Making Every Baby Count

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ASK THE RESPONDENT: What do you think was the primary or basic cause of death? OR Based on our conversation, what would you say is the primary cause of death? _______________________________________________________________________________________________________________ PRIMARY CAUSE OF DEATH ACCORDING TO RESPONDENT ASK THE RESPONDENT: In addition to this primary cause, do you think there are any additional or secondary causes of death? OR Based on our conversation, what would you say are the secondary causes of death? _______________________________________________________________________________________________________________ SECONDARY CAUSE OF DEATH ACCORDING TO RESPONDENT 112 MAKING EVERY BABY COUNT: AUDIT AND REVIEW OF STILLBIRTHS AND NEONATAL DEATHS
SECTION 4. PREGNANCY HISTORY AND CARE I would like to ask you some questions concerning the mother and symptoms that the deceased had/showed at birth and shortly after. Some of these questions may not appear to be directly related to the baby’s death. Please bear with me and answer all the questions. They will help us to get a clear picture of all possible symptoms that the deceased had. IF THE RESPONDENT IS THE MOTHER, ADJUST LANGUAGE TO REFLECT THAT BY ADDRESSING THE WOMAN. 4.1 What was the age of the mother at the time the baby died? 4.1.1 What was her occupation – that is, what kind of work did the mother mainly do? 4.1.2 What was the highest level and year (step/grade) of formal education the mother attended? CIRCLE ONE CODE IN “LEVEL” COLUMN AND ONE CODE IN “YEARS” COLUMN 4.2 Did the mother receive any antenatal care during the pregnancy? 4.3 How many antenatal visits did the woman have during the pregnancy? IF RESPONDENT DOESN’T KNOW, ASK IF SHE HAD ATTENDED AT LEAST 4 VISITS 4.4 How many weeks or months pregnant was the woman at her first antenatal visit? ENTER IN WEEKS OR MONTHS 4.4.1 When the woman became pregnant with this pregnancy, was she using any form of family planning? MULTIPLE ANSWERS ARE ALLOWED; SELECT ALL THAT APPLY YEARS.............................................................. DON’T KNOW ............................................................. 98 __________________________________ __________________________________ Level Years in level NONE......................................................0 PRIMARY.................................................1 1 SECONDARY...........................................2 2 TERTIARY................................................3 3 4 5 6 7 DON’T KNOW.........................................8 8 REFUSE....................................................9 9 YES.................................................................................1 NO .................................................................................2 DON’T KNOW ...............................................................8 VISITS.............................................................. AT LEAST 4 ................................................................... 77 DON’T KNOW 4 .......................................................... 98 WEEKS........................................................1 OR MONTHS....................................................2 DON’T KNOW............................................................ 998 NO METHOD .............................................................. 00 LACTATIONAL AMENORRHOEA METHOD................. 01 RHYTHM METHOD..................................................... 02 WITHDRAWAL.............................................................. 03 PILL.............................................................................. 04 IUD............................................................................... 05 INJECTABLES ............................................................... 06 IMPLANTS.................................................................... 07 CONDOM..................................................................... 08 FEMALE CONDOM...................................................... 09 DIAPHRAGM................................................................ 10 FOAM/JELLY................................................................. 11 OTHER MODERN (SPECIFY)____________________ 12 OTHER TRADITIONAL (SPECIFY)________________ 13 DON’T KNOW.............................................................. 98 4.5 4.5 MAKING EVERY BABY COUNT: AUDIT AND REVIEW OF STILLBIRTHS AND NEONATAL DEATHS 113
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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
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It may be easier for an information
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Geospatial analyses may be very ben
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5 Creating an enabling environment
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will help facilitate the process fo
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Maternal and Perinatal Death Review
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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 106 and 107: Annex 8: Stillbirth and Neonatal Mo
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 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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