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Table 2 Survey questions not in DHS but added to EN-INDEPTH study regarding categorisation of stillbirths

From: Stillbirth outcome capture and classification in population-based surveys: EN-INDEPTH study

Domain

Question

Source of question

Potential responses

Target population

Vital Status at birth

Did this baby cry, move or breath at birth, even a little?

If responds ‘no’ or ‘don’t know’ to first part:

If this baby did not cry, move, or breathe at birth was he/she born dead?

WHO 2012 and 2014 verbal autopsy tool [31, 32]

Yes, no, don’t know

Yes, no, don’t know

All babies classified as neonatal deaths, early fetal deaths or stillbirths based on FBH+ or FPH questions

Gestational Age

How many weeks pregnant were you when this baby was born?

Adapted from WHO 2012 Verbal Autopsy tool [31]

From card, From recall, Don’t know

Weeks: numeric integer

All babies selected for additional questions

Was this baby born before expected?

If responds ‘yes’ to first part:

How many weeks was this baby born before the expected date of delivery?

If does not know weeks:

How many months was this baby born before the expected date of delivery?

Adapted from WHO 2007 Verbal Autopsy tool [33]

Yes, no, don’t know

Weeks: numeric integer

Don’t know

Months: numeric integer

Don’t know

Birthweight

When this baby was born was this baby very large, larger than average, average, smaller than average or very small?

DHS-7 standard question to recent livebirths

Very large, larger than average, average, smaller than average, very small or don’t know

Was this baby weighed at birth?

If responds ‘yes’ to first part:

How much did this baby weigh?

DHS-7 standard question to recent livebirths

Yes, no, don’t know

Kg from card, Kg from recall, don’t know

Kg: numeric integer

Vital Status at start of labour (intrapartum/ antepartum stillbirth)

Did this baby stop moving in the womb before labour pains started?

Adapted from WHO 2014 and 2016 Verbal Autopsy tool [32, 34]

Yes, no, don’t know

All babies classified as late gestation stillbirths on FBH+ or FPH questions confirming that the baby was born dead on additional questions above.

Did a birth attendant listen for the baby’s heart beat during labour with an electronic device (Doppler) or cone-shaped stethoscope placed on the abdomen?

If responds ‘yes’ to first part:

Was the baby’s heartbeat present?

WHO Making Every Baby Count – audit and review of stillbirths and neonatal deaths guide [35]

Yes, Doppler

Yes, Stethoscope

No

Don’t know

Yes, no, don’t know

Was the baby macerated; that is skin peeling or showing signs of decay?

WHO 2007, 2012 and 2014 verbal autopsy tool [31,32,33]

Yes, no, don’t know

Presence of congenital malformations

Did this baby have any major malformation at birth?

If responds ‘yes’ to first part:

What kind of malformation did the baby have?a

WHO 2007 Verbal Autopsy tool [33]

Yes, no, don’t know

Swelling/ defect on back

Very large head

Very small head

Defect of lip/palate

Intestines protruding

Other

Don’t know

All babies classified as early or late gestation stillbirths based on FBH+ or FPH questions

Sex of babyb

Was the baby a boy or a girl?

Adapted from DHS-7

Boy, Girl, don’t know

All pregnancy losses at 6 or more months in FPH arm only

  1. Kg kilogrammes
  2. aDHS-7 asked only of livebirths ‘Is NAME a boy or a girl?’
  3. bThis question was not asked to women reporting a pregnancy loss at 5 months or earlier