Making Every Baby Count

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4.4.2 Before the woman became pregnant with this pregnancy, how many times per week was she drinking alcoholic beverages? 4.4.3 How many times per week was she drinking alcoholic beverages during pregnancy? 4.5 Did the baby’s mother receive any tetanus vaccination during the pregnancy? 4.5.1 How many doses? 4.6 Did the mother receive IPTp (IPTp-SP, Fansidar or equivalent) for malaria prevention during the pregnancy? 4.6.1 How many doses of IPTp did she receive during the pregnancy? 4 TIMES OR MORE /ALMOST DAILY..............................1 1–3 TIMES .....................................................................2 LESS THAN ONCE PER WEEK .......................................3 NEVER............................................................................4 4 TIMES OR MORE /ALMOST DAILY..............................1 1–3 TIMES .....................................................................2 LESS THAN ONCE PER WEEK .......................................3 NEVER............................................................................4 YES.................................................................................1 NO .................................................................................2 DON’T KNOW ...............................................................8 NUMBER OF DOSES........................................ DON’T KNOW.............................................................. 98 YES.................................................................................1 NO .................................................................................2 DON’T KNOW ...............................................................8 NUMBER OF DOSES........................................ DON’T KNOW.............................................................. 98 4.7 Did the mother take iron supplements? YES.................................................................................1 NO .................................................................................2 DON’T KNOW ...............................................................8 4.7.1 Did the mother take folic acid? YES.................................................................................1 NO .................................................................................2 DON’T KNOW ...............................................................8 4.8 Did the mother take deworming tablets? YES.................................................................................1 NO .................................................................................2 DON’T KNOW ...............................................................8 4.9 Did the mother sleep under a bed net during the pregnancy? YES.................................................................................1 NO .................................................................................2 DON’T KNOW ...............................................................8 4.10 Was the mother ever tested for HIV/AIDS? YES.................................................................................1 NO .................................................................................2 DON’T KNOW ...............................................................8 4.11 Was she HIV-positive or HIV-negative? POSITIVE........................................................................1 NEGATIVE.......................................................................2 DON’T KNOW................................................................8 4.12 How long ago had she been diagnosed as HIV-positive? WEEKS AGO...............................................1 IF LESS THAN 1 YEAR, NOTE NUMBER OF OR MONTHS; MONTHS AGO...........................................2 IF GREATER THAN 12 MONTHS, NOTE OR NUMBER OF YEARS YEARS AGO................................................3 DON’T KNOW............................................................ 998 4.13 At the time of delivery, was she taking ARVs or Septrin for HIV or was she not taking HIV treatment? ARVS...............................................................................1 ARVS + SEPTRIN............................................................2 SEPTRIN.........................................................................3 NOT TAKING TREATMENT.............................................4 DON’T KNOW................................................................8 REFUSE...........................................................................9 4.6 4.6 4.7 4.7 4.15 4.15 4.15 4.15 4.15 4.15 4.15 4.15 114 MAKING EVERY BABY COUNT: AUDIT AND REVIEW OF STILLBIRTHS AND NEONATAL DEATHS
4.14 How long has she been taking ARVs for HIV? IF LESS THAN 1 YEAR, NOTE NUMBER OF MONTHS; IF GREATER THAN 12 MONTHS, NOTE NUMBER OF YEARS 4.15 During the pregnancy was the mother told by a health-care provider that she suffers from any of the following known illnesses: READ ALL OPTIONS: 1 HIGH BLOOD PRESSURE? 2 HEART DISEASE? 3 DIABETES? 4 EPILEPSY/CONVULSION? 5 MALNUTRITION 6 MALARIA 7 TB 8 ANAEMIA 9 SICKLE CELL ANAEMIA 10 SYPHILIS 11 RUBELLA 12 OTHER SEXUALLY TRANSMITTED INFECTIONS (EXCLUDING HIV) 13. DID SHE SUFFER FROM ANY OTHER MEDICALLY DIAGNOSED ILLNESS? (SPECIFY ILLNESS) 4.16 During the last 3 months of pregnancy but before labour, did the mother have any of the following symptoms: READ ALL OPTIONS: 1 HEAVY VAGINAL BLEEDING? 2 FOUL SMELLY VAGINAL DISCHARGE? 3 SWELLING OF FINGERS, FACE, LEGS? 4 HEADACHE? 5 BLURRED VISION? 6 CONVULSION? 7 FEBRILE ILLNESS? 8 SEVERE ABDOMINAL PAIN THAT WAS NOT LABOUR PAIN? 9 PALLOR AND SHORTNESS OF BREATH (BOTH PRESENT)? 10 YELLOW DISCOLOURATION OF THE EYES? 11 DID SHE SUFFER FROM ANY OTHER ILLNESS? (SPECIFY ILLNESS) 4.16.1 It is common for women during and after pregnancy to feel down or depressed. During the last 3 months of pregnancy but before labour, how often did (you – if mother is the respondent; or the mother – if other respondent) have little interest or pleasure in doing things? WEEKS........................................................1.... MONTHS....................................................2.... OR YEARS.........................................................3.... DON’T KNOW............................................................ 998 YES NO DON’T KNOW High blood pressure.......................... 1 2 8 Heart disease..................................... 1 2 8 Diabetes............................................. 1 2 8 Epilepsy/convulsion........................... 1 2 8 Malnutrition....................................... 1 2 8 Malaria............................................... 1 2 8 TB...................................................... 1 2 8 Anaemia............................................. 1 2 8 Sickle cell anaemia............................. 1 2 8 Syphilis ............................................. 1 2 8 Rubella............................................... 1 2 8 STI .................................................... 1 2 8 Other (specify) __________________ 1 2 8 ______________________________________________ YES NO DON’T KNOW Vaginal bleeding..................................1 2 8 Smelly vaginal discharge.....................1 2 8 Swelling fingers, face, legs..................1 2 8 Headache............................................1 2 8 Blurred vision.....................................1 2 8 Convulsion..........................................1 2 8 Febrile illness......................................1 2 8 Severe abdominal pain.......................1 2 8 Pallor/shortness of breath (both).......1 2 8 Yellow discolouration of the eyes........1 2 8 Other illness (specify) ____________ 1 2 8 ______________________________________________ NOT AT ALL....................................................................1 SEVERAL WEEKS............................................................2 MORE THAN HALF OF THE TIME (OF 3 MONTHS) ....3 NEARLY EVERY DAY.......................................................4 DON’T KNOW................................................................8 MAKING EVERY BABY COUNT: AUDIT AND REVIEW OF STILLBIRTHS AND NEONATAL DEATHS 115
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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
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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 118 and 119: ASK THE RESPONDENT: What do you thi
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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