Making Every Baby Count

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Annex 8: Stillbirth and Neonatal Mortality Audit – Meeting Minutes and Action Items Form Annex 8a: Stillbirth and Neonatal Mortality Audit – Meeting Minutes and Action Items Form Institution: __________________________________________________________________ Date of meeting: ________________ Start time: ____________ End time: ____________ Chairperson: ________________________________________________________________ Month and year being reviewed: ________________________________________________ Statistics: Number of women delivered: __________ Number of babies born: _________ Preterm birth rate (< 37 weeks): ________% Low birth weight rate (< 2500 g): ________% Caesarean section rate: ________% Assisted delivery rate: ________% Antepartum stillbirth rate: ________ Intrapartum stillbirth rate: ________ Neonatal mortality rate: ________ Cases discussed Main causes of antepartum stillbirths: 1 _________________________________________________________________________ 2 _________________________________________________________________________ 3 _________________________________________________________________________ Main causes of intrapartum stillbirths: 1 _________________________________________________________________________ 2 _________________________________________________________________________ 3 _________________________________________________________________________ 100 MAKING EVERY BABY COUNT: AUDIT AND REVIEW OF STILLBIRTHS AND NEONATAL DEATHS
Main causes of neonatal deaths: 1 _________________________________________________________________________ 2 _________________________________________________________________________ 3 _________________________________________________________________________ Modifiable factors identified: 1 _________________________________________________________________________ 2 _________________________________________________________________________ 3 _________________________________________________________________________ Action plans Modifiable factor identified Specific actions to address modifiable factor Responsible person Time frame Follow-up (this section to be completed at the next meeting) Date of next meeting: _________________________________________________________ Date minutes ratified: ________________________________________________________ Proposed by: __________________________ Seconded by: _______________________ Chairperson’s signature: ______________________________________________________ MAKING EVERY BABY COUNT: AUDIT AND REVIEW OF STILLBIRTHS AND NEONATAL DEATHS 101
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Making Every Baby Count Audit and r
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Making Every Baby Count Audit and r
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4.3 The six-step mortality audit cy
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Acknowledgements The World Health O
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Foreword Pregnancy is a time of gre
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in the future. The process of routi
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Key messages of this guide • Audi
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1 Getting started
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1.2 Why is this guide important? Co
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Importantly, it is not sufficient t
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2 Definitions and classification Th
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There are also numerous ways to app
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TABLE 2.1. Mortality rate definitio
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application of ICD-10 to deaths dur
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Box 2.1. Background and contextual
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• Family- or patient-related: e.g
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3 Auditing deaths that occur at the
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Within each facility, at least two
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compared to the actual numbers of r
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of events that led to death, text b
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• the number of antepartum (or ma
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Possible actions include interventi
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Step 6: Evaluating and refining The
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4 Auditing deaths that occur in the
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(e.g. individuals who conduct routi
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The most effective mechanism for in
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Step 1.2: Notification and reportin
Page 56 and 57: It may be easier for an information
Page 58 and 59: Geospatial analyses may be very ben
Page 60 and 61: 5 Creating an enabling environment
Page 62 and 63: will help facilitate the process fo
Page 64 and 65: Maternal and Perinatal Death Review
Page 66 and 67: 6 Scaling up audit for quality and
Page 68 and 69: FIGURE 6.1. Dimensions of a phased
Page 70 and 71: FIGURE 6.2. Example of data flow in
Page 72 and 73: References 1. Maternal death survei
Page 74 and 75: 39. Bradshaw D, Chopra M, Kerber K,
Page 76 and 77: Annexes Annex 1 Stillbirth and Neon
Page 78 and 79: 3.6 Fetal heart sounds on admission
Page 80 and 81: Annex 1b. Guidance for completing t
Page 82 and 83: • “unknown” if the total numb
Page 84 and 85: • If fetal heart sounds were not
Page 86 and 87: -- If a “delay 1” is present, c
Page 88 and 89: . antepartum complications Annex 2:
Page 92 and 93: 2.1b: Cause of death - intrapartum
Page 94 and 95: Annex 3b. Guidance for collecting t
Page 96 and 97: 3) If there is no gestational age e
Page 98 and 99: Annex 4. Approaches for classifying
Page 100 and 101: There are multiple tools available
Page 102 and 103: to their occurrence - are entered o
Page 104 and 105: Annex 6. Sample mortality audit mee
Page 110 and 111: Steps 1. Understand the steps of th
Page 112 and 113: INFORMED CONSENT FORM (INTERVIEWEE
Page 114 and 115: SEQUENTIAL NUMBER SECTION 1. INTER
Page 116 and 117: SECTION 3. INFORMATION ON THE DECEA
Page 118 and 119: ASK THE RESPONDENT: What do you thi
Page 120 and 121: 4.4.2 Before the woman became pregn
Page 122 and 123: 4.16.2 During the last 3 months of
Page 124 and 125: 5.5 How many hours or days passed b
Page 126 and 127: 5.18 Would you say the baby’s siz
Page 128 and 129: 5.33 Did the baby ever move, even a
Page 130 and 131: SECTION 6. NEONATAL ILLNESS HISTORY
Page 132 and 133: 6.17 Did the baby have a swollen st
Page 134 and 135: SECTION 7. HISTORY OF INJURIES/ACCI
Page 136 and 137: 8.7 What were the reasons the baby
Page 138 and 139: 8.15.2 What difficulties did you ha
Page 140 and 141: SECTION 9. DATA ABSTRACTED FROM REC
Page 142: VA Supervisor comments and observat
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Making Every Baby Count

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