Making Every Baby Count

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
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