Making Every Baby Count

Annex 3b. Guidance for collecting the minimum set of
perinatal indicators for all births and perinatal deaths
Purpose of form: To identify the minimum elements that should be collected on every birth
and death that occurs in the health-care facility. The form does not have to be used in addition
to routine data collection if all of these elements are already being captured in another
place (e.g. the register or electronic health management information system).
Time of completion: The form should be completed as close to the time of birth and discharge/death
as possible. This information is to be compiled before or at the initiation of
the perinatal death review meeting (also known as “perinatal mortality audit meeting”) if
not possible in advance of the meeting.
Section 1: Identification
1.1: Mother’s ID: Put an identifier for the mother here. Include ID numbers that are used by
your health-care facility. If there are potential legal ramifications linked to audit records, do
not use this identifier and instead just number the cases discussed sequentially.
1.2: Baby’s ID: Include ID numbers that are used by your health-care facility. If no standard
ID numbers are used, put the baby’s name instead. If the baby has no name, put mother’s
name + “boy” or “girl”. If there are multiple babies for the same mother, add “boy No. 1”
or “girl No. 1” as needed.
1.3: Facility name: Put the name of the facility where the stillbirth or neonatal death took
place. If it is being reviewed at a different facility, add “reviewed at facility:____” to clarify.
1.4: District name: Put the name of the district where the facility at which the mother delivered
is located. This may not be the district that the mother is from.
Section 2: Pregnancy progress and care
2.1: Obstetric history:
• For “all pregnancies”, put the total number of pregnancies, irrespective of gestational
age, including the most recent pregnancy. Pregnancies with twins or other multiples are
counted as one pregnancy.
• For “total live births”, put the total number of live births the woman has had. Include
the delivery of the fetus or neonate being discussed. If both were born alive, twins are
counted as two living children, with the same for higher-order multiples.
• For “dead”, put the number of the mother’s deceased children. Include the fetus or neonate
being discussed. If both are deceased, twins are counted as two deceased children.
2.2: Mother’s age: Put the woman’s age in completed years. For example, a woman of 23
years and 10 months of age would be entered as “23”.
88 MAKING EVERY BABY COUNT: AUDIT AND REVIEW OF STILLBIRTHS AND NEONATAL DEATHS