing address.

Enter the country the mother actually lives in. If she is not a resident of the Us, enter the proper name of the country and the nearest equivalent of a state in that country.

Item 14.  Female parent'due south Mailing Address

If the mother'south mailing address is the same equally her residence, bank check the "Same every bit Residence" box.  If the mother's mailing address is not the same every bit her residence, enter the mailing address here.  A mail role box can be entered in this Item.

Item 15a.  Father'south Current Legal Name (Start, Center, Last, Suffix)

Enter full proper name of begetter.  Practise not utilize nicknames, aliases, or initials (unless an initial constitutes the name).  If female parent is, or has been married, inside 300 days of the birth of the child, the hubby must exist entered whether or non he is the father, unless the proper paperwork has been completed.

Item 15b.  Male parent'due south Date of Nascence (Month, 24-hour interval, Yr)

Father'southward date of birth should be entered hither.  Enter total name of the month rather than the numerical representation for the calendar month.

Particular 15c.  Father'due south Birthplace

Enter the male parent'due south place of birth. If he was born in the United States, enter the name of the land in which he was built-in. If he was born in a foreign land, enter the name of the state. Do non enter the city of birth.

Particular 16a.  Permission given to provide Social Security Assistants with necessary birth information to issue a Social Security Number?

Take the parent mark either "Aye" or "No" and so initial in the provided space to verify the decision.  If the certificate is not signed by a parent, non initialed, or is in any other manner incomplete, then this Detail should exist marked "No."  In one case the nascency certificate is processed, it cannot be resubmitted.

Detail 16b.  Permission given to provide Oklahoma State Section of Wellness registries (such equally Newborn Screening and Immunization) with data necessary to protect and promote the health of Oklahoma citizens?

Accept the parent mark either "Yes" or "No" then initial in the provided space to verify the decision.  If the certificate is not signed past a parent, non initialed, or is in whatsoever other mode incomplete, so this Item should be marked "No."  In one case the nativity document is processed, information technology cannot be resubmitted.

Take parent review the Document of Alive Nascency for accurateness, read the statement contained in this department and sign this department certifying the accuracy of the certificate.  We suggest that yous enquire merely the female parent to sign the nascency certificate. Never have a parent sign a blank or incomplete certificate.

Certification Statement and Signature

Obtain the signature of the attendant present at the nativity or another authorized person. If facility process is for the bellboy to complete the certification, but the attendant is unable to do and then within 5 days of nascency, the person in accuse of the facility or his/her designated representative (Birth Clerk) is authorized to consummate the certification.  Facilities may choose to have a designated representatives serve equally the authorized personnel for completing the certification. Rubber stamps or other facsimile signatures are not acceptable.

The following data is used for medical and health studies but and is excluded from certified copies of the nativity certificate.

Particular 17a.  Father'southward Educational activity (Cheque the box that best describes the highest degree or level of school complete at the time of commitment)

Follow the instructions and check the appropriate box.

Item 17b.  Begetter's Race (Cheque one or more than races to indicate what the father considers himself to be)

For American Indian, enter tribal affiliation such equally Cherokee, Choctaw, Osage, etc.

National origin should not be used for any other race (i.e., High german Mexican).  If the person does non consider him/herself to be Black, American Indian, or Asian, then he/she is White or can merits multiple races of these four choices.

Particular 17c.  Father of Hispanic Origin? (Bank check the box that best describes whether the begetter is Spanish/Hispanic/Latino.  Check the 'No' box if male parent is not Spanish/Hispanic/Latino)

Follow the instructions and check the appropriate box.  "Hispanic" is not acceptable when specifying.

Particular 17d.  Father's Social Security Number

Furnishing Social Security Number is required past Federal Law, 42 USC 405(c) (section 205 (c) of the Social Security Human action).  The number will be made available to the Oklahoma State Department of Human Services to assistance with child support enforcement activities and to the Internal Acquirement Service for the purpose of determining Earned Income Revenue enhancement Credit compliance.

If the mother is not married, and if a paternity acknowledgment has not been completed, get out this item blank.

Item 18a.  Mother'south Education (Bank check the box that best describes the highest degree or level of school completed at the time of commitment)

Follow the instructions and cheque the appropriate box.

Detail 18b.  Mother'southward Race (Bank check one or more than races to indicate what the female parent considers herself to exist)

For American Indian, enter tribal affiliation such every bit Cherokee, Choctaw, Osage, etc.

National origin should not be used for whatever other race (i.e., German Mexican).  If the person does not consider him/herself to be Blackness, American Indian, or Asian, so he/she is White or can claim multiple races of these iv choices.

Item 18c.  Female parent of Hispanic Origin?  (Bank check the box that best describes whether the mother is Castilian/Hispanic/Latino.  Cheque the 'No' box if mother is non Castilian/Hispanic/Latino)

Follow the instructions and check the appropriate box.  "Hispanic" is not acceptable when specifying.

Item 18d.  Mother's Social Security Number

Furnishing Social Security Number is required by Federal Law, 42 USC 405(c) (section 205 (c) of the Social Security Act).  The number volition be made available to the Oklahoma State Department of Human Services to aid with child back up enforcement activities and to the Internal Acquirement Service for the purpose of determining Earned Income Tax Credit compliance.

Item 19.  Mother Married? (At birth, conception, or whatever time between?)

If mother is currently married or married at the time of formulation or whatsoever time between conception and birth, bank check "Yes."

If mother is not currently married or was non married at the time of conception or whatever fourth dimension betwixt conception and nascence, check "No" and keep to second part of question.

If No, Has Paternity Acquittance Been Signed In The Hospital?

Check the appropriate box.

Item 20.  Female parent's Acme

Enter the female parent'south height in feet and inches.

Particular 21.  Female parent's Prepregnancy Weight

Enter the mother's pre-pregnancy weight in pounds.

Item 22.  Did Mother Get WIC Food For Herself During This Pregnancy?

Check the advisable box.

Particular 23.  Mother's Medical Record Number

Enter the facility's medical tape number for the mother.

Particular 24.  Pregnancy History (Do non include this child)

Number of Previous Live Births

Enter the total number of previous alive-built-in infants now living.  For multiple deliveries, include all alive-built-in infants earlier this infant in the pregnancy.  (If this baby was the first built-in, do not include this baby.  If this infant was the second born, include the first-born, etc.)  If there are no previous live-born infants, enter "none" or "0".

Enter the total number of previous live-built-in infants now dead.  For multiple deliveries, include all live-born infants before this infant in the pregnancy that are now dead.  (If this babe was the first born and died, do not include this infant.  If this baby was the second built-in and the offset-built-in died, include the first-born, etc.)  If at that place are no previous live-born infants now dead, enter "none" or "0".

Enter the date of birth of the terminal live-born baby.

Number of Other Pregnancy Outcomes

Enter the number of induced abortions.

Enter the number of spontaneous abortions.

Enter the number of other outcomes.

Enter the date of the terminal pregnancy outcome.

Detail 25.  Cigarette Smoking (For each time menstruum, enter either the number of cigarettes or number of packs of cigarettes smoked – IF NONE, ENTER 0)

For each fourth dimension flow enter either the number of cigarettes or the number of packs of cigarettes smoked.  If none enter "0".

Item 26.  Engagement Last Normal Menses Began (Month, Twenty-four hours, Year)

Enter all parts of the appointment that the female parent'due south last normal menses began.  If no parts of the date are known, enter "unknown."

Particular 27.  Obstetrical Procedures (Check all that utilise)

Check all boxes that apply.  The female parent may take more than one procedure.  If the mother has had none of the procedures, bank check "none of the above."

Particular 28.  Date of First Prenatal Care Visit (Month, Day, Twelvemonth)

Enter calendar month, twenty-four hours, and year of the offset prenatal care visit.  Complete all parts of the engagement that are available.  Go out the rest blank.  If "no prenatal care," check the appropriate box.

Item 29.  Date of Last Prenatal Care Visit (Month, Day, Year)

Enter month, day, and year of the last prenatal intendance visit recorded in the records.  Practice not estimate the date of the concluding visit.  Complete all parts of the date that are available.  Leave the balance blank.

Detail 30.  Total Number of Prenatal Care Visits for This Pregnancy

Count just those visits recorded in the tape.  Do not guess additional visits when the prenatal record is not current.  If none, enter "0."

Particular 31.  Risk Factors in This Pregnancy (Check all that utilize)

Check all boxes that apply.  The female parent may have more than ane risk factor.  If the mother has none of the hazard factors, check "none of the above."

Detail 32.  Infections Present and/or Treated During This Pregnancy (Check all that apply)

Cheque all boxes that use.  The mother may have more than one infection.  If the mother has none of the infections, check "none listed."

Item 33.  Method of Commitment

Consummate every section:  A, B, C, and D.  Check the appropriate box in each section.

Item 34.  Maternal Morbidity (Complications associated with labor and delivery)

Check all boxes that apply.  If the female parent has none of the complications, check "none of the above."

Item 35.  Characteristics of Labor and Delivery (Bank check all that use)

Check all characteristics that apply.  If none of the characteristics of labor and commitment apply, check "none of the above."

Item 36.  Was Mother Transferred for Maternal, Medical, or Fetal Indications for Delivery?

If non, check "No."  If yeah, enter proper name of the facility female parent was transferred from.

Detail 37.  Mother's Weight at Delivery

Enter the mother's weight at the fourth dimension of commitment.  Use pounds but.  If the mother's commitment weight is unknown, enter "unknown."

Item 38.  Principal Source of Payment for this Delivery

Check appropriate box.  If "Other," specify chief source.

Item 39.  Onset of Labor (Cheque all that apply)

Check all that apply (prolonged labor and abrupt labor should not both exist checked).  If none use, bank check "none of the above."

Item 40.  Newborn Medical Record Number

Enter the facility's medical record number for the newborn infant.

Detail 41.  Newborn Hearing and Screening Number

Enter the newborn hearing and screening number.

Item 42.  Birthweight (grams preferred, specify unit)

Enter the weight of the babe at nativity.

Item 43.  Obstetric Estimate of Gestation

Enter the best obstetric guess of the infant's gestation in completed weeks.  If it is not known, enter "unknown" in the infinite.  Do not complete this item based solely on the babe'due south date of nativity and the female parent'southward date of concluding menstrual flow.

Enter the infant'south Apgare score at five minutes.  If the score at 5 minutes is less that 6, enter the infant's Apgar score at ten minutes.

	Sign	0 points	ane signal	2 points
A	Activity (Muscle tone)	limp	limbs flexed	active movement
P	Pulse (centre rate)	absent-minded	<100/min	≥100 /min
G	Grimace (response to smell or foot slap)	absent	grimace	coughing or sneeze (nose) cry and withdrawal of foot (foot slap)
A	Appearance (color)	blueish	torso pink extremities bluish	pinkish all over
R	Respiration (breathing)	absent	irregular weak crying	skillful strong cry

The total APGAR score is the sum of the scores for the 5 signs.

Particular 45.  Plurality – Single, Twin, Triplet, etc.

Enter the number of fetuses delivered in this pregnancy.

Item 46.  If Not Single Birth – Born First, 2d, Third, etc.

If this is a unmarried birth, leave this item blank.  Include all live births and fetal deaths from this pregnancy.

Detail 47.  Was Babe Transferred Within 24 Hours of Commitment?

Cheque "yes" if the babe was transferred from this facility to another within 24 hours of delivery.  Enter the proper noun of the facility to which the infant was transferred.  If the name of the facility is not known, enter "unknown."  If the infant was transferred more than once, enter the name of the kickoff facility to which the infant was transferred.

Particular 48.  Is Baby Living at Time of Report?

Cheque "yes" if the infant is living and/or has already been discharged to home intendance.  Check "no" if it is known that the infant had died.  If the infant was transferred and the status is known, indicate the known status.  Otherwise, check "baby transferred, status unknown."

Detail 49.  Is Babe Being Breastfed at Discharge?

Bank check the appropriate box.

Item fifty.  Abnormal Conditions of the Newborn (Check all that apply)

Check all boxes that apply.  If none of the conditions apply, bank check "none of the in a higher place."

Item 51.  Congenital Anomalies of the Newborn (Check all that utilise)

Check all boxes that apply.  If none of the anomalies utilize, check "none of the anomalies listed in a higher place."

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Source: https://oklahoma.gov/health/birth-and-death-certificates/birth-and-death-registration-rover/birth-registration-training/completing-the-birth-certificate.html