Making Every Baby Count

More documents

Recommendations

Info

Annexes Annex 1 Stillbirth and Neonatal Death Case Review Form 71 Annex 2 Births and Deaths Summary Form 82 Annex 3 Minimum set of perinatal indicators to collect for all births and perinatal deaths 87 Annex 4 Approaches for classifying modifiable factors 92 Annex 5 Setting up a mortality audit steering committee 97 Annex 6 Sample audit meeting code of practice declaration 98 Annex 7 Sample calculations for reporting 99 Annex 8 Stillbirth and Neonatal Mortality Audit – Meeting Minutes and Action Items Form 100 Annex 9 Steps for establishing a mortality audit for stillbirths and neonatal deaths 103 Annex 10 Verbal and social autopsy tool for stillbirth and neonatal death audits in the community 105
Annex 1: Stillbirth and Neonatal Death Case Review Form (and guidance for completion) Annex 1a: Stillbirth and Neonatal Death Case Review Form Section 1: Identification 1.1 ID # mother 1.2 ID # baby 1.3 Facility name: 1.4 Type of care available: comprehensive EmOC basic EmOC first aid home delivery 1.5 District name: 1.6 Referred not referred referred in from: referred out to: Section 2: Pregnancy progress and care 2.1 Obstetric history all pregnancies all births total live births dead stillbirths neonatal deaths abortions 2.2 Mother’s age y 2.3 Type of pregnancy singleton twin higher multiple = unknown 2.4 Antenatal care number of visits 4 or more 3 2 1 no visits unknown adjust as per local context 2.5 Malaria prophylaxis not needed IPT3+ IPT2 IPT1 not received unknown 2.6 Tetanus toxoid vaccination TT2+ TT1 not received unknown 2.7 HIV status HIV-negative HIV-positive not done unknown 2.7.1 HIV-positive action NVP HAART other, specify 2.8 Syphilis test negative syphilis-positive not done unknown Section 3: Labour and birth 3.1 Mother’s LMP DD MM YYYY unknown 3.2 Date of birth DD MM YYYY 3.2.1. Time of birth : h 3.3 Gestational age weeks unknown 3.3.1. Method of determination sure LMP dates unsure LMP dates other, specify early ultrasound late ultrasound 3.4 Place of delivery facility home road other, specify unknown 3.4.1 Attendant at delivery midwife nurse doctor other, specify no one unknown 3.5 Onset of labour spontaneous induced c/s before onset unknown 3.6 Fetal heart sounds on admission no yes unknown 3.7 Partograph used no yes unknown 3.8 Mode of delivery CVD assisted vaginal caesarean other, specify unknown 3.9 Time between decision for action and birth n/a < 30 mins 30–60 min > 60 mins unknown 3.10 Apgar score 1 min = 4 or more 3 or less unknown 5 min = 4 or more 3 or less unknown MAKING EVERY BABY COUNT: AUDIT AND REVIEW OF STILLBIRTHS AND NEONATAL DEATHS 3.11 Resuscitation not needed bag + mask not done other, specify unknown 71
Page 1 and 2:
Making Every Baby Count Audit and r
Page 3:
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 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 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
show all

Making Every Baby Count

Create successful ePaper yourself

Delete template?

Save as template?