Making Every Baby Count

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2.1b: Cause of death – intrapartum stillbirths: Tally the number of causes of intrapartum stillbirths in each of the listed categories in the past month at this facility. If M1–M5 designations were used, total each of those. If M1–M5 designations were not used, enter all in the “other” column provided. Tally any unknowns in the “unknown” column. 2.1c: Cause of death – neonatal deaths: Tally the number of causes of neonatal deaths in each of the listed categories in the past month at this facility. If M1–M5 designations were used, total each of those. If M1–M5 designations were not used, enter all in the “other” column provided. Tally any unknowns in the “unknown” column. 86 MAKING EVERY BABY COUNT: AUDIT AND REVIEW OF STILLBIRTHS AND NEONATAL DEATHS
Annex 3: Minimum set of perinatal indicators to collect for all births and perinatal deaths (and guidance for completion) Annex 3a: Minimum set of perinatal indicators to collect for Annex 3A all births and perinatal deaths Section 1: Identification 1.1 ID # mother 1.2 ID # baby 1.3 Facility name: 1.4 District name: 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 2.5 HIV status HIV-negative HIV-positive not done unknown 2.5.1 HIV-positive action NVP HAART other, specify 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 3.5 Attendant at delivery midwife nurse doctor other, specify no one unknown 3.8 Mode of delivery CVD assisted vaginal caesarean other, specify unknown 3.12 Sex of baby male female unknown 3.13 Birth weight g ≥ 2500 g 1500–2499 g 1000–1499 g < 1000 g unknown LBW VLBW ELBW Section 4: Details of the death 4.1 Date of death DD MM YYYY 4.2 Time of death : h 4.2 Type of death (circle one) neonatal death intrapartum stillbirth antepartum stillbirth stillbirth, unknown timing CVD: cephalic vaginal delivery; ELBW: extremely low birth weight; HAART: highly active antiretroviral therapy; HIV: human immunodeficiency virus; LBW: low birth weight; LMP: last menstrual period; NVP: nevirapine prophylaxis; SB: stillbirth; VLBW: very low birth weight MAKING EVERY BABY COUNT: AUDIT AND REVIEW OF STILLBIRTHS AND NEONATAL DEATHS 87
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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
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 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
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VA Supervisor comments and observat
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Making Every Baby Count

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