Appendix J: Suggestions for taking photographs of a fetus or neonate with a congenital anomaly
- Ensure the consent form is signed before taking the photograph.
- Note: if parents do not consent to a photograph, the fetus or neonate can still be included in the surveillance programme.
- Have a clean, simple, non-patterned light or dark blue background (no blankets or other things in the bassinet or on the examination table).
- If there are objects on the examination table that affect the photograph, remove them before taking the photograph.
- Take a view of the entire fetus or neonate, plus several focused views of the congenital anomaly/anomalies.
- Take a separate view of the face, if possible.
- Take a front or back view, or both, plus a side view, depending on the congenital anomaly.
- Avoid taking photographs at an angle; i.e. take all photographs holding the camera at 90° to the fetus or neonate.
- Use no personal identification; instead use coded identification.
- If more than one photograph is taken, make sure that all photographs can be identified with a code for that particular fetus or neonate.
- Assign identifiers to the photograph files, using a unique code and adding an extra number to indicate the number of photographs taken of the same fetus or neonate (for example: 0001_1; 0001_2, etc.).
- Place a label next to, but not touching, the fetus or neonate, if needed. Similarly, place a ruler or measuring tape next to, but not touching, the fetus or neonate, to help estimate size.
- Ensure that there is adequate lighting and no shadows in the photograph. Use a flash if needed.
- Consider the cost of photograph storage.
- Use high resolution, at least 300 ppi (pixels per inch).
- Review photographs quickly while on site.
- Save the image in jpeg (jpg) format; make sure each photograph is transferred to a computer file or other secure storage before deleting it from the camera.
- Tablets or smart phones can also be used to take photographs.