Any person who has ever suffered from a loss during pregnancy past the first trimester (12 weeks) but prior to 20 weeks knows how difficult it is to never have your child acknowledged. You are denied a death certificate since Pennsylvania state law dictates they are not considered a life until 20 weeks. However the World Health Organization states ""Fetal death" means death prior to the complete expulsion or extraction from its mother of a product of human conception, irrespective of the duration of pregnancy and which is not an induced termination of pregnancy."  You know that they moved, breathed, hiccuped, and everything in between. To deny that their life ever existed will drive a mother insane. Governor Tom Corbett recently signed into law that birth certificates will be issued to stillborn babies. However late term miscarriages, miscarriages after the first trimester, receive neither a birth nor death certificate. There is an unborn victim law in the state of Pennsylvania that a person can be charged with murder of a fetus or unborn child. If a person can be charged with murdering an unborn child, then why can't a person who suffers a "late miscarriage", be issued a death certificate. I lost one of my twins at 19 weeks gestational age.  Twins don't carry to full term (40 weeks).  Full term for twins is considered 37 weeks.  I have no record of him other than the last ultrasounds and his ashes. If he wasn't "developed", then how do I have ashes? Soft tissue does not provide ashes. Only bone does. I think its time for state legislature to redefine when an unborn child is considered stillborn for multiples (twins, triplets, etc.) cases. Having proof that your child was here and mattered can make a world of difference to those who are grieving.