Making Every Baby Count

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WHO Library Cataloguing-in-Publication Data Making every baby count: audit and review of stillbirths and neonatal deaths. 1.Perinatal Death. 2.Stillbirth. 3.Infant Mortality. 4.Infant, Newborn. 5.Epidemiological Monitoring. I.World Health Organization. ISBN 978 92 4 151122 3 (NLM classification: WQ 225) © World Health Organization 2016 All rights reserved. Publications of the World Health Organization are available on the WHO website (http:// www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; email: bookorders@who.int). Requests for permission to reproduce or translate WHO publications –whether for sale or for non-commercial distribution– should be addressed to WHO Press through the WHO website (http://www.who.int/about/ licensing/copyright_form/index.html). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. Printed by the WHO Document Production Services, Geneva, Switzerland Designed by Inís Communication – www.iniscommunication.com
Making Every Baby Count Audit and review of stillbirths and neonatal deaths
Page 1: Making Every Baby Count Audit and r
Page 6 and 7: 4.3 The six-step mortality audit cy
Page 8 and 9: Acknowledgements The World Health O
Page 10 and 11: Foreword Pregnancy is a time of gre
Page 12 and 13: in the future. The process of routi
Page 14 and 15: Key messages of this guide • Audi
Page 16 and 17: 1 Getting started
Page 18 and 19: 1.2 Why is this guide important? Co
Page 20 and 21: Importantly, it is not sufficient t
Page 22 and 23: 2 Definitions and classification Th
Page 24 and 25: There are also numerous ways to app
Page 26 and 27: TABLE 2.1. Mortality rate definitio
Page 28 and 29: application of ICD-10 to deaths dur
Page 30 and 31: Box 2.1. Background and contextual
Page 32 and 33: • Family- or patient-related: e.g
Page 34 and 35: 3 Auditing deaths that occur at the
Page 36 and 37: Within each facility, at least two
Page 38 and 39: compared to the actual numbers of r
Page 40 and 41: of events that led to death, text b
Page 42 and 43: • the number of antepartum (or ma
Page 44 and 45: Possible actions include interventi
Page 46 and 47: Step 6: Evaluating and refining The
Page 48 and 49: 4 Auditing deaths that occur in the
Page 50 and 51: (e.g. individuals who conduct routi
Page 52 and 53:
The most effective mechanism for in
Page 54 and 55:
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 90 and 91:
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 108 and 109:
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
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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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