Making Every Baby Count

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