Childbirth Outcomes Form
This form collects outcomes of the trimester specific screening done during pregnancy as part of a national endeavor aimed at reducing perinatal mortality in India through a focus on Pre Eclampsia and Fetal Growth Restriction.
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Email *
Month *
Year *
1st Trimester Scan ID (enter NA if not available) *
2nd Trimester Scan ID (enter NA if not available) *
Last 3rd Trimester Scan ID *
District
State
1st Trimester Low Dose Aspirin Started
Mother Developed PE *
GA (completed weeks) at diagnosis of PE (enter 0 if no PE) *
Maternal Mortality *
Baby 1 FGR *
Baby 1 Growth
GA at delivery (completed weeks) Baby 1 *
Mode of Delivery
Clear selection
Birth status Baby 1 *
Birth weight (grams) Baby 1 *
Neonatal Mortality Baby 1 *
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