Making Every Baby Count

3) If there is no gestational age estimate either based on ultrasound or the woman’s recollection,
circle “unknown” (DO NOT enter gestational age based on late ultrasound or
estimated by size at delivery).
3.3.1: Method of determination: Circle the method by which this gestational age was calculated.
Additionally, circle “sure” or “unsure” for the LMP dates, depending on the woman’s
stated level of certainty. If the woman’s certainty is not stated, or if another method was
used, write this in the “other, specify” box.
3.4: Place of delivery: Circle to indicate the place. If delivery was at a facility, enter the facility’s
name on this line.
3.5: Attendant at delivery:
• Circle “midwife” if delivery was attended by a trained midwife.
• Circle “nurse” if delivery was attended by a nurse with midwifery skills.
• Circle “doctor” if delivery was attended by a physician.
• If the delivery was attended but none of the provided options fit, write in the type of
attendant in the “other” box (e.g. traditional birth attendant, community health worker,
relative).
• Circle “no one” if no one other than the woman was present at the delivery.
• Circle “unknown” if delivery attendance is not known.
3.6: Mode of delivery: Circle to indicate the appropriate information for the fetus or neonate
being discussed.
• “CVD” for cephalic vaginal (or normal) delivery
• “assisted vaginal delivery” if vacuum and/or forceps were used
• “caesarean” if indicated
• “other” if indicated, and describe
• “unknown” if this information is not available.
More than one answer can be chosen, as appropriate.
3.7: Sex of baby: Circle “male”, “female” or “unknown” as indicated.
3.8: Birth weight: Record the total birth weight, and circle the appropriate category of birth
weight, or “unknown” if birth weight is not available. The acronyms stand for:
• LBW: Low birth weight (1500–2499 g)
• VLBW: Very low birth weight (1000–1499 g)
• ELBW: Extremely low birth weight (< 1000 g)
Section 4: Details of the death
This section is only applicable in the case of death. If the baby was discharged alive, this
section will not be completed.
4.1 and 4.2: Record the date of death and time of death.
90 MAKING EVERY BABY COUNT: AUDIT AND REVIEW OF STILLBIRTHS AND NEONATAL DEATHS