STEP 1
User Access: Choose who can edit and view this report
View Access:
Choose who sees this report on their left-hand project menu ?
All users
– OR –
Custom user access(Users in ANY groups selected below will have access) (Choose specific users, roles, or data access groups who will have access)
Selected users
site_admin (Joe User)
View a list of users who will have access to this report based on the selections above:View user access list
Edit Access: Choose who can edit, copy, or delete this report (requires user to have 'Add/Edit/Organize Reports' privileges)
All users
– OR –
Custom user access(Users in ANY groups selected below will have access) (Choose specific users, roles, or data access groups who will have access)
Selected users
site_admin (Joe User)
View a list of users who will have access to this report based on the selections above:View user access list
STEP 2
Fields to include in report
Quick Add
Add all fields from selected instrument:
-- choose instrument --
Form 1
-- select a field --
record_id "Record ID"
mcp_card "Section 1: Demographic and pregnancy details 1.MCP card available"
rch_id "1.1 RCH-ID / MCP card"
receive_date "Date when received"
district "1.1.1 Pregnant woman's District"
other_district_name "Other district name"
taluk "1.1.2 Pregnant woman's Taluk"
other_taluka_name "Other taluka name"
name_of_the_asha "1.1.3 Name of the ASHA"
mobile_number_of_the_as_ha "1.1.4 Mobile Number of the ASHA"
name_of_the_mother "1.2 Name of the mother"
age_mother "Age of the mother"
name_of_the_spouse "1.3 Name of the husband"
mobile1 "1.4 Mobile No 1"
mobile2 "1.5 Mobile No 2"
education "1.6 Education"
ration_card "1.7 Ration Card"
yes_ration_card "Type of ration card"
ration_card_other "Specify"
caste "1.8 Caste"
other_caste "Specify"
house_number_and_street "House Number and Street"
city_town_village_name "City / Town / Village Name"
district_address "District"
other_district_name_1 "Other district name"
pin_code "Pin Code"
present_same_address "1.9.a Is the present address same as the permanent address?"
house_number_and_street_2 "House Number and Street"
city_town_village_name_2 "City / Town / Village Name"
district_address_2 "District"
pin_code_2 "Pin Code"
gravida "Section Header: Section 2 : Obstetric Details2.... s a woman had)"
parity "2.2 Parity (number of times a woman has given birth to a baby)"
living "2.3 Living (number of children living presently)"
abortions "2.4. Abortions"
mnth_occur "2.4.a Which month did the first abortion occur?"
scnd_abort "2.4.b Which month did the second abortion occur?"
stillbirths_confirmation "2.5 Stillbirths (birth of dead fetes any time... s of gestation)"
stillbirths "Stillbirths (birth of dead fetes any time after... s of gestation)"
stllbrth_1 "2.5.a Which month did the first stillbirth occur?"
stllbrth_2 "2.5.b Which month did the second stillbirth occur?"
neontl_count "2.6 Number of neonatal death (death of baby wit... 8days of birth)"
neonatal_deaths "2.6 a. Which day of life did first neonatal death occur?"
cause_nd "2.6.b. Cause of first neonatal death"
neontl_dths "2.6.c Which day of life did second neonatal death occur?"
cuse_neontl_dths "2.6.d Cause of second neonatal death"
menstruation_regular "2.7 Menstruation regular"
no_of_days_menstruation_cycle "No of days of menstruation cycle"
no_of_days_between_cycle "2.7.1 Number of days between each menstruation... regular or not"
lmp "2.7.2 LMP"
edd "2.7.3 EDD"
type_cooking_fuel "Section Header: Section 3: Household, Nutrition... none response)"
kitchen "3.2 Kitchen (Can answer only ONE response)"
tobacco "3.3 Chewing tobacco and smoking"
another_smoke_inside_home "3.4 Another household member who smokes inside the house"
screen_spcfc_dses "3.5 Screening for specific diseases"
oth_spcfy_3 "Specify"
contracep_3 "3.6 Did you use any contraception (pills/natur... fore pregnancy?"
rcvd_angawd "3.7 Received services from Anganwadi"
spcl_medi_3 "3.8 Special Medication"
sm_high_dose_flic_acd_prec "3.8.1 High dose Folic acid (0.5g per day) prescribed"
sm_took_medication "Medication was prescribed, then did you take th... on (folic acid)"
sp_fa_tablets_bought "How many tablets were bought/given?"
sp_fa_tablets_consumed "How many tablets were consumed?"
sm_iron_prescribed "3.8.2 Weekly Iron Supplementation prescribed"
sm_took_iron_medication "Medication was prescribed, then did you take th... dication (Iron)"
sm_iron_tab_bought "How many tablets were bought/given?"
sm_iron_tab_consumed "How many tablets were consumed?"
anc_done "Section Header: Part 2 (Antenatal Care) Section... ANC visit done"
yes_howmny_anc "How many ANC visits did you have for this pregnancy?"
why_no_anc "Why did you not go for any ANC?"
obtained_previous_pregn_ancy_history_and_recorde_d "4.2 Was previous pregnancy history obtained and... not applicable]"
complication_previous_p_regnancy "4.2.1 Was there any complication/problem in any... ious pregnancy?"
previous_preg_history "4.2.2. If YES, specify all that apply for any c... n one response]"
previous_lscs_if_yes_sp_ecify_reason "LSCS: If YES, specify reason"
baby_with_congenital_ab_normalities_if_yes_speci_fy "Specify (Baby with congenital abnormalities) "
others_specify_complica_tion_pre_preg "Specify Other"
medical_problem_prev_pr_eg "4.3 Has been diagnosed with any medical problem... sent pregnancy?"
specify_medical_prob_pr_ev_preg "4.3.1 IF YES, Specify medical problem during th... vious pregnancy"
other_medical_prob_prev_preg "Specify"
anc_visit_1 "(4.4 What all was performed at the ANC (source:... First ANC visit"
date_anc_visits_a1 "Date of 1st ANC visit"
gestational_ages_a1 "Gestational age at 1st ANC visit(in weeks)"
months_amenorrhea_a1 "Months of amenorrhea at 1st ANC visit"
place_of_anc_visit_1 "Place of ANC visit"
seen_by_1 "Seen by"
vomiting_anc_vst_1 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_1 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_1 "Any breathlessness / tiredness"
headache_blurred_vision_anc_1 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_1 "Jaundice"
abdominal_pain_anc_1 "Abdominal pain"
bleeding_per_vagina_anc_1 "Bleeding per vagina"
leaking_per_vagina_anc_1 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_1 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_1 "Treatment for conception"
fever_anc_vst_1 "Fever"
other_anc_vst_1 "Other"
specify_other_anc_vst_1 "Specify other"
ht_checked_anc_visit_1 "Height checked for ANC visit 1"
wt_checked_anc_visit_1 "Weight checked for ANC visit 1"
bp_checked_anc_visit_1 "Blood Pressure checked for ANC visit 1"
checked_pulse_anc_1 "Checked pulse"
checkd_respiration_anc_1 "Checked respiration"
checked_for_swelling_anc_1 "Checked for swelling"
checked_for_jaundice_anc_1 "Checked for jaundice"
checked_fetal_lie_anc_1 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_1 "Record of fetal lie in ANC visit 1"
checked_fetal_position_anc_1 "Checked fetal position [>32weeks GA only]"
checkd_pallor_1 "Checked for Pallor at 1st Visit"
oedema_a1 "Checked for Pedal Oedema at 1st Visit"
breasts_examined_a1 "Breasts Examined at 1st Visit"
prob_breasts_examined_a1 "Any specific problems observed during breast ex... 1st ANC visit?"
pre_scar_a1 "Checked for Previous Scar"
rcrd_symp_1 "Record symphysis fundal height (SFH) at the 1st ANC visit"
rcrd_fhr_1 "Record FHR [>22wks] at 1st Visit"
hemo_1 "Hemoglobin at 1st Visit"
rndm_bld_1 "Random blood sugar at 1st Visit"
vdrl_1 "VDRL at first ANC visit"
hiv_1 "HIV test at 1st ANC visit"
hbsag_1 "HBsAG at 1st Visit"
malaria_anc_visit_1 "Malaria test at ANC visit 1"
cbc_done_at_anc_visit_1 "CBC done at ANC visit 1"
tft_1 "Thyroid profile at 1st Visit"
bld_rh_1 "Blood group and Rh at 1st Visit"
gtt_1 "Glucose Tolerance Test (GTT) at 1st Visit"
oth_1 "Any other test at 1st Visit"
aobt_results_a1 "Record any other test results at the 1st ANC visit, if available"
urine_albumin_a1 "Urine Albumin test done at 1st ANC visit?"
urine_albumin_results_a1 "Record Urine Albumin test results at 1st ANC visit, if available"
urine_sugar_a1 "Urine Sugar test done at 1st ANC visit?"
urine_sugar_test_results_a1 "Record urine sugar test results at 1st ANC visit, if available"
urine_micro_a1 "Urine Microscopy test done at 1st ANC visit?"
urine_microscopy_results_a1 "Record urine microscopy results at 1st ANC visit, if available"
usg_a1 "Did ultrasonography on the 1st ANC visit?"
usgda_a1 "Date of ultrasonography at 1st ANC visit"
reason_usg_anc_1 "Reason for ultrasonography done ?"
result_of_usg_1 "Finding of ultrasonography at 1st ANC visit"
where_done_usg_a1 "Where was it done at 1st ANC visit?"
nst_ctg_done_anc_visit_1 "NST / CTG done ANC visit 1"
date_nst_ctg_anc_1 "Date NST / CTG done ANC visit 1"
reson_nst_anc_1 "Reason for NST/CTG ?"
result_of_nst_anc_1 "Result of NST/CTG"
where_done_nst_1 "Where it is done"
doppler_done_a1 "Doppler done on 1st ANC visit?"
doppler_date_a1 "Date of Doppler at 1st ANC visit"
reason_for_doppler_anc_1 "Reason for Doppler"
where_done_doppler_a1 "Where was the Doppler done at 1st ANC visit?"
doppler_findings_a1 "Findings of Doppler at 1st ANC visit"
any_oth_radiological_tests_a1 "Any other Radiological tests done in the 1st ANC visit?"
oth_investigation_test_name_a1 "Name of any other radiological test done at the 1st ANC visit"
oth_investigation_test_date_a1 "Date of the Radiological test at the 1st ANC visit"
reason_for_otr_radio_exa_anc_1 "Reason for other radiological examination"
where_done_oth_investigation_a1 "Where was the Radiological test done at the 1st ANC visit?"
oth_investigation_findings_a1 "Findings of the Radiological test at the 1st ANC visit"
anc_visit_2 "Second ANC visit"
date_anc_visits_a2 "Date of 2nd ANC visit"
gestational_ages_a2 "Gestational age at 2nd ANC visit(in weeks)"
months_amenorrhea_a2 "Months of amenorrhea at 2nd ANC visit"
place_of_anc_visit_2 "Place of ANC visit"
seen_by_2 "Seen by"
vomiting_anc_vst_2 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_2 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_2 "Any breathlessness / tiredness"
headache_blurred_vision_anc_2 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_2 "Jaundice"
abdominal_pain_anc_2 "Abdominal pain"
bleeding_per_vagina_anc_2 "Bleeding per vagina"
leaking_per_vagina_anc_2 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_2 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_2 "Treatment for conception"
fever_anc_vst_2 "Fever"
other_anc_vst_2 "Other"
specify_other_anc_vst_2 "Specify other"
ht_checked_anc_visit_2 "Height checked for ANC visit 2"
wt_checked_anc_visit_2 "Weight checked for ANC visit 2"
bp_checked_anc_visit_2 "Blood Pressure checked for ANC visit 2"
checked_pulse_anc_2 "Checked pulse"
checkd_respiration_anc_2 "Checked respiration"
checked_for_swelling_anc_2 "Checked for swelling"
checked_for_jaundice_anc_2 "Checked for jaundice"
checked_fetal_lie_anc_2 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_2 "Record of fetal lie in ANC visit 2"
checked_fetal_position_anc_2 "Checked fetal position [>32weeks GA only]"
checkd_pallor_2 "Checked for Pallor at 2nd Visit"
oedema_a2 "Checked for Pedal Oedema at 2nd Visit"
breasts_examined_a2 "Breasts Examined at 2nd Visit"
prob_breasts_examined_a2 "Any specific problems observed during breast ex... 2nd ANC visit?"
rcrd_symp_2 "Record symphysis fundal height (SFH) at the 2nd ANC visit"
rcrd_fhr_2 "Record FHR [>22wks] at 2nd Visit"
hemo_2 "Hemoglobin at 2nd Visit"
rndm_bld_2 "Random blood sugar at 2nd Visit"
vdrl_2 "VDRL/ Syphilis at 2nd Visit"
hiv_2 "HIV at 2nd Visit"
hbsag_2 "HBsAG at 2nd Visit"
malaria_anc_visit_2 "Malaria test at ANC visit 2"
cbc_done_at_anc_visit_2 "CBC done at ANC visit 2"
tft_2 "Thyroid profile at 2nd Visit"
bld_rh_2 "Blood group and Rh at 2nd Visit"
gtt_2 "Glucose Tolerance Test (GTT) at 2nd Visit"
oth_2 "Any other test at 2nd Visit"
aobt_results_a2 "Record any other test results at the 2nd ANC visit, if available"
urine_albumin_a2 "Urine Albumin test done at 2nd ANC visit?"
urine_albumin_results_a2 "Record Urine Albumin test results at 2nd ANC visit, if available"
urine_sugar_a2 "Urine Sugar test done at 2nd ANC visit?"
urine_sugar_test_results_a2 "Record urine sugar test results at 2nd ANC visit, if available"
urine_micro_a2 "Urine Microscopy test done at 2nd ANC visit?"
urine_microscopy_results_a2 "Record urine microscopy results at 2nd ANC visit, if available"
usg_a2 "Did ultrasonography on the 2nd ANC visit?"
usgda_a2 "Date of ultrasonography at 2nd ANC visit"
reason_usg_anc_2 "Reason for ultrasonography done ?"
result_of_usg_2 "Result of ultrasonography"
where_done_usg_a2 "Where was it done at 2nd ANC visit?"
nst_ctg_done_anc_visit_2 "NST / CTG done ANC visit 2"
date_nst_ctg_anc_2 "Date NST / CTG done ANC visit 2"
reson_nst_anc_2 "Reason for NST/CTG ?"
result_of_nst_anc_2 "Finding of NST/CTG ANC visit 2"
where_done_nst_2 "Where it is done"
doppler_done_a2 "Doppler done on 2nd ANC visit ?"
doppler_date_a2 "Date of Doppler at 2nd ANC visit"
reason_for_doppler_anc_2 "Reason for Doppler"
where_done_doppler_a2 "Where was the Doppler done at 2nd ANC visit?"
doppler_findings_a2 "Findings of Doppler at 2nd ANC visit"
any_oth_radiological_tests_a2 "Any other Radiological tests done in the 2nd ANC visit?"
oth_investigation_test_name_a2 "Name of any other radiological test done at the 2nd ANC visit"
oth_investigation_test_date_a2 "Date of the Radiological test at the 2nd ANC visit"
reason_for_otr_radio_exa_anc_2 "Reason for other radiological examination"
where_done_oth_investigation_a2 "Where was the Radiological test done at the 2nd ANC visit?"
oth_investigation_findings_a2 "Findings of the Radiological test at the 2nd ANC visit"
anc_visit_3 "3rd ANC visit"
date_anc_visits_a3 "Date of 3rd ANC visit"
gestational_ages_a3 "Gestational age at 3rd ANC visit(in weeks)"
months_amenorrhea_a3 "Months of amenorrhea at 3rd ANC visit"
place_of_anc_visit_3 "Place of ANC visit"
seen_by_3 "Seen by"
vomiting_anc_vst_3 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_3 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_3 "Any breathlessness / tiredness"
headache_blurred_vision_anc_3 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_3 "Jaundice"
abdominal_pain_anc_3 "Abdominal pain"
bleeding_per_vagina_anc_3 "Bleeding per vagina"
leaking_per_vagina_anc_3 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_3 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_3 "Treatment for conception"
fever_anc_vst_3 "Fever"
other_anc_vst_3 "Other"
specify_other_anc_vst_3 "Specify other"
ht_checked_anc_visit_3 "Height checked for ANC visit 3"
wt_checked_anc_visit_3 "Weight checked for ANC visit 3"
bp_checked_anc_visit_3 "Blood Pressure checked for ANC visit 3"
checked_pulse_anc_3 "Checked pulse"
checkd_respiration_anc_3 "Checked respiration"
checked_for_swelling_anc_3 "Checked for swelling"
checked_for_jaundice_anc_3 "Checked for jaundice"
checked_fetal_lie_anc_3 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_3 "Record of fetal lie in ANC visit 3"
checked_fetal_position_anc_3 "Checked fetal position [>32weeks GA only]"
checkd_pallor_3 "Checked for Pallor at 3rd Visit"
oedema_a3 "Checked for Pedal Oedema at 3rd Visit"
breasts_examined_a3 "Breasts Examined at 3rd Visit"
prob_breasts_examined_a3 "Any specific problems observed during breast ex... 3rd ANC visit?"
rcrd_symp_3 "Record symphysis fundal height (SFH) at the 3rd ANC visit"
rcrd_fhr_3 "Record FHR [>22wks] at 3rd Visit"
hemo_3 "Hemoglobin at 3rd Visit"
rndm_bld_3 "Random blood sugar at 3rd Visit"
vdrl_3 "VDRL/ Syphilis at 3rd Visit"
hiv_3 "HIV at 3rd Visit"
hbsag_3 "HBsAG at 3rd Visit"
malaria_anc_visit_3 "Malaria test at ANC visit 3"
cbc_done_at_anc_visit_3 "CBC done at ANC visit 3"
tft_3 "Thyroid profile at 3rd Visit"
bld_rh_3 "Blood group and Rh at 3rd Visit"
gtt_3 "Glucose Tolerance Test (GTT) at 3rd Visit"
oth_3 "Any other test at 3rd Visit"
aobt_results_a3 "Record any other test results at the 3rd ANC visit, if available"
urine_albumin_a3 "Urine Albumin test done at 3rd ANC visit?"
urine_albumin_results_a3 "Record Urine Albumin test results at 3rd ANC visit, if available"
urine_sugar_a3 "Urine Sugar test done at 3rd ANC visit?"
urine_sugar_test_results_a3 "Record urine sugar test results at 3rd ANC visit, if available"
urine_micro_a3 "Urine Microscopy test done at 3rd ANC visit?"
urine_microscopy_results_a3 "Record urine microscopy results at 3rd ANC visit, if available"
usg_a3 "Did ultrasonography on the 3rd ANC visit?"
usgda_a3 "Date of ultrasonography at 3rd ANC visit"
reason_usg_anc_3 "Reason for ultrasonography done ?"
result_of_usg_3 "Finding of ultrasonography at ANC visit 3"
where_done_usg_a3 "Where was it done at 3rd ANC visit?"
nst_ctg_done_anc_visit_3 "NST / CTG done ANC visit 3"
date_nst_ctg_anc_3 "Date NST / CTG done ANC visit 3"
reson_nst_anc_3 "Reason for NST/CTG ?"
result_of_nst_anc_3 "Finding of NST/CTG at ANC visit 3"
where_done_nst_3 "Where it is done"
doppler_done_a3 "Doppler done on 3rd ANC visit ?"
doppler_date_a3 "Date of Doppler at 3rd ANC visit"
reason_for_doppler_anc_3 "Reason for Doppler"
where_done_doppler_a3 "Where was the Doppler done at 3rd ANC visit?"
doppler_findings_a3 "Findings of Doppler at 3rd ANC visit"
any_oth_radiological_tests_a3 "Any other Radiological tests done in the 3rd ANC visit?"
oth_investigation_test_name_a3 "Name of any other radiological test done at the 3rd ANC visit"
oth_investigation_test_date_a3 "Date of the Radiological test at the 3rd ANC visit"
reason_for_otr_radio_exa_anc_3 "Reason for other radiological examination"
where_done_oth_investigation_a3 "Where was the Radiological test done at the 3rd ANC visit?"
oth_investigation_findings_a3 "Findings of the Radiological test at the 3rd ANC visit"
anc_visit_4 "4th ANC visit"
date_anc_visits_a4 "Date of 4th ANC visit"
gestational_ages_a4 "Gestational age at 4th ANC visit(in weeks)"
months_amenorrhea_a4 "Months of amenorrhea at 4th ANC visit"
place_of_anc_visit_4 "Place of ANC visit"
seen_by_4 "Seen by"
vomiting_anc_vst_4 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_4 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_4 "Any breathlessness / tiredness"
headache_blurred_vision_anc_4 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_4 "Jaundice"
abdominal_pain_anc_4 "Abdominal pain"
bleeding_per_vagina_anc_4 "Bleeding per vagina"
leaking_per_vagina_anc_4 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_4 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_4 "Treatment for conception"
fever_anc_vst_4 "Fever"
other_anc_vst_4 "Other"
specify_other_anc_vst_4 "Specify other"
ht_checked_anc_visit_4 "Height checked for ANC visit 4th"
wt_checked_anc_visit_4 "Weight checked for ANC visit 4th"
bp_checked_anc_visit_4 "Blood Pressure checked for ANC visit 4th"
checked_pulse_anc_4 "Checked pulse"
checkd_respiration_anc_4 "Checked respiration"
checked_for_swelling_anc_4 "Checked for swelling"
checked_for_jaundice_anc_4 "Checked for jaundice"
checked_fetal_lie_anc_4 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_4 "Record of fetal lie in ANC visit 4"
checked_fetal_position_anc_4 "Checked fetal position [>32weeks GA only]"
checkd_pallor_4 "Checked for Pallor at 4th Visit"
oedema_a4 "Checked for Pedal Oedema at 4th Visit"
breasts_examined_a4 "Breasts Examined at 4th Visit"
prob_breasts_examined_a4 "Any specific problems observed during breast ex... 4th ANC visit?"
rcrd_symp_4 "Record symphysis fundal height (SFH) at the 4th ANC visit"
rcrd_fhr_4 "Record FHR [>22wks] at 4th Visit"
hemo_4 "Hemoglobin at 4th Visit"
rndm_bld_4 "Random blood sugar at 4th Visit"
vdrl_4 "VDRL/ Syphilis at 4th Visit"
hiv_4 "HIV at 4th Visit"
hbsag_4 "HBsAG at 4th Visit"
malaria_anc_visit_4 "Malaria test at ANC visit 4"
cbc_done_at_anc_visit_4 "CBC done at ANC visit 4"
tft_4 "Thyroid profile at 4th Visit"
bld_rh_4 "Blood group and Rh at 4th Visit"
gtt_4 "Glucose Tolerance Test (GTT) at 4thVisit"
oth_4 "Any other test at 4th Visit"
aobt_results_a4 "Record any other test results at the 4th ANC visit, if available"
urine_albumin_a4 "Urine Albumin test done at 4th ANC visit?"
urine_albumin_results_a4 "Record Urine Albumin test results at 4th ANC visit, if available"
urine_sugar_a4 "Urine Sugar test done at 4th ANC visit?"
urine_sugar_test_results_a4 "Record urine sugar test results at 4th ANC visit, if available"
urine_micro_a4 "Urine Microscopy test done at 4th ANC visit?"
urine_microscopy_results_a4 "Record urine microscopy results at 4th ANC visit, if available"
usg_a4 "Did ultrasonography on the 4th ANC visit?"
usgda_a4 "Date of ultrasonography at 4th ANC visit"
reason_usg_anc_4 "Reason for ultrasonography done ?"
result_of_usg_4 "Finding of ultrasonography done at ANC visit 4"
where_done_usg_a4 "Where was it done at 4th ANC visit?"
nst_ctg_done_anc_visit_4 "NST / CTG done ANC visit 4"
date_nst_ctg_anc_4 "Date NST / CTG done ANC visit 4"
reson_nst_anc_4 "Reason for NST/CTG ?"
result_of_nst_anc_4 "Finding of NST/CTG at ANC visit 4"
where_done_nst_4 "Where it is done"
doppler_done_a4 "Doppler done on 4th ANC visit ?"
doppler_date_a4 "Date of Doppler at 4th ANC visit"
reason_for_doppler_anc_4 "Reason for Doppler"
where_done_doppler_a4 "Where was the Doppler done at 4th ANC visit?"
doppler_findings_a4 "Findings of Doppler at 4th ANC visit"
any_oth_radiological_tests_a4 "Any other Radiological tests done in the 4th ANC visit?"
oth_investigation_test_name_a4 "Name of any other radiological test done at the 4th ANC visit"
oth_investigation_test_date_a4 "Date of the Radiological test at the 4th ANC visit"
reason_for_otr_radio_exa_anc_4 "Reason for other radiological examination"
where_done_oth_investigation_a4 "Where was the Radiological test done at the 4th ANC visit?"
oth_investigation_findings_a4 "Findings of the Radiological test at the 4th ANC visit"
anc_visit_5 "5th ANC visit"
date_anc_visits_a5 "Date of 5th ANC visit"
gestational_ages_a5 "Gestational age at 5th ANC visit(in weeks)"
months_amenorrhea_a5 "Months of amenorrhea at 5th ANC visit"
place_of_anc_visit_5 "Place of ANC visit"
seen_by_5 "Seen by"
vomiting_anc_vst_5 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_5 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_5 "Any breathlessness / tiredness"
headache_blurred_vision_anc_5 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_5 "Jaundice"
abdominal_pain_anc_5 "Abdominal pain"
bleeding_per_vagina_anc_5 "Bleeding per vagina"
leaking_per_vagina_anc_5 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_5 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_5 "Treatment for conception"
fever_anc_vst_5 "Fever"
other_anc_vst_5 "Other"
specify_other_anc_vst_5 "Specify other"
ht_checked_anc_visit_5 "Height checked for ANC visit 5th"
wt_checked_anc_visit_5 "Weight checked for ANC visit 5th"
bp_checked_anc_visit_5 "Blood Pressure checked for ANC visit 5th"
checked_pulse_anc_5 "Checked pulse"
checkd_respiration_anc_5 "Checked respiration"
checked_for_swelling_anc_5 "Checked for swelling"
checked_for_jaundice_anc_5 "Checked for jaundice"
checked_fetal_lie_anc_5 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_5 "Record of fetal lie in ANC visit 5"
checked_fetal_position_anc_5 "Checked fetal position [>32weeks GA only]"
checkd_pallor_5 "Checked for Pallor at 5th Visit"
oedema_a5 "Checked for Pedal Oedema at 5th Visit"
breasts_examined_a5 "Breasts Examined at 5th Visit"
prob_breasts_examined_a5 "Any specific problems observed during breast ex... 5th ANC visit?"
rcrd_symp_5 "Record symphysis fundal height (SFH) at the 5th ANC visit"
rcrd_fhr_5 "Record FHR [>22wks] at 5th Visit"
hemo_5 "Hemoglobin at 5th Visit"
rndm_bld_5 "Random blood sugar at 5th Visit"
vdrl_5 "VDRL/ Syphilis at 5th Visit"
hiv_5 "HIV at 5th Visit"
hbsag_5 "HBsAG at 5th Visit"
malaria_anc_visit_5 "Malaria test at ANC visit 5"
cbc_done_at_anc_visit_5 "CBC done at ANC visit 5"
tft_5 "Thyroid profile at 5th Visit"
bld_rh_5 "Blood group and Rh at 5th Visit"
gtt_5 "Glucose Tolerance Test (GTT) at 5th Visit"
oth_5 "Any other test at 5th Visit"
aobt_results_a5 "Record any other test results at the 5th ANC visit, if available"
urine_albumin_a5 "Urine Albumin test done at 5th ANC visit?"
urine_albumin_results_a5 "Record Urine Albumin test results at 5th ANC visit, if available"
urine_sugar_a5 "Urine Sugar test done at 5th ANC visit?"
urine_sugar_test_results_a5 "Record urine sugar test results at 5th ANC visit, if available"
urine_micro_a5 "Urine Microscopy test done at 5th ANC visit?"
urine_microscopy_results_a5 "Record urine microscopy results at 5th ANC visit, if available"
usg_a5 "Did ultrasonography on the 5th ANC visit?"
usgda_a5 "Date of ultrasonography at 5th ANC visit"
reason_usg_anc_5 "Reason for ultrasonography done ?"
result_of_usg_5 "Finding of ultrasonography done at ANC visit 5"
where_done_usg_a5 "Where was it done at 5th ANC visit?"
nst_ctg_done_anc_visit_5 "NST / CTG done ANC visit 5"
date_nst_ctg_anc_5 "Date NST / CTG done ANC visit 5"
reson_nst_anc_5 "Reason for NST/CTG ?"
result_of_nst_anc_5 "Finding of NST/CTG done at ANC visit 5"
where_done_nst_5 "Where it is done"
doppler_done_a5 "Doppler done on 5th ANC visit ?"
doppler_date_a5 "Date of Doppler at 5th ANC visit"
reason_for_doppler_anc_5 "Reason for Doppler"
where_done_doppler_a5 "Where was the Doppler done at 5th ANC visit?"
doppler_findings_a5 "Findings of Doppler at 5th ANC visit"
any_oth_radiological_tests_a5 "Any other Radiological tests done in the 5th ANC visit?"
oth_investigation_test_name_a5 "Name of any other radiological test done at the 5th ANC visit"
oth_investigation_test_date_a5 "Date of the Radiological test at the 5th ANC visit"
reason_for_otr_radio_exa_anc_5 "Reason for other radiological examination"
where_done_oth_investigation_a5 "Where was the Radiological test done at the 5th ANC visit?"
oth_investigation_findings_a5 "Findings of the Radiological test at the 5th ANC visit"
anc_visit_6 "6th ANC visit"
date_anc_visits_a6 "Date of 6th ANC visit"
gestational_ages_a6 "Gestational age at 6th ANC visit(in weeks)"
months_amenorrhea_a6 "Months of amenorrhea at 6th ANC visit"
place_of_anc_visit_6 "Place of ANC visit"
seen_by_6 "Seen by"
vomiting_anc_vst_6 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_6 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_6 "Any breathlessness / tiredness"
headache_blurred_vision_anc_6 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_6 "Jaundice"
abdominal_pain_anc_6 "Abdominal pain"
bleeding_per_vagina_anc_6 "Bleeding per vagina"
leaking_per_vagina_anc_6 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_6 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_6 "Treatment for conception"
fever_anc_vst_6 "Fever"
other_anc_vst_6 "Other"
specify_other_anc_vst_6 "Specify other"
ht_checked_anc_visit_6 "Height checked for ANC visit 6th"
wt_checked_anc_visit_6 "Weight checked for ANC visit 6th"
bp_checked_anc_visit_6 "Blood Pressure checked for ANC visit 6th"
checked_pulse_anc_6 "Checked pulse"
checkd_respiration_anc_6 "Checked respiration"
checked_for_swelling_anc_6 "Checked for swelling"
checked_for_jaundice_anc_6 "Checked for jaundice"
checked_fetal_lie_anc_6 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_6 "Record of fetal lie in ANC visit 6"
checked_fetal_position_anc_6 "Checked fetal position [>32weeks GA only]"
checkd_pallor_6 "Checked for Pallor at 6th Visit"
oedema_a6 "Checked for Pedal Oedema at 6th Visit"
breasts_examined_a6 "Breasts Examined at 6th Visit"
prob_breasts_examined_a6 "Any specific problems observed during breast ex... 6th ANC visit?"
rcrd_symp_6 "Record symphysis fundal height (SFH) at the 6th ANC visit"
rcrd_fhr_6 "Record FHR [>22wks] at 6th Visit"
hemo_6 "Hemoglobin at 6th Visit"
rndm_bld_6 "Random blood sugar at 6th Visit"
vdrl_6 "VDRL/ Syphilis at 6th Visit"
hiv_6 "HIV at 6th Visit"
hbsag_6 "HBsAG at 6th Visit"
malaria_anc_visit_6 "Malaria test at ANC visit 6"
cbc_done_at_anc_visit_6 "CBC done at ANC visit 6"
tft_6 "Thyroid profile at 6th Visit"
bld_rh_6 "Blood group and Rh at 6th Visit"
gtt_6 "Glucose Tolerance Test (GTT) at 6th Visit"
oth_6 "Any other test at 6th Visit"
aobt_results_a7 "Record any other test results at the 6th ANC visit, if available"
urine_albumin_a6 "Urine Albumin test done at 6th ANC visit?"
urine_albumin_results_a6 "Record Urine Albumin test results at 6th ANC visit, if available"
urine_sugar_a6 "Urine Sugar test done at 6th ANC visit?"
urine_sugar_test_results_a6 "Record urine sugar test results at 6th ANC visit, if available"
urine_micro_a6 "Urine Microscopy test done at 6th ANC visit?"
urine_microscopy_results_a6 "Record urine microscopy results at 6th ANC visit, if available"
usg_a6 "Did ultrasonography on the 6th ANC visit?"
usgda_a6 "Date of ultrasonography at 6th ANC visit"
reason_usg_anc_6 "Reason for ultrasonography done ?"
result_of_usg_6 "Findings of ultrasonography done at ANC visit 6"
where_done_usg_a6 "Where was it done at 6th ANC visit?"
nst_ctg_done_anc_visit_6 "NST / CTG done ANC visit 6"
date_nst_ctg_anc_6 "Date NST / CTG done ANC visit 6"
reson_nst_anc_6 "Reason for NST/CTG ?"
result_of_nst_anc_6 "Finding of NST/CTG done at ANC visit 6"
where_done_nst_6 "Where it is done"
doppler_done_a6 "Doppler done on 6th ANC visit ?"
doppler_date_a6 "Date of Doppler at 6th ANC visit"
reason_for_doppler_anc_6 "Reason for Doppler"
where_done_doppler_a6 "Where was the Doppler done at 6th ANC visit?"
doppler_findings_a6 "Findings of Doppler at 6th ANC visit"
any_oth_radiological_tests_a6 "Any other Radiological tests done in the 6th ANC visit?"
oth_investigation_test_name_a6 "Name of any other radiological test done at the 6th ANC visit"
oth_investigation_test_date_a6 "Date of the Radiological test at the 6th ANC visit"
reason_for_otr_radio_exa_anc_6 "Reason for other radiological examination"
where_done_oth_investigation_a6 "Where was the Radiological test done at the 6th ANC visit?"
oth_investigation_findings_a6 "Findings of the Radiological test at the 6th ANC visit"
anc_visit_7 "7th ANC visit"
date_anc_visits_a7 "Date of 7th ANC visit"
gestational_ages_a7 "Gestational age at 7th ANC visit(in weeks)"
months_amenorrhea_a7 "Months of amenorrhea at 7th ANC visit"
place_of_anc_visit_7 "Place of ANC visit"
seen_by_7 "Seen by"
vomiting_anc_vst_7 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_7 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_7 "Any breathlessness / tiredness"
headache_blurred_vision_anc_7 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_7 "Jaundice"
abdominal_pain_anc_7 "Abdominal pain"
bleeding_per_vagina_anc_7 "Bleeding per vagina"
leaking_per_vagina_anc_7 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_7 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_7 "Treatment for conception"
fever_anc_vst_7 "Fever"
other_anc_vst_7 "Other"
specify_other_anc_vst_7 "Specify other"
ht_checked_anc_visit_7 "Height checked for ANC visit 7th"
wt_checked_anc_visit_7 "Weight checked for ANC visit 7th"
bp_checked_anc_visit_7 "Blood Pressure checked for ANC visit 7th"
checked_pulse_anc_7 "Checked pulse"
checkd_respiration_anc_7 "Checked respiration"
checked_for_swelling_anc_7 "Checked for swelling"
checked_for_jaundice_anc_7 "Checked for jaundice"
checked_fetal_lie_anc_7 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_7 "Record of fetal lie in ANC visit 7"
checked_fetal_position_anc_7 "Checked fetal position [>32weeks GA only]"
checkd_pallor_7 "Checked for Pallor at 7th Visit"
oedema_a7 "Checked for Pedal Oedema at 7th Visit"
breasts_examined_a7 "Breasts Examined at 7th Visit"
prob_breasts_examined_a7 "Any specific problems observed during breast ex... 7th ANC visit?"
rcrd_symp_7 "Record symphysis fundal height (SFH) at the 7th ANC visit"
rcrd_fhr_7 "Record FHR [>22wks] at 7th Visit"
hemo_7 "Hemoglobin at 7th Visit"
rndm_bld_7 "Random blood sugar at 7th Visit"
vdrl_7 "VDRL/ Syphilis at 7th Visit"
hiv_7 "HIV at 7th Visit"
hbsag_7 "HBsAG at 7th Visit"
malaria_anc_visit_7 "Malaria test at ANC visit 7"
cbc_done_at_anc_visit_7 "CBC done at ANC visit 7"
tft_7 "Thyroid profile at 7th Visit"
bld_rh_7 "Blood group and Rh at 7th Visit"
gtt_7 "Glucose Tolerance Test (GTT) at 7th Visit"
oth_7 "Any other test at 7th Visit"
aobt_results_a6 "Record any other test results at the 6th ANC visit, if available"
urine_albumin_a7 "Urine Albumin test done at 7th ANC visit?"
urine_albumin_results_a7 "Record Urine Albumin test results at 7th ANC visit, if available"
urine_sugar_a7 "Urine Sugar test done at 7th ANC visit?"
urine_sugar_test_results_a7 "Record urine sugar test results at 7th ANC visit, if available"
urine_micro_a7 "Urine Microscopy test done at 7th ANC visit?"
urine_microscopy_results_a7 "Record urine microscopy results at 7th ANC visit, if available"
usg_a7 "Did ultrasonography on the 7th ANC visit?"
usgda_a7 "Date of ultrasonography at 7th ANC visit"
reason_usg_anc_7 "Reason for ultrasonography done ?"
result_of_usg_7 "Findings of ultrasonography done at ANC visit 7"
where_done_usg_a7 "Where was it done at 7th ANC visit?"
nst_ctg_done_anc_visit_7 "NST / CTG done ANC visit 7"
date_nst_ctg_anc_7 "Date NST / CTG done ANC visit 7"
reson_nst_anc_7 "Reason for NST/CTG ?"
result_of_nst_anc_7 "Findings of NST/CTG done at ANC visit 7"
where_done_nst_7 "Where it is done"
doppler_done_a7 "Doppler done on 7th ANC visit ?"
doppler_date_a7 "Date of Doppler at 7th ANC visit"
reason_for_doppler_anc_7 "Reason for Doppler"
where_done_doppler_a7 "Where was the Doppler done at 7th ANC visit?"
doppler_findings_a7 "Findings of Doppler at 7th ANC visit"
any_oth_radiological_tests_a7 "Any other Radiological tests done in the 7th ANC visit?"
oth_investigation_test_name_a7 "Name of any other radiological test done at the 7th ANC visit"
oth_investigation_test_date_a7 "Date of the Radiological test at the 7th ANC visit"
reason_for_otr_radio_exa_anc_7 "Reason for other radiological examination"
where_done_oth_investigation_a7 "Where was the Radiological test done at the 7th ANC visit?"
oth_investigation_findings_a7 "Findings of the Radiological test at the 7th ANC visit"
anc_visit_8 "8th ANC visit"
date_anc_visits_a8 "Date of 8th ANC visit"
gestational_ages_a8 "Gestational age at 8th ANC visit(in weeks)"
months_amenorrhea_a8 "Months of amenorrhea at 8th ANC visit"
place_of_anc_visit_8 "Place of ANC visit"
seen_by_8 "Seen by"
vomiting_anc_vst_8 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_8 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_8 "Any breathlessness / tiredness"
headache_blurred_vision_anc_8 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_8 "Jaundice"
abdominal_pain_anc_8 "Abdominal pain"
bleeding_per_vagina_anc_8 "Bleeding per vagina"
leaking_per_vagina_anc_8 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_8 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_8 "Treatment for conception"
fever_anc_vst_8 "Fever"
other_anc_vst_8 "Other"
specify_other_anc_vst_8 "Specify other"
ht_checked_anc_visit_8 "Height checked for ANC visit 8th"
wt_checked_anc_visit_8 "Weight checked for ANC visit 8th"
bp_checked_anc_visit_8 "Blood Pressure checked for ANC visit 8th"
checked_pulse_anc_8 "Checked pulse"
checkd_respiration_anc_8 "Checked respiration"
checked_for_swelling_anc_8 "Checked for swelling"
checked_for_jaundice_anc_8 "Checked for jaundice"
checked_fetal_lie_anc_8 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_8 "Record of fetal lie in ANC visit 8"
checked_fetal_position_anc_8 "Checked fetal position [>32weeks GA only]"
checkd_pallor_8 "Checked for Pallor at 8th Visit"
oedema_a8 "Checked for Pedal Oedema at 8th Visit"
breasts_examined_a8 "Breasts Examined at 8th Visit"
prob_breasts_examined_a8 "Any specific problems observed during breast ex... 8th ANC visit?"
rcrd_symp_8 "Record symphysis fundal height (SFH) at the 8th ANC visit"
rcrd_fhr_8 "Record FHR [>22wks] at 8th Visit"
hemo_8 "Hemoglobin at 8th Visit"
rndm_bld_8 "Random blood sugar at 8th Visit"
vdrl_8 "VDRL/ Syphilis at 8th Visit"
hiv_8 "HIV at 8th Visit"
hbsag_8 "HBsAG at 8th Visit"
malaria_anc_visit_8 "Malaria test at ANC visit 8"
cbc_done_at_anc_visit_8 "CBC done at ANC visit 8"
tsh_8 "TSH at 8th Visit"
bld_rh_8 "Blood group and Rh at 8th Visit"
gtt_8 "Glucose Tolerance Test (GTT) at 8th Visit"
oth_8 "Any other test at 8th Visit"
aobt_results_a8 "Record any other test results at the 8th ANC visit, if available"
urine_albumin_a8 "Urine Albumin test done at 8th ANC visit?"
urine_albumin_results_a8 "Record Urine Albumin test results at 8th ANC visit, if available"
urine_sugar_a8 "Urine Sugar test done at 8th ANC visit?"
urine_sugar_test_results_a8 "Record urine sugar test results at 8th ANC visit, if available"
urine_micro_a8 "Urine Microscopy test done at 8th ANC visit?"
urine_microscopy_results_a8 "Record urine microscopy results at 8th ANC visit, if available"
usg_a8 "Did ultrasonography on the 8th ANC visit?"
usgda_a8 "Date of ultrasonography at 8th ANC visit"
reason_usg_anc_8 "Reason for ultrasonography done ?"
result_of_usg_8 "Findings of ultrasonography done at ANC visit 8"
where_done_usg_a8 "Where was the Radiological test done at the 8th ANC visit?"
nst_ctg_done_anc_visit_8 "NST / CTG done ANC visit 8"
date_nst_ctg_anc_8 "Date NST / CTG done ANC visit 8"
reson_nst_anc_8 "Reason for NST/CTG ?"
result_of_nst_anc_8 "Findings of NST/CTG done at ANC visit 8"
where_done_nst_8 "Where it is done"
doppler_done_a8 "Doppler done on 8th ANC visit?[Expected at 18-2... severe SGA/FGR]"
doppler_date_a8 "Date of Doppler at 8th ANC visit"
reason_for_doppler_anc_8 "Reason for Doppler"
where_done_doppler_a8 "Where was the Doppler done at 8th ANC visit?"
doppler_findings_a8 "Findings of Doppler at 8th ANC visit"
any_oth_radiological_tests_a8 "Any other Radiological tests done in the 8th ANC visit?"
oth_investigation_test_name_a8 "Name of any other radiological test done at the 8th ANC visit"
oth_investigation_test_date_a8 "Date of the Radiological test at the 8th ANC visit"
reason_for_otr_radio_exa_anc_8 "Reason for other radiological examination"
where_done_oth_investigation_a8 "Where was the Radiological test done at the 8th ANC visit?"
oth_investigation_findings_a8 "Findings of the Radiological test at the 8th ANC visit"
prescribe_folic_acid_iron "5.1.1. Iron & Folic acid(only in 1st trimester) "
took_iron_folic_acid "Took the medication (Iron & Folic acid)"
folic_acid_details "How many tablets were bought/given"
iron_fa_tablets_comsumed "How many tablets were consumed?"
prescribed_ca "5.1.2. Calcium"
taken_ca "Taken medication Calcium?"
details_ca_medication "Details of calcium medication"
prescribed_asp "5.1.3. Low dose Aspirin"
taken_asp "Taken Medication Aspirin?"
details_asp_medication "Details"
pih_hypertension "5.1.4. PIH/ Hypertension"
took_pih_hyp_medication "Then specify if you took the medication"
pih_hyp_names "Name"
details_pih_hyp_medication "Details"
prescribed_inj_tt "5.1.5 Injection TT(on registration, then 1 mont... xt visit) / dT?"
taken_inj_tt "Took the medication Injection TT?"
date_1st_tt "Date of 1st dose"
date_2nd_tt "Date of 2nd dose"
date_of_booster_dose "Date of Booster Dose (if no of pregnancy second / third / ect. )"
prescribed_inj_iron "5.1.6 Prescribed Injection Iron?"
took_inj_iron "Then specify if you took the medication"
date_inj_iron "Date"
prescribed_antibiotics "5.1.7 Anti-D"
taken_antibiotics "Taken Anti-D?"
date_antibiotics "Date"
prescribed_diab_medication "5.1.8 Diabetes"
took_diabetes_medication "Then specify if you took the medication"
name_diab_medication "Name"
details_diabetes_medication "Details"
thyroid_medication_prescribed "5.1.9 Thyroid supplement"
took_thyroid_medication "Then specify if you took the medication"
name_thyroid_medication "Name"
details_thyroid_medication "Details"
oth_tablets_prescribed "5.1.10 Other tablets / Syrup"
took_oth_medication "then specify if you took the medication"
name_oth_medication "Name"
oth_inj_medication "5.1.11 Other injections"
took_oth_inj "then specify if you took the medication"
oth_inj_name "Name"
take_adequate_rest "a. Take adequate rest."
who_gave_information "Who gave information"
complied_counselling_1 "Complied"
sleep_side_right_or_left "b. Sleep on a side (right or left side)"
who_gave_information_2 "Who gave information"
complied_counselling_2 "Complied"
perform_adequate_physical "c. Perform adequate physical activity."
who_gave_information_3 "Who gave information"
complied_counselling_3 "Complied"
consume_a_balanced_diet "d. Consume a balanced diet / Take dietary supplements from ICDS."
who_gave_information_4 "Who gave information"
complied_counselling_4 "Complied"
take_medications_prescrib "e. Take medications prescribed."
who_gave_information_5 "Who gave information"
complied_counselling_5 "Complied"
check_daily_fetal_movement "f. Check daily fetal movement (FM begins 16-22... ts by 26 weeks."
who_gave_information_6 "Who gave information"
complied_counselling_6 "Complied"
look_danger_signs_report "g. Look for danger signs and report"
specify_which_of_following "specify which of the following were mentioned"
who_gave_information_7 "Who gave information"
complied_counselling_7 "Complied"
birth_preparednes_and_plan "h. Birth preparedness and plan"
specify_details_birth_prep "specify details"
who_gave_information_8 "Who gave information"
complied_counselling_8 "Complied"
refer_higher_level_faci "5.2 Was the mother referred to seek care at a h... level facility?"
moth_referal_reason "Why was she referred? Specify"
admitted_during_preg "5.3 Was admitted any time during pregnancy?"
yes_admitted_during_preg "5.3.1 Why"
when_admitted_during_preg "5.3.2 When was she admitted"
where_admitted_during_preg "5.3.3 Where was she admitted during pregnancy?"
no_admitted_during_preg "5.3.4 How many times was she admitted during pregnancy?"
same_health_facility "5.3.5 Did she go to the same health facility?[I... not applicable]"
no_where "5.3.6 Where did she go? and why?"
no_where_why "Why?"
incentives "5.4 Received any incentives?"
which_recvd "5.4.1 If Yes, specify which of the following were received"
pmmvy_incevtive "a. Pradhana Mantri Matru Vandana Yojana (PMMVY)"
early_reg_preg_incentives "Early registration of Pregnancy"
pmmvy_ea_reg_incen_aftr_d_m "Please specify how many days/ months after the... t was received:"
anc_incentive_reci "ANC visit (After 6 months of pregnancy with at... e ANC check-up)"
pmmvy_anc_incen_aftr_d_m "please specify how many days/ months after the... it was received"
pmsma "b. Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)"
jsy "c. Janani Suraksha Yojana (JSY)"
food_suppl "5.5. Received any food supplements during pregnancy?"
specify_food_suppl "5.5.1 If YES, specify which of the following were received?"
oth_food_supplements "Any other"
outcome_of_crnt_pregnancy "Outcome of current pregnancy"
general_comments "General Comments"
form_1_complete "Complete?"
Field 1
Field 2
Additional report options (optional)
Combine checkbox options into single column of only the checked-off options (will be formatted as a text field when exported to stats packages)
Remove line breaks/carriage returns from all text data values (only applicable for CSV Raw and CSV Label data exports)
In the report header, display the field label, variable, or both (not applicable for exports)?
Label
Variable
Both
In the report's data, display the field label, raw data value, or both for multiple choice fields (not applicable for exports)?
Label
Raw data value
Both
STEP 3
Filters (optional)
Operator / Value
OR
AND
OR
AND
Filter 1
-- select a field --
record_id "Record ID"
mcp_card "Section 1: Demographic and pregnancy details 1.MCP card available"
rch_id "1.1 RCH-ID / MCP card"
receive_date "Date when received"
district "1.1.1 Pregnant woman's District"
other_district_name "Other district name"
taluk "1.1.2 Pregnant woman's Taluk"
other_taluka_name "Other taluka name"
name_of_the_asha "1.1.3 Name of the ASHA"
mobile_number_of_the_as_ha "1.1.4 Mobile Number of the ASHA"
name_of_the_mother "1.2 Name of the mother"
age_mother "Age of the mother"
name_of_the_spouse "1.3 Name of the husband"
mobile1 "1.4 Mobile No 1"
mobile2 "1.5 Mobile No 2"
education "1.6 Education"
ration_card "1.7 Ration Card"
yes_ration_card "Type of ration card"
ration_card_other "Specify"
caste "1.8 Caste"
other_caste "Specify"
house_number_and_street "House Number and Street"
city_town_village_name "City / Town / Village Name"
district_address "District"
other_district_name_1 "Other district name"
pin_code "Pin Code"
present_same_address "1.9.a Is the present address same as the permanent address?"
house_number_and_street_2 "House Number and Street"
city_town_village_name_2 "City / Town / Village Name"
district_address_2 "District"
pin_code_2 "Pin Code"
gravida "Section Header: Section 2 : Obstetric Details2.... s a woman had)"
parity "2.2 Parity (number of times a woman has given birth to a baby)"
living "2.3 Living (number of children living presently)"
abortions "2.4. Abortions"
mnth_occur "2.4.a Which month did the first abortion occur?"
scnd_abort "2.4.b Which month did the second abortion occur?"
stillbirths_confirmation "2.5 Stillbirths (birth of dead fetes any time... s of gestation)"
stillbirths "Stillbirths (birth of dead fetes any time after... s of gestation)"
stllbrth_1 "2.5.a Which month did the first stillbirth occur?"
stllbrth_2 "2.5.b Which month did the second stillbirth occur?"
neontl_count "2.6 Number of neonatal death (death of baby wit... 8days of birth)"
neonatal_deaths "2.6 a. Which day of life did first neonatal death occur?"
cause_nd "2.6.b. Cause of first neonatal death"
neontl_dths "2.6.c Which day of life did second neonatal death occur?"
cuse_neontl_dths "2.6.d Cause of second neonatal death"
menstruation_regular "2.7 Menstruation regular"
no_of_days_menstruation_cycle "No of days of menstruation cycle"
no_of_days_between_cycle "2.7.1 Number of days between each menstruation... regular or not"
lmp "2.7.2 LMP"
edd "2.7.3 EDD"
type_cooking_fuel "Section Header: Section 3: Household, Nutrition... none response)"
kitchen "3.2 Kitchen (Can answer only ONE response)"
tobacco "3.3 Chewing tobacco and smoking"
another_smoke_inside_home "3.4 Another household member who smokes inside the house"
screen_spcfc_dses "3.5 Screening for specific diseases"
oth_spcfy_3 "Specify"
contracep_3 "3.6 Did you use any contraception (pills/natur... fore pregnancy?"
rcvd_angawd "3.7 Received services from Anganwadi"
spcl_medi_3 "3.8 Special Medication"
sm_high_dose_flic_acd_prec "3.8.1 High dose Folic acid (0.5g per day) prescribed"
sm_took_medication "Medication was prescribed, then did you take th... on (folic acid)"
sp_fa_tablets_bought "How many tablets were bought/given?"
sp_fa_tablets_consumed "How many tablets were consumed?"
sm_iron_prescribed "3.8.2 Weekly Iron Supplementation prescribed"
sm_took_iron_medication "Medication was prescribed, then did you take th... dication (Iron)"
sm_iron_tab_bought "How many tablets were bought/given?"
sm_iron_tab_consumed "How many tablets were consumed?"
anc_done "Section Header: Part 2 (Antenatal Care) Section... ANC visit done"
yes_howmny_anc "How many ANC visits did you have for this pregnancy?"
why_no_anc "Why did you not go for any ANC?"
obtained_previous_pregn_ancy_history_and_recorde_d "4.2 Was previous pregnancy history obtained and... not applicable]"
complication_previous_p_regnancy "4.2.1 Was there any complication/problem in any... ious pregnancy?"
previous_preg_history "4.2.2. If YES, specify all that apply for any c... n one response]"
previous_lscs_if_yes_sp_ecify_reason "LSCS: If YES, specify reason"
baby_with_congenital_ab_normalities_if_yes_speci_fy "Specify (Baby with congenital abnormalities) "
others_specify_complica_tion_pre_preg "Specify Other"
medical_problem_prev_pr_eg "4.3 Has been diagnosed with any medical problem... sent pregnancy?"
specify_medical_prob_pr_ev_preg "4.3.1 IF YES, Specify medical problem during th... vious pregnancy"
other_medical_prob_prev_preg "Specify"
anc_visit_1 "(4.4 What all was performed at the ANC (source:... First ANC visit"
date_anc_visits_a1 "Date of 1st ANC visit"
gestational_ages_a1 "Gestational age at 1st ANC visit(in weeks)"
months_amenorrhea_a1 "Months of amenorrhea at 1st ANC visit"
place_of_anc_visit_1 "Place of ANC visit"
seen_by_1 "Seen by"
vomiting_anc_vst_1 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_1 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_1 "Any breathlessness / tiredness"
headache_blurred_vision_anc_1 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_1 "Jaundice"
abdominal_pain_anc_1 "Abdominal pain"
bleeding_per_vagina_anc_1 "Bleeding per vagina"
leaking_per_vagina_anc_1 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_1 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_1 "Treatment for conception"
fever_anc_vst_1 "Fever"
other_anc_vst_1 "Other"
specify_other_anc_vst_1 "Specify other"
ht_checked_anc_visit_1 "Height checked for ANC visit 1"
wt_checked_anc_visit_1 "Weight checked for ANC visit 1"
bp_checked_anc_visit_1 "Blood Pressure checked for ANC visit 1"
checked_pulse_anc_1 "Checked pulse"
checkd_respiration_anc_1 "Checked respiration"
checked_for_swelling_anc_1 "Checked for swelling"
checked_for_jaundice_anc_1 "Checked for jaundice"
checked_fetal_lie_anc_1 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_1 "Record of fetal lie in ANC visit 1"
checked_fetal_position_anc_1 "Checked fetal position [>32weeks GA only]"
checkd_pallor_1 "Checked for Pallor at 1st Visit"
oedema_a1 "Checked for Pedal Oedema at 1st Visit"
breasts_examined_a1 "Breasts Examined at 1st Visit"
prob_breasts_examined_a1 "Any specific problems observed during breast ex... 1st ANC visit?"
pre_scar_a1 "Checked for Previous Scar"
rcrd_symp_1 "Record symphysis fundal height (SFH) at the 1st ANC visit"
rcrd_fhr_1 "Record FHR [>22wks] at 1st Visit"
hemo_1 "Hemoglobin at 1st Visit"
rndm_bld_1 "Random blood sugar at 1st Visit"
vdrl_1 "VDRL at first ANC visit"
hiv_1 "HIV test at 1st ANC visit"
hbsag_1 "HBsAG at 1st Visit"
malaria_anc_visit_1 "Malaria test at ANC visit 1"
cbc_done_at_anc_visit_1 "CBC done at ANC visit 1"
tft_1 "Thyroid profile at 1st Visit"
bld_rh_1 "Blood group and Rh at 1st Visit"
gtt_1 "Glucose Tolerance Test (GTT) at 1st Visit"
oth_1 "Any other test at 1st Visit"
aobt_results_a1 "Record any other test results at the 1st ANC visit, if available"
urine_albumin_a1 "Urine Albumin test done at 1st ANC visit?"
urine_albumin_results_a1 "Record Urine Albumin test results at 1st ANC visit, if available"
urine_sugar_a1 "Urine Sugar test done at 1st ANC visit?"
urine_sugar_test_results_a1 "Record urine sugar test results at 1st ANC visit, if available"
urine_micro_a1 "Urine Microscopy test done at 1st ANC visit?"
urine_microscopy_results_a1 "Record urine microscopy results at 1st ANC visit, if available"
usg_a1 "Did ultrasonography on the 1st ANC visit?"
usgda_a1 "Date of ultrasonography at 1st ANC visit"
reason_usg_anc_1 "Reason for ultrasonography done ?"
result_of_usg_1 "Finding of ultrasonography at 1st ANC visit"
where_done_usg_a1 "Where was it done at 1st ANC visit?"
nst_ctg_done_anc_visit_1 "NST / CTG done ANC visit 1"
date_nst_ctg_anc_1 "Date NST / CTG done ANC visit 1"
reson_nst_anc_1 "Reason for NST/CTG ?"
result_of_nst_anc_1 "Result of NST/CTG"
where_done_nst_1 "Where it is done"
doppler_done_a1 "Doppler done on 1st ANC visit?"
doppler_date_a1 "Date of Doppler at 1st ANC visit"
reason_for_doppler_anc_1 "Reason for Doppler"
where_done_doppler_a1 "Where was the Doppler done at 1st ANC visit?"
doppler_findings_a1 "Findings of Doppler at 1st ANC visit"
any_oth_radiological_tests_a1 "Any other Radiological tests done in the 1st ANC visit?"
oth_investigation_test_name_a1 "Name of any other radiological test done at the 1st ANC visit"
oth_investigation_test_date_a1 "Date of the Radiological test at the 1st ANC visit"
reason_for_otr_radio_exa_anc_1 "Reason for other radiological examination"
where_done_oth_investigation_a1 "Where was the Radiological test done at the 1st ANC visit?"
oth_investigation_findings_a1 "Findings of the Radiological test at the 1st ANC visit"
anc_visit_2 "Second ANC visit"
date_anc_visits_a2 "Date of 2nd ANC visit"
gestational_ages_a2 "Gestational age at 2nd ANC visit(in weeks)"
months_amenorrhea_a2 "Months of amenorrhea at 2nd ANC visit"
place_of_anc_visit_2 "Place of ANC visit"
seen_by_2 "Seen by"
vomiting_anc_vst_2 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_2 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_2 "Any breathlessness / tiredness"
headache_blurred_vision_anc_2 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_2 "Jaundice"
abdominal_pain_anc_2 "Abdominal pain"
bleeding_per_vagina_anc_2 "Bleeding per vagina"
leaking_per_vagina_anc_2 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_2 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_2 "Treatment for conception"
fever_anc_vst_2 "Fever"
other_anc_vst_2 "Other"
specify_other_anc_vst_2 "Specify other"
ht_checked_anc_visit_2 "Height checked for ANC visit 2"
wt_checked_anc_visit_2 "Weight checked for ANC visit 2"
bp_checked_anc_visit_2 "Blood Pressure checked for ANC visit 2"
checked_pulse_anc_2 "Checked pulse"
checkd_respiration_anc_2 "Checked respiration"
checked_for_swelling_anc_2 "Checked for swelling"
checked_for_jaundice_anc_2 "Checked for jaundice"
checked_fetal_lie_anc_2 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_2 "Record of fetal lie in ANC visit 2"
checked_fetal_position_anc_2 "Checked fetal position [>32weeks GA only]"
checkd_pallor_2 "Checked for Pallor at 2nd Visit"
oedema_a2 "Checked for Pedal Oedema at 2nd Visit"
breasts_examined_a2 "Breasts Examined at 2nd Visit"
prob_breasts_examined_a2 "Any specific problems observed during breast ex... 2nd ANC visit?"
rcrd_symp_2 "Record symphysis fundal height (SFH) at the 2nd ANC visit"
rcrd_fhr_2 "Record FHR [>22wks] at 2nd Visit"
hemo_2 "Hemoglobin at 2nd Visit"
rndm_bld_2 "Random blood sugar at 2nd Visit"
vdrl_2 "VDRL/ Syphilis at 2nd Visit"
hiv_2 "HIV at 2nd Visit"
hbsag_2 "HBsAG at 2nd Visit"
malaria_anc_visit_2 "Malaria test at ANC visit 2"
cbc_done_at_anc_visit_2 "CBC done at ANC visit 2"
tft_2 "Thyroid profile at 2nd Visit"
bld_rh_2 "Blood group and Rh at 2nd Visit"
gtt_2 "Glucose Tolerance Test (GTT) at 2nd Visit"
oth_2 "Any other test at 2nd Visit"
aobt_results_a2 "Record any other test results at the 2nd ANC visit, if available"
urine_albumin_a2 "Urine Albumin test done at 2nd ANC visit?"
urine_albumin_results_a2 "Record Urine Albumin test results at 2nd ANC visit, if available"
urine_sugar_a2 "Urine Sugar test done at 2nd ANC visit?"
urine_sugar_test_results_a2 "Record urine sugar test results at 2nd ANC visit, if available"
urine_micro_a2 "Urine Microscopy test done at 2nd ANC visit?"
urine_microscopy_results_a2 "Record urine microscopy results at 2nd ANC visit, if available"
usg_a2 "Did ultrasonography on the 2nd ANC visit?"
usgda_a2 "Date of ultrasonography at 2nd ANC visit"
reason_usg_anc_2 "Reason for ultrasonography done ?"
result_of_usg_2 "Result of ultrasonography"
where_done_usg_a2 "Where was it done at 2nd ANC visit?"
nst_ctg_done_anc_visit_2 "NST / CTG done ANC visit 2"
date_nst_ctg_anc_2 "Date NST / CTG done ANC visit 2"
reson_nst_anc_2 "Reason for NST/CTG ?"
result_of_nst_anc_2 "Finding of NST/CTG ANC visit 2"
where_done_nst_2 "Where it is done"
doppler_done_a2 "Doppler done on 2nd ANC visit ?"
doppler_date_a2 "Date of Doppler at 2nd ANC visit"
reason_for_doppler_anc_2 "Reason for Doppler"
where_done_doppler_a2 "Where was the Doppler done at 2nd ANC visit?"
doppler_findings_a2 "Findings of Doppler at 2nd ANC visit"
any_oth_radiological_tests_a2 "Any other Radiological tests done in the 2nd ANC visit?"
oth_investigation_test_name_a2 "Name of any other radiological test done at the 2nd ANC visit"
oth_investigation_test_date_a2 "Date of the Radiological test at the 2nd ANC visit"
reason_for_otr_radio_exa_anc_2 "Reason for other radiological examination"
where_done_oth_investigation_a2 "Where was the Radiological test done at the 2nd ANC visit?"
oth_investigation_findings_a2 "Findings of the Radiological test at the 2nd ANC visit"
anc_visit_3 "3rd ANC visit"
date_anc_visits_a3 "Date of 3rd ANC visit"
gestational_ages_a3 "Gestational age at 3rd ANC visit(in weeks)"
months_amenorrhea_a3 "Months of amenorrhea at 3rd ANC visit"
place_of_anc_visit_3 "Place of ANC visit"
seen_by_3 "Seen by"
vomiting_anc_vst_3 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_3 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_3 "Any breathlessness / tiredness"
headache_blurred_vision_anc_3 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_3 "Jaundice"
abdominal_pain_anc_3 "Abdominal pain"
bleeding_per_vagina_anc_3 "Bleeding per vagina"
leaking_per_vagina_anc_3 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_3 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_3 "Treatment for conception"
fever_anc_vst_3 "Fever"
other_anc_vst_3 "Other"
specify_other_anc_vst_3 "Specify other"
ht_checked_anc_visit_3 "Height checked for ANC visit 3"
wt_checked_anc_visit_3 "Weight checked for ANC visit 3"
bp_checked_anc_visit_3 "Blood Pressure checked for ANC visit 3"
checked_pulse_anc_3 "Checked pulse"
checkd_respiration_anc_3 "Checked respiration"
checked_for_swelling_anc_3 "Checked for swelling"
checked_for_jaundice_anc_3 "Checked for jaundice"
checked_fetal_lie_anc_3 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_3 "Record of fetal lie in ANC visit 3"
checked_fetal_position_anc_3 "Checked fetal position [>32weeks GA only]"
checkd_pallor_3 "Checked for Pallor at 3rd Visit"
oedema_a3 "Checked for Pedal Oedema at 3rd Visit"
breasts_examined_a3 "Breasts Examined at 3rd Visit"
prob_breasts_examined_a3 "Any specific problems observed during breast ex... 3rd ANC visit?"
rcrd_symp_3 "Record symphysis fundal height (SFH) at the 3rd ANC visit"
rcrd_fhr_3 "Record FHR [>22wks] at 3rd Visit"
hemo_3 "Hemoglobin at 3rd Visit"
rndm_bld_3 "Random blood sugar at 3rd Visit"
vdrl_3 "VDRL/ Syphilis at 3rd Visit"
hiv_3 "HIV at 3rd Visit"
hbsag_3 "HBsAG at 3rd Visit"
malaria_anc_visit_3 "Malaria test at ANC visit 3"
cbc_done_at_anc_visit_3 "CBC done at ANC visit 3"
tft_3 "Thyroid profile at 3rd Visit"
bld_rh_3 "Blood group and Rh at 3rd Visit"
gtt_3 "Glucose Tolerance Test (GTT) at 3rd Visit"
oth_3 "Any other test at 3rd Visit"
aobt_results_a3 "Record any other test results at the 3rd ANC visit, if available"
urine_albumin_a3 "Urine Albumin test done at 3rd ANC visit?"
urine_albumin_results_a3 "Record Urine Albumin test results at 3rd ANC visit, if available"
urine_sugar_a3 "Urine Sugar test done at 3rd ANC visit?"
urine_sugar_test_results_a3 "Record urine sugar test results at 3rd ANC visit, if available"
urine_micro_a3 "Urine Microscopy test done at 3rd ANC visit?"
urine_microscopy_results_a3 "Record urine microscopy results at 3rd ANC visit, if available"
usg_a3 "Did ultrasonography on the 3rd ANC visit?"
usgda_a3 "Date of ultrasonography at 3rd ANC visit"
reason_usg_anc_3 "Reason for ultrasonography done ?"
result_of_usg_3 "Finding of ultrasonography at ANC visit 3"
where_done_usg_a3 "Where was it done at 3rd ANC visit?"
nst_ctg_done_anc_visit_3 "NST / CTG done ANC visit 3"
date_nst_ctg_anc_3 "Date NST / CTG done ANC visit 3"
reson_nst_anc_3 "Reason for NST/CTG ?"
result_of_nst_anc_3 "Finding of NST/CTG at ANC visit 3"
where_done_nst_3 "Where it is done"
doppler_done_a3 "Doppler done on 3rd ANC visit ?"
doppler_date_a3 "Date of Doppler at 3rd ANC visit"
reason_for_doppler_anc_3 "Reason for Doppler"
where_done_doppler_a3 "Where was the Doppler done at 3rd ANC visit?"
doppler_findings_a3 "Findings of Doppler at 3rd ANC visit"
any_oth_radiological_tests_a3 "Any other Radiological tests done in the 3rd ANC visit?"
oth_investigation_test_name_a3 "Name of any other radiological test done at the 3rd ANC visit"
oth_investigation_test_date_a3 "Date of the Radiological test at the 3rd ANC visit"
reason_for_otr_radio_exa_anc_3 "Reason for other radiological examination"
where_done_oth_investigation_a3 "Where was the Radiological test done at the 3rd ANC visit?"
oth_investigation_findings_a3 "Findings of the Radiological test at the 3rd ANC visit"
anc_visit_4 "4th ANC visit"
date_anc_visits_a4 "Date of 4th ANC visit"
gestational_ages_a4 "Gestational age at 4th ANC visit(in weeks)"
months_amenorrhea_a4 "Months of amenorrhea at 4th ANC visit"
place_of_anc_visit_4 "Place of ANC visit"
seen_by_4 "Seen by"
vomiting_anc_vst_4 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_4 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_4 "Any breathlessness / tiredness"
headache_blurred_vision_anc_4 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_4 "Jaundice"
abdominal_pain_anc_4 "Abdominal pain"
bleeding_per_vagina_anc_4 "Bleeding per vagina"
leaking_per_vagina_anc_4 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_4 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_4 "Treatment for conception"
fever_anc_vst_4 "Fever"
other_anc_vst_4 "Other"
specify_other_anc_vst_4 "Specify other"
ht_checked_anc_visit_4 "Height checked for ANC visit 4th"
wt_checked_anc_visit_4 "Weight checked for ANC visit 4th"
bp_checked_anc_visit_4 "Blood Pressure checked for ANC visit 4th"
checked_pulse_anc_4 "Checked pulse"
checkd_respiration_anc_4 "Checked respiration"
checked_for_swelling_anc_4 "Checked for swelling"
checked_for_jaundice_anc_4 "Checked for jaundice"
checked_fetal_lie_anc_4 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_4 "Record of fetal lie in ANC visit 4"
checked_fetal_position_anc_4 "Checked fetal position [>32weeks GA only]"
checkd_pallor_4 "Checked for Pallor at 4th Visit"
oedema_a4 "Checked for Pedal Oedema at 4th Visit"
breasts_examined_a4 "Breasts Examined at 4th Visit"
prob_breasts_examined_a4 "Any specific problems observed during breast ex... 4th ANC visit?"
rcrd_symp_4 "Record symphysis fundal height (SFH) at the 4th ANC visit"
rcrd_fhr_4 "Record FHR [>22wks] at 4th Visit"
hemo_4 "Hemoglobin at 4th Visit"
rndm_bld_4 "Random blood sugar at 4th Visit"
vdrl_4 "VDRL/ Syphilis at 4th Visit"
hiv_4 "HIV at 4th Visit"
hbsag_4 "HBsAG at 4th Visit"
malaria_anc_visit_4 "Malaria test at ANC visit 4"
cbc_done_at_anc_visit_4 "CBC done at ANC visit 4"
tft_4 "Thyroid profile at 4th Visit"
bld_rh_4 "Blood group and Rh at 4th Visit"
gtt_4 "Glucose Tolerance Test (GTT) at 4thVisit"
oth_4 "Any other test at 4th Visit"
aobt_results_a4 "Record any other test results at the 4th ANC visit, if available"
urine_albumin_a4 "Urine Albumin test done at 4th ANC visit?"
urine_albumin_results_a4 "Record Urine Albumin test results at 4th ANC visit, if available"
urine_sugar_a4 "Urine Sugar test done at 4th ANC visit?"
urine_sugar_test_results_a4 "Record urine sugar test results at 4th ANC visit, if available"
urine_micro_a4 "Urine Microscopy test done at 4th ANC visit?"
urine_microscopy_results_a4 "Record urine microscopy results at 4th ANC visit, if available"
usg_a4 "Did ultrasonography on the 4th ANC visit?"
usgda_a4 "Date of ultrasonography at 4th ANC visit"
reason_usg_anc_4 "Reason for ultrasonography done ?"
result_of_usg_4 "Finding of ultrasonography done at ANC visit 4"
where_done_usg_a4 "Where was it done at 4th ANC visit?"
nst_ctg_done_anc_visit_4 "NST / CTG done ANC visit 4"
date_nst_ctg_anc_4 "Date NST / CTG done ANC visit 4"
reson_nst_anc_4 "Reason for NST/CTG ?"
result_of_nst_anc_4 "Finding of NST/CTG at ANC visit 4"
where_done_nst_4 "Where it is done"
doppler_done_a4 "Doppler done on 4th ANC visit ?"
doppler_date_a4 "Date of Doppler at 4th ANC visit"
reason_for_doppler_anc_4 "Reason for Doppler"
where_done_doppler_a4 "Where was the Doppler done at 4th ANC visit?"
doppler_findings_a4 "Findings of Doppler at 4th ANC visit"
any_oth_radiological_tests_a4 "Any other Radiological tests done in the 4th ANC visit?"
oth_investigation_test_name_a4 "Name of any other radiological test done at the 4th ANC visit"
oth_investigation_test_date_a4 "Date of the Radiological test at the 4th ANC visit"
reason_for_otr_radio_exa_anc_4 "Reason for other radiological examination"
where_done_oth_investigation_a4 "Where was the Radiological test done at the 4th ANC visit?"
oth_investigation_findings_a4 "Findings of the Radiological test at the 4th ANC visit"
anc_visit_5 "5th ANC visit"
date_anc_visits_a5 "Date of 5th ANC visit"
gestational_ages_a5 "Gestational age at 5th ANC visit(in weeks)"
months_amenorrhea_a5 "Months of amenorrhea at 5th ANC visit"
place_of_anc_visit_5 "Place of ANC visit"
seen_by_5 "Seen by"
vomiting_anc_vst_5 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_5 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_5 "Any breathlessness / tiredness"
headache_blurred_vision_anc_5 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_5 "Jaundice"
abdominal_pain_anc_5 "Abdominal pain"
bleeding_per_vagina_anc_5 "Bleeding per vagina"
leaking_per_vagina_anc_5 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_5 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_5 "Treatment for conception"
fever_anc_vst_5 "Fever"
other_anc_vst_5 "Other"
specify_other_anc_vst_5 "Specify other"
ht_checked_anc_visit_5 "Height checked for ANC visit 5th"
wt_checked_anc_visit_5 "Weight checked for ANC visit 5th"
bp_checked_anc_visit_5 "Blood Pressure checked for ANC visit 5th"
checked_pulse_anc_5 "Checked pulse"
checkd_respiration_anc_5 "Checked respiration"
checked_for_swelling_anc_5 "Checked for swelling"
checked_for_jaundice_anc_5 "Checked for jaundice"
checked_fetal_lie_anc_5 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_5 "Record of fetal lie in ANC visit 5"
checked_fetal_position_anc_5 "Checked fetal position [>32weeks GA only]"
checkd_pallor_5 "Checked for Pallor at 5th Visit"
oedema_a5 "Checked for Pedal Oedema at 5th Visit"
breasts_examined_a5 "Breasts Examined at 5th Visit"
prob_breasts_examined_a5 "Any specific problems observed during breast ex... 5th ANC visit?"
rcrd_symp_5 "Record symphysis fundal height (SFH) at the 5th ANC visit"
rcrd_fhr_5 "Record FHR [>22wks] at 5th Visit"
hemo_5 "Hemoglobin at 5th Visit"
rndm_bld_5 "Random blood sugar at 5th Visit"
vdrl_5 "VDRL/ Syphilis at 5th Visit"
hiv_5 "HIV at 5th Visit"
hbsag_5 "HBsAG at 5th Visit"
malaria_anc_visit_5 "Malaria test at ANC visit 5"
cbc_done_at_anc_visit_5 "CBC done at ANC visit 5"
tft_5 "Thyroid profile at 5th Visit"
bld_rh_5 "Blood group and Rh at 5th Visit"
gtt_5 "Glucose Tolerance Test (GTT) at 5th Visit"
oth_5 "Any other test at 5th Visit"
aobt_results_a5 "Record any other test results at the 5th ANC visit, if available"
urine_albumin_a5 "Urine Albumin test done at 5th ANC visit?"
urine_albumin_results_a5 "Record Urine Albumin test results at 5th ANC visit, if available"
urine_sugar_a5 "Urine Sugar test done at 5th ANC visit?"
urine_sugar_test_results_a5 "Record urine sugar test results at 5th ANC visit, if available"
urine_micro_a5 "Urine Microscopy test done at 5th ANC visit?"
urine_microscopy_results_a5 "Record urine microscopy results at 5th ANC visit, if available"
usg_a5 "Did ultrasonography on the 5th ANC visit?"
usgda_a5 "Date of ultrasonography at 5th ANC visit"
reason_usg_anc_5 "Reason for ultrasonography done ?"
result_of_usg_5 "Finding of ultrasonography done at ANC visit 5"
where_done_usg_a5 "Where was it done at 5th ANC visit?"
nst_ctg_done_anc_visit_5 "NST / CTG done ANC visit 5"
date_nst_ctg_anc_5 "Date NST / CTG done ANC visit 5"
reson_nst_anc_5 "Reason for NST/CTG ?"
result_of_nst_anc_5 "Finding of NST/CTG done at ANC visit 5"
where_done_nst_5 "Where it is done"
doppler_done_a5 "Doppler done on 5th ANC visit ?"
doppler_date_a5 "Date of Doppler at 5th ANC visit"
reason_for_doppler_anc_5 "Reason for Doppler"
where_done_doppler_a5 "Where was the Doppler done at 5th ANC visit?"
doppler_findings_a5 "Findings of Doppler at 5th ANC visit"
any_oth_radiological_tests_a5 "Any other Radiological tests done in the 5th ANC visit?"
oth_investigation_test_name_a5 "Name of any other radiological test done at the 5th ANC visit"
oth_investigation_test_date_a5 "Date of the Radiological test at the 5th ANC visit"
reason_for_otr_radio_exa_anc_5 "Reason for other radiological examination"
where_done_oth_investigation_a5 "Where was the Radiological test done at the 5th ANC visit?"
oth_investigation_findings_a5 "Findings of the Radiological test at the 5th ANC visit"
anc_visit_6 "6th ANC visit"
date_anc_visits_a6 "Date of 6th ANC visit"
gestational_ages_a6 "Gestational age at 6th ANC visit(in weeks)"
months_amenorrhea_a6 "Months of amenorrhea at 6th ANC visit"
place_of_anc_visit_6 "Place of ANC visit"
seen_by_6 "Seen by"
vomiting_anc_vst_6 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_6 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_6 "Any breathlessness / tiredness"
headache_blurred_vision_anc_6 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_6 "Jaundice"
abdominal_pain_anc_6 "Abdominal pain"
bleeding_per_vagina_anc_6 "Bleeding per vagina"
leaking_per_vagina_anc_6 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_6 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_6 "Treatment for conception"
fever_anc_vst_6 "Fever"
other_anc_vst_6 "Other"
specify_other_anc_vst_6 "Specify other"
ht_checked_anc_visit_6 "Height checked for ANC visit 6th"
wt_checked_anc_visit_6 "Weight checked for ANC visit 6th"
bp_checked_anc_visit_6 "Blood Pressure checked for ANC visit 6th"
checked_pulse_anc_6 "Checked pulse"
checkd_respiration_anc_6 "Checked respiration"
checked_for_swelling_anc_6 "Checked for swelling"
checked_for_jaundice_anc_6 "Checked for jaundice"
checked_fetal_lie_anc_6 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_6 "Record of fetal lie in ANC visit 6"
checked_fetal_position_anc_6 "Checked fetal position [>32weeks GA only]"
checkd_pallor_6 "Checked for Pallor at 6th Visit"
oedema_a6 "Checked for Pedal Oedema at 6th Visit"
breasts_examined_a6 "Breasts Examined at 6th Visit"
prob_breasts_examined_a6 "Any specific problems observed during breast ex... 6th ANC visit?"
rcrd_symp_6 "Record symphysis fundal height (SFH) at the 6th ANC visit"
rcrd_fhr_6 "Record FHR [>22wks] at 6th Visit"
hemo_6 "Hemoglobin at 6th Visit"
rndm_bld_6 "Random blood sugar at 6th Visit"
vdrl_6 "VDRL/ Syphilis at 6th Visit"
hiv_6 "HIV at 6th Visit"
hbsag_6 "HBsAG at 6th Visit"
malaria_anc_visit_6 "Malaria test at ANC visit 6"
cbc_done_at_anc_visit_6 "CBC done at ANC visit 6"
tft_6 "Thyroid profile at 6th Visit"
bld_rh_6 "Blood group and Rh at 6th Visit"
gtt_6 "Glucose Tolerance Test (GTT) at 6th Visit"
oth_6 "Any other test at 6th Visit"
aobt_results_a7 "Record any other test results at the 6th ANC visit, if available"
urine_albumin_a6 "Urine Albumin test done at 6th ANC visit?"
urine_albumin_results_a6 "Record Urine Albumin test results at 6th ANC visit, if available"
urine_sugar_a6 "Urine Sugar test done at 6th ANC visit?"
urine_sugar_test_results_a6 "Record urine sugar test results at 6th ANC visit, if available"
urine_micro_a6 "Urine Microscopy test done at 6th ANC visit?"
urine_microscopy_results_a6 "Record urine microscopy results at 6th ANC visit, if available"
usg_a6 "Did ultrasonography on the 6th ANC visit?"
usgda_a6 "Date of ultrasonography at 6th ANC visit"
reason_usg_anc_6 "Reason for ultrasonography done ?"
result_of_usg_6 "Findings of ultrasonography done at ANC visit 6"
where_done_usg_a6 "Where was it done at 6th ANC visit?"
nst_ctg_done_anc_visit_6 "NST / CTG done ANC visit 6"
date_nst_ctg_anc_6 "Date NST / CTG done ANC visit 6"
reson_nst_anc_6 "Reason for NST/CTG ?"
result_of_nst_anc_6 "Finding of NST/CTG done at ANC visit 6"
where_done_nst_6 "Where it is done"
doppler_done_a6 "Doppler done on 6th ANC visit ?"
doppler_date_a6 "Date of Doppler at 6th ANC visit"
reason_for_doppler_anc_6 "Reason for Doppler"
where_done_doppler_a6 "Where was the Doppler done at 6th ANC visit?"
doppler_findings_a6 "Findings of Doppler at 6th ANC visit"
any_oth_radiological_tests_a6 "Any other Radiological tests done in the 6th ANC visit?"
oth_investigation_test_name_a6 "Name of any other radiological test done at the 6th ANC visit"
oth_investigation_test_date_a6 "Date of the Radiological test at the 6th ANC visit"
reason_for_otr_radio_exa_anc_6 "Reason for other radiological examination"
where_done_oth_investigation_a6 "Where was the Radiological test done at the 6th ANC visit?"
oth_investigation_findings_a6 "Findings of the Radiological test at the 6th ANC visit"
anc_visit_7 "7th ANC visit"
date_anc_visits_a7 "Date of 7th ANC visit"
gestational_ages_a7 "Gestational age at 7th ANC visit(in weeks)"
months_amenorrhea_a7 "Months of amenorrhea at 7th ANC visit"
place_of_anc_visit_7 "Place of ANC visit"
seen_by_7 "Seen by"
vomiting_anc_vst_7 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_7 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_7 "Any breathlessness / tiredness"
headache_blurred_vision_anc_7 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_7 "Jaundice"
abdominal_pain_anc_7 "Abdominal pain"
bleeding_per_vagina_anc_7 "Bleeding per vagina"
leaking_per_vagina_anc_7 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_7 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_7 "Treatment for conception"
fever_anc_vst_7 "Fever"
other_anc_vst_7 "Other"
specify_other_anc_vst_7 "Specify other"
ht_checked_anc_visit_7 "Height checked for ANC visit 7th"
wt_checked_anc_visit_7 "Weight checked for ANC visit 7th"
bp_checked_anc_visit_7 "Blood Pressure checked for ANC visit 7th"
checked_pulse_anc_7 "Checked pulse"
checkd_respiration_anc_7 "Checked respiration"
checked_for_swelling_anc_7 "Checked for swelling"
checked_for_jaundice_anc_7 "Checked for jaundice"
checked_fetal_lie_anc_7 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_7 "Record of fetal lie in ANC visit 7"
checked_fetal_position_anc_7 "Checked fetal position [>32weeks GA only]"
checkd_pallor_7 "Checked for Pallor at 7th Visit"
oedema_a7 "Checked for Pedal Oedema at 7th Visit"
breasts_examined_a7 "Breasts Examined at 7th Visit"
prob_breasts_examined_a7 "Any specific problems observed during breast ex... 7th ANC visit?"
rcrd_symp_7 "Record symphysis fundal height (SFH) at the 7th ANC visit"
rcrd_fhr_7 "Record FHR [>22wks] at 7th Visit"
hemo_7 "Hemoglobin at 7th Visit"
rndm_bld_7 "Random blood sugar at 7th Visit"
vdrl_7 "VDRL/ Syphilis at 7th Visit"
hiv_7 "HIV at 7th Visit"
hbsag_7 "HBsAG at 7th Visit"
malaria_anc_visit_7 "Malaria test at ANC visit 7"
cbc_done_at_anc_visit_7 "CBC done at ANC visit 7"
tft_7 "Thyroid profile at 7th Visit"
bld_rh_7 "Blood group and Rh at 7th Visit"
gtt_7 "Glucose Tolerance Test (GTT) at 7th Visit"
oth_7 "Any other test at 7th Visit"
aobt_results_a6 "Record any other test results at the 6th ANC visit, if available"
urine_albumin_a7 "Urine Albumin test done at 7th ANC visit?"
urine_albumin_results_a7 "Record Urine Albumin test results at 7th ANC visit, if available"
urine_sugar_a7 "Urine Sugar test done at 7th ANC visit?"
urine_sugar_test_results_a7 "Record urine sugar test results at 7th ANC visit, if available"
urine_micro_a7 "Urine Microscopy test done at 7th ANC visit?"
urine_microscopy_results_a7 "Record urine microscopy results at 7th ANC visit, if available"
usg_a7 "Did ultrasonography on the 7th ANC visit?"
usgda_a7 "Date of ultrasonography at 7th ANC visit"
reason_usg_anc_7 "Reason for ultrasonography done ?"
result_of_usg_7 "Findings of ultrasonography done at ANC visit 7"
where_done_usg_a7 "Where was it done at 7th ANC visit?"
nst_ctg_done_anc_visit_7 "NST / CTG done ANC visit 7"
date_nst_ctg_anc_7 "Date NST / CTG done ANC visit 7"
reson_nst_anc_7 "Reason for NST/CTG ?"
result_of_nst_anc_7 "Findings of NST/CTG done at ANC visit 7"
where_done_nst_7 "Where it is done"
doppler_done_a7 "Doppler done on 7th ANC visit ?"
doppler_date_a7 "Date of Doppler at 7th ANC visit"
reason_for_doppler_anc_7 "Reason for Doppler"
where_done_doppler_a7 "Where was the Doppler done at 7th ANC visit?"
doppler_findings_a7 "Findings of Doppler at 7th ANC visit"
any_oth_radiological_tests_a7 "Any other Radiological tests done in the 7th ANC visit?"
oth_investigation_test_name_a7 "Name of any other radiological test done at the 7th ANC visit"
oth_investigation_test_date_a7 "Date of the Radiological test at the 7th ANC visit"
reason_for_otr_radio_exa_anc_7 "Reason for other radiological examination"
where_done_oth_investigation_a7 "Where was the Radiological test done at the 7th ANC visit?"
oth_investigation_findings_a7 "Findings of the Radiological test at the 7th ANC visit"
anc_visit_8 "8th ANC visit"
date_anc_visits_a8 "Date of 8th ANC visit"
gestational_ages_a8 "Gestational age at 8th ANC visit(in weeks)"
months_amenorrhea_a8 "Months of amenorrhea at 8th ANC visit"
place_of_anc_visit_8 "Place of ANC visit"
seen_by_8 "Seen by"
vomiting_anc_vst_8 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_8 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_8 "Any breathlessness / tiredness"
headache_blurred_vision_anc_8 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_8 "Jaundice"
abdominal_pain_anc_8 "Abdominal pain"
bleeding_per_vagina_anc_8 "Bleeding per vagina"
leaking_per_vagina_anc_8 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_8 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_8 "Treatment for conception"
fever_anc_vst_8 "Fever"
other_anc_vst_8 "Other"
specify_other_anc_vst_8 "Specify other"
ht_checked_anc_visit_8 "Height checked for ANC visit 8th"
wt_checked_anc_visit_8 "Weight checked for ANC visit 8th"
bp_checked_anc_visit_8 "Blood Pressure checked for ANC visit 8th"
checked_pulse_anc_8 "Checked pulse"
checkd_respiration_anc_8 "Checked respiration"
checked_for_swelling_anc_8 "Checked for swelling"
checked_for_jaundice_anc_8 "Checked for jaundice"
checked_fetal_lie_anc_8 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_8 "Record of fetal lie in ANC visit 8"
checked_fetal_position_anc_8 "Checked fetal position [>32weeks GA only]"
checkd_pallor_8 "Checked for Pallor at 8th Visit"
oedema_a8 "Checked for Pedal Oedema at 8th Visit"
breasts_examined_a8 "Breasts Examined at 8th Visit"
prob_breasts_examined_a8 "Any specific problems observed during breast ex... 8th ANC visit?"
rcrd_symp_8 "Record symphysis fundal height (SFH) at the 8th ANC visit"
rcrd_fhr_8 "Record FHR [>22wks] at 8th Visit"
hemo_8 "Hemoglobin at 8th Visit"
rndm_bld_8 "Random blood sugar at 8th Visit"
vdrl_8 "VDRL/ Syphilis at 8th Visit"
hiv_8 "HIV at 8th Visit"
hbsag_8 "HBsAG at 8th Visit"
malaria_anc_visit_8 "Malaria test at ANC visit 8"
cbc_done_at_anc_visit_8 "CBC done at ANC visit 8"
tsh_8 "TSH at 8th Visit"
bld_rh_8 "Blood group and Rh at 8th Visit"
gtt_8 "Glucose Tolerance Test (GTT) at 8th Visit"
oth_8 "Any other test at 8th Visit"
aobt_results_a8 "Record any other test results at the 8th ANC visit, if available"
urine_albumin_a8 "Urine Albumin test done at 8th ANC visit?"
urine_albumin_results_a8 "Record Urine Albumin test results at 8th ANC visit, if available"
urine_sugar_a8 "Urine Sugar test done at 8th ANC visit?"
urine_sugar_test_results_a8 "Record urine sugar test results at 8th ANC visit, if available"
urine_micro_a8 "Urine Microscopy test done at 8th ANC visit?"
urine_microscopy_results_a8 "Record urine microscopy results at 8th ANC visit, if available"
usg_a8 "Did ultrasonography on the 8th ANC visit?"
usgda_a8 "Date of ultrasonography at 8th ANC visit"
reason_usg_anc_8 "Reason for ultrasonography done ?"
result_of_usg_8 "Findings of ultrasonography done at ANC visit 8"
where_done_usg_a8 "Where was the Radiological test done at the 8th ANC visit?"
nst_ctg_done_anc_visit_8 "NST / CTG done ANC visit 8"
date_nst_ctg_anc_8 "Date NST / CTG done ANC visit 8"
reson_nst_anc_8 "Reason for NST/CTG ?"
result_of_nst_anc_8 "Findings of NST/CTG done at ANC visit 8"
where_done_nst_8 "Where it is done"
doppler_done_a8 "Doppler done on 8th ANC visit?[Expected at 18-2... severe SGA/FGR]"
doppler_date_a8 "Date of Doppler at 8th ANC visit"
reason_for_doppler_anc_8 "Reason for Doppler"
where_done_doppler_a8 "Where was the Doppler done at 8th ANC visit?"
doppler_findings_a8 "Findings of Doppler at 8th ANC visit"
any_oth_radiological_tests_a8 "Any other Radiological tests done in the 8th ANC visit?"
oth_investigation_test_name_a8 "Name of any other radiological test done at the 8th ANC visit"
oth_investigation_test_date_a8 "Date of the Radiological test at the 8th ANC visit"
reason_for_otr_radio_exa_anc_8 "Reason for other radiological examination"
where_done_oth_investigation_a8 "Where was the Radiological test done at the 8th ANC visit?"
oth_investigation_findings_a8 "Findings of the Radiological test at the 8th ANC visit"
prescribe_folic_acid_iron "5.1.1. Iron & Folic acid(only in 1st trimester) "
took_iron_folic_acid "Took the medication (Iron & Folic acid)"
folic_acid_details "How many tablets were bought/given"
iron_fa_tablets_comsumed "How many tablets were consumed?"
prescribed_ca "5.1.2. Calcium"
taken_ca "Taken medication Calcium?"
details_ca_medication "Details of calcium medication"
prescribed_asp "5.1.3. Low dose Aspirin"
taken_asp "Taken Medication Aspirin?"
details_asp_medication "Details"
pih_hypertension "5.1.4. PIH/ Hypertension"
took_pih_hyp_medication "Then specify if you took the medication"
pih_hyp_names "Name"
details_pih_hyp_medication "Details"
prescribed_inj_tt "5.1.5 Injection TT(on registration, then 1 mont... xt visit) / dT?"
taken_inj_tt "Took the medication Injection TT?"
date_1st_tt "Date of 1st dose"
date_2nd_tt "Date of 2nd dose"
date_of_booster_dose "Date of Booster Dose (if no of pregnancy second / third / ect. )"
prescribed_inj_iron "5.1.6 Prescribed Injection Iron?"
took_inj_iron "Then specify if you took the medication"
date_inj_iron "Date"
prescribed_antibiotics "5.1.7 Anti-D"
taken_antibiotics "Taken Anti-D?"
date_antibiotics "Date"
prescribed_diab_medication "5.1.8 Diabetes"
took_diabetes_medication "Then specify if you took the medication"
name_diab_medication "Name"
details_diabetes_medication "Details"
thyroid_medication_prescribed "5.1.9 Thyroid supplement"
took_thyroid_medication "Then specify if you took the medication"
name_thyroid_medication "Name"
details_thyroid_medication "Details"
oth_tablets_prescribed "5.1.10 Other tablets / Syrup"
took_oth_medication "then specify if you took the medication"
name_oth_medication "Name"
oth_inj_medication "5.1.11 Other injections"
took_oth_inj "then specify if you took the medication"
oth_inj_name "Name"
take_adequate_rest "a. Take adequate rest."
who_gave_information "Who gave information"
complied_counselling_1 "Complied"
sleep_side_right_or_left "b. Sleep on a side (right or left side)"
who_gave_information_2 "Who gave information"
complied_counselling_2 "Complied"
perform_adequate_physical "c. Perform adequate physical activity."
who_gave_information_3 "Who gave information"
complied_counselling_3 "Complied"
consume_a_balanced_diet "d. Consume a balanced diet / Take dietary supplements from ICDS."
who_gave_information_4 "Who gave information"
complied_counselling_4 "Complied"
take_medications_prescrib "e. Take medications prescribed."
who_gave_information_5 "Who gave information"
complied_counselling_5 "Complied"
check_daily_fetal_movement "f. Check daily fetal movement (FM begins 16-22... ts by 26 weeks."
who_gave_information_6 "Who gave information"
complied_counselling_6 "Complied"
look_danger_signs_report "g. Look for danger signs and report"
specify_which_of_following "specify which of the following were mentioned"
who_gave_information_7 "Who gave information"
complied_counselling_7 "Complied"
birth_preparednes_and_plan "h. Birth preparedness and plan"
specify_details_birth_prep "specify details"
who_gave_information_8 "Who gave information"
complied_counselling_8 "Complied"
refer_higher_level_faci "5.2 Was the mother referred to seek care at a h... level facility?"
moth_referal_reason "Why was she referred? Specify"
admitted_during_preg "5.3 Was admitted any time during pregnancy?"
yes_admitted_during_preg "5.3.1 Why"
when_admitted_during_preg "5.3.2 When was she admitted"
where_admitted_during_preg "5.3.3 Where was she admitted during pregnancy?"
no_admitted_during_preg "5.3.4 How many times was she admitted during pregnancy?"
same_health_facility "5.3.5 Did she go to the same health facility?[I... not applicable]"
no_where "5.3.6 Where did she go? and why?"
no_where_why "Why?"
incentives "5.4 Received any incentives?"
which_recvd "5.4.1 If Yes, specify which of the following were received"
pmmvy_incevtive "a. Pradhana Mantri Matru Vandana Yojana (PMMVY)"
early_reg_preg_incentives "Early registration of Pregnancy"
pmmvy_ea_reg_incen_aftr_d_m "Please specify how many days/ months after the... t was received:"
anc_incentive_reci "ANC visit (After 6 months of pregnancy with at... e ANC check-up)"
pmmvy_anc_incen_aftr_d_m "please specify how many days/ months after the... it was received"
pmsma "b. Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)"
jsy "c. Janani Suraksha Yojana (JSY)"
food_suppl "5.5. Received any food supplements during pregnancy?"
specify_food_suppl "5.5.1 If YES, specify which of the following were received?"
oth_food_supplements "Any other"
outcome_of_crnt_pregnancy "Outcome of current pregnancy"
general_comments "General Comments"
form_1_complete "Complete?"
=
not =
contains
does not contain
starts with
ends with
Switch format: Use advanced logic
Advanced filter logic:
(e.g., [age] > 30 and [sex] = "1")
Switch format: Use simple logic (choose fields from list)
Live Filters (optional)
Live Filters can be selected on the report page for dynamically filtering data in real time. With the exception of the Record ID field, only multiple choice fields can be used as Live Filters (as well as Events, if longitudinal, and Data Access Groups, if any exist).
Live Filter 1
-- select a field --
record_id "Record ID"
mcp_card "Section 1: Demographic and pregnancy details 1.MCP card available"
district "1.1.1 Pregnant woman's District"
taluk "1.1.2 Pregnant woman's Taluk"
education "1.6 Education"
ration_card "1.7 Ration Card"
yes_ration_card "Type of ration card"
caste "1.8 Caste"
district_address "District"
present_same_address "1.9.a Is the present address same as the permanent address?"
stillbirths_confirmation "2.5 Stillbirths (birth of dead fetes any time... s of gestation)"
menstruation_regular "2.7 Menstruation regular"
kitchen "3.2 Kitchen (Can answer only ONE response)"
tobacco "3.3 Chewing tobacco and smoking"
another_smoke_inside_home "3.4 Another household member who smokes inside the house"
contracep_3 "3.6 Did you use any contraception (pills/natur... fore pregnancy?"
rcvd_angawd "3.7 Received services from Anganwadi"
spcl_medi_3 "3.8 Special Medication"
sm_high_dose_flic_acd_prec "3.8.1 High dose Folic acid (0.5g per day) prescribed"
sm_took_medication "Medication was prescribed, then did you take th... on (folic acid)"
sm_iron_prescribed "3.8.2 Weekly Iron Supplementation prescribed"
sm_took_iron_medication "Medication was prescribed, then did you take th... dication (Iron)"
anc_done "Section Header: Part 2 (Antenatal Care) Section... ANC visit done"
obtained_previous_pregn_ancy_history_and_recorde_d "4.2 Was previous pregnancy history obtained and... not applicable]"
complication_previous_p_regnancy "4.2.1 Was there any complication/problem in any... ious pregnancy?"
medical_problem_prev_pr_eg "4.3 Has been diagnosed with any medical problem... sent pregnancy?"
anc_visit_1 "(4.4 What all was performed at the ANC (source:... First ANC visit"
place_of_anc_visit_1 "Place of ANC visit"
vomiting_anc_vst_1 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_1 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_1 "Any breathlessness / tiredness"
headache_blurred_vision_anc_1 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_1 "Jaundice"
abdominal_pain_anc_1 "Abdominal pain"
bleeding_per_vagina_anc_1 "Bleeding per vagina"
leaking_per_vagina_anc_1 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_1 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_1 "Treatment for conception"
fever_anc_vst_1 "Fever"
other_anc_vst_1 "Other"
ht_checked_anc_visit_1 "Height checked for ANC visit 1"
wt_checked_anc_visit_1 "Weight checked for ANC visit 1"
bp_checked_anc_visit_1 "Blood Pressure checked for ANC visit 1"
checked_pulse_anc_1 "Checked pulse"
checkd_respiration_anc_1 "Checked respiration"
checked_for_swelling_anc_1 "Checked for swelling"
checked_for_jaundice_anc_1 "Checked for jaundice"
checked_fetal_lie_anc_1 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_1 "Record of fetal lie in ANC visit 1"
checked_fetal_position_anc_1 "Checked fetal position [>32weeks GA only]"
checkd_pallor_1 "Checked for Pallor at 1st Visit"
oedema_a1 "Checked for Pedal Oedema at 1st Visit"
breasts_examined_a1 "Breasts Examined at 1st Visit"
pre_scar_a1 "Checked for Previous Scar"
rcrd_symp_1 "Record symphysis fundal height (SFH) at the 1st ANC visit"
rcrd_fhr_1 "Record FHR [>22wks] at 1st Visit"
hemo_1 "Hemoglobin at 1st Visit"
rndm_bld_1 "Random blood sugar at 1st Visit"
vdrl_1 "VDRL at first ANC visit"
hiv_1 "HIV test at 1st ANC visit"
hbsag_1 "HBsAG at 1st Visit"
malaria_anc_visit_1 "Malaria test at ANC visit 1"
cbc_done_at_anc_visit_1 "CBC done at ANC visit 1"
tft_1 "Thyroid profile at 1st Visit"
bld_rh_1 "Blood group and Rh at 1st Visit"
gtt_1 "Glucose Tolerance Test (GTT) at 1st Visit"
oth_1 "Any other test at 1st Visit"
urine_albumin_a1 "Urine Albumin test done at 1st ANC visit?"
urine_albumin_results_a1 "Record Urine Albumin test results at 1st ANC visit, if available"
urine_sugar_a1 "Urine Sugar test done at 1st ANC visit?"
urine_sugar_test_results_a1 "Record urine sugar test results at 1st ANC visit, if available"
urine_micro_a1 "Urine Microscopy test done at 1st ANC visit?"
urine_microscopy_results_a1 "Record urine microscopy results at 1st ANC visit, if available"
usg_a1 "Did ultrasonography on the 1st ANC visit?"
where_done_usg_a1 "Where was it done at 1st ANC visit?"
nst_ctg_done_anc_visit_1 "NST / CTG done ANC visit 1"
where_done_nst_1 "Where it is done"
doppler_done_a1 "Doppler done on 1st ANC visit?"
where_done_doppler_a1 "Where was the Doppler done at 1st ANC visit?"
any_oth_radiological_tests_a1 "Any other Radiological tests done in the 1st ANC visit?"
where_done_oth_investigation_a1 "Where was the Radiological test done at the 1st ANC visit?"
anc_visit_2 "Second ANC visit"
place_of_anc_visit_2 "Place of ANC visit"
vomiting_anc_vst_2 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_2 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_2 "Any breathlessness / tiredness"
headache_blurred_vision_anc_2 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_2 "Jaundice"
abdominal_pain_anc_2 "Abdominal pain"
bleeding_per_vagina_anc_2 "Bleeding per vagina"
leaking_per_vagina_anc_2 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_2 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_2 "Treatment for conception"
fever_anc_vst_2 "Fever"
other_anc_vst_2 "Other"
ht_checked_anc_visit_2 "Height checked for ANC visit 2"
wt_checked_anc_visit_2 "Weight checked for ANC visit 2"
bp_checked_anc_visit_2 "Blood Pressure checked for ANC visit 2"
checked_pulse_anc_2 "Checked pulse"
checkd_respiration_anc_2 "Checked respiration"
checked_for_swelling_anc_2 "Checked for swelling"
checked_for_jaundice_anc_2 "Checked for jaundice"
checked_fetal_lie_anc_2 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_2 "Record of fetal lie in ANC visit 2"
checked_fetal_position_anc_2 "Checked fetal position [>32weeks GA only]"
checkd_pallor_2 "Checked for Pallor at 2nd Visit"
oedema_a2 "Checked for Pedal Oedema at 2nd Visit"
breasts_examined_a2 "Breasts Examined at 2nd Visit"
rcrd_symp_2 "Record symphysis fundal height (SFH) at the 2nd ANC visit"
rcrd_fhr_2 "Record FHR [>22wks] at 2nd Visit"
hemo_2 "Hemoglobin at 2nd Visit"
rndm_bld_2 "Random blood sugar at 2nd Visit"
vdrl_2 "VDRL/ Syphilis at 2nd Visit"
hiv_2 "HIV at 2nd Visit"
hbsag_2 "HBsAG at 2nd Visit"
malaria_anc_visit_2 "Malaria test at ANC visit 2"
cbc_done_at_anc_visit_2 "CBC done at ANC visit 2"
tft_2 "Thyroid profile at 2nd Visit"
bld_rh_2 "Blood group and Rh at 2nd Visit"
gtt_2 "Glucose Tolerance Test (GTT) at 2nd Visit"
oth_2 "Any other test at 2nd Visit"
urine_albumin_a2 "Urine Albumin test done at 2nd ANC visit?"
urine_albumin_results_a2 "Record Urine Albumin test results at 2nd ANC visit, if available"
urine_sugar_a2 "Urine Sugar test done at 2nd ANC visit?"
urine_sugar_test_results_a2 "Record urine sugar test results at 2nd ANC visit, if available"
urine_micro_a2 "Urine Microscopy test done at 2nd ANC visit?"
urine_microscopy_results_a2 "Record urine microscopy results at 2nd ANC visit, if available"
usg_a2 "Did ultrasonography on the 2nd ANC visit?"
where_done_usg_a2 "Where was it done at 2nd ANC visit?"
nst_ctg_done_anc_visit_2 "NST / CTG done ANC visit 2"
where_done_nst_2 "Where it is done"
doppler_done_a2 "Doppler done on 2nd ANC visit ?"
where_done_doppler_a2 "Where was the Doppler done at 2nd ANC visit?"
any_oth_radiological_tests_a2 "Any other Radiological tests done in the 2nd ANC visit?"
where_done_oth_investigation_a2 "Where was the Radiological test done at the 2nd ANC visit?"
anc_visit_3 "3rd ANC visit"
place_of_anc_visit_3 "Place of ANC visit"
vomiting_anc_vst_3 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_3 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_3 "Any breathlessness / tiredness"
headache_blurred_vision_anc_3 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_3 "Jaundice"
abdominal_pain_anc_3 "Abdominal pain"
bleeding_per_vagina_anc_3 "Bleeding per vagina"
leaking_per_vagina_anc_3 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_3 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_3 "Treatment for conception"
fever_anc_vst_3 "Fever"
other_anc_vst_3 "Other"
ht_checked_anc_visit_3 "Height checked for ANC visit 3"
wt_checked_anc_visit_3 "Weight checked for ANC visit 3"
bp_checked_anc_visit_3 "Blood Pressure checked for ANC visit 3"
checked_pulse_anc_3 "Checked pulse"
checkd_respiration_anc_3 "Checked respiration"
checked_for_swelling_anc_3 "Checked for swelling"
checked_for_jaundice_anc_3 "Checked for jaundice"
checked_fetal_lie_anc_3 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_3 "Record of fetal lie in ANC visit 3"
checked_fetal_position_anc_3 "Checked fetal position [>32weeks GA only]"
checkd_pallor_3 "Checked for Pallor at 3rd Visit"
oedema_a3 "Checked for Pedal Oedema at 3rd Visit"
breasts_examined_a3 "Breasts Examined at 3rd Visit"
rcrd_symp_3 "Record symphysis fundal height (SFH) at the 3rd ANC visit"
rcrd_fhr_3 "Record FHR [>22wks] at 3rd Visit"
hemo_3 "Hemoglobin at 3rd Visit"
rndm_bld_3 "Random blood sugar at 3rd Visit"
vdrl_3 "VDRL/ Syphilis at 3rd Visit"
hiv_3 "HIV at 3rd Visit"
hbsag_3 "HBsAG at 3rd Visit"
malaria_anc_visit_3 "Malaria test at ANC visit 3"
cbc_done_at_anc_visit_3 "CBC done at ANC visit 3"
tft_3 "Thyroid profile at 3rd Visit"
bld_rh_3 "Blood group and Rh at 3rd Visit"
gtt_3 "Glucose Tolerance Test (GTT) at 3rd Visit"
oth_3 "Any other test at 3rd Visit"
urine_albumin_a3 "Urine Albumin test done at 3rd ANC visit?"
urine_albumin_results_a3 "Record Urine Albumin test results at 3rd ANC visit, if available"
urine_sugar_a3 "Urine Sugar test done at 3rd ANC visit?"
urine_sugar_test_results_a3 "Record urine sugar test results at 3rd ANC visit, if available"
urine_micro_a3 "Urine Microscopy test done at 3rd ANC visit?"
urine_microscopy_results_a3 "Record urine microscopy results at 3rd ANC visit, if available"
usg_a3 "Did ultrasonography on the 3rd ANC visit?"
where_done_usg_a3 "Where was it done at 3rd ANC visit?"
nst_ctg_done_anc_visit_3 "NST / CTG done ANC visit 3"
where_done_nst_3 "Where it is done"
doppler_done_a3 "Doppler done on 3rd ANC visit ?"
where_done_doppler_a3 "Where was the Doppler done at 3rd ANC visit?"
any_oth_radiological_tests_a3 "Any other Radiological tests done in the 3rd ANC visit?"
where_done_oth_investigation_a3 "Where was the Radiological test done at the 3rd ANC visit?"
anc_visit_4 "4th ANC visit"
place_of_anc_visit_4 "Place of ANC visit"
vomiting_anc_vst_4 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_4 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_4 "Any breathlessness / tiredness"
headache_blurred_vision_anc_4 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_4 "Jaundice"
abdominal_pain_anc_4 "Abdominal pain"
bleeding_per_vagina_anc_4 "Bleeding per vagina"
leaking_per_vagina_anc_4 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_4 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_4 "Treatment for conception"
fever_anc_vst_4 "Fever"
other_anc_vst_4 "Other"
ht_checked_anc_visit_4 "Height checked for ANC visit 4th"
wt_checked_anc_visit_4 "Weight checked for ANC visit 4th"
bp_checked_anc_visit_4 "Blood Pressure checked for ANC visit 4th"
checked_pulse_anc_4 "Checked pulse"
checkd_respiration_anc_4 "Checked respiration"
checked_for_swelling_anc_4 "Checked for swelling"
checked_for_jaundice_anc_4 "Checked for jaundice"
checked_fetal_lie_anc_4 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_4 "Record of fetal lie in ANC visit 4"
checked_fetal_position_anc_4 "Checked fetal position [>32weeks GA only]"
checkd_pallor_4 "Checked for Pallor at 4th Visit"
oedema_a4 "Checked for Pedal Oedema at 4th Visit"
breasts_examined_a4 "Breasts Examined at 4th Visit"
rcrd_symp_4 "Record symphysis fundal height (SFH) at the 4th ANC visit"
rcrd_fhr_4 "Record FHR [>22wks] at 4th Visit"
hemo_4 "Hemoglobin at 4th Visit"
rndm_bld_4 "Random blood sugar at 4th Visit"
vdrl_4 "VDRL/ Syphilis at 4th Visit"
hiv_4 "HIV at 4th Visit"
hbsag_4 "HBsAG at 4th Visit"
malaria_anc_visit_4 "Malaria test at ANC visit 4"
cbc_done_at_anc_visit_4 "CBC done at ANC visit 4"
tft_4 "Thyroid profile at 4th Visit"
bld_rh_4 "Blood group and Rh at 4th Visit"
gtt_4 "Glucose Tolerance Test (GTT) at 4thVisit"
oth_4 "Any other test at 4th Visit"
urine_albumin_a4 "Urine Albumin test done at 4th ANC visit?"
urine_albumin_results_a4 "Record Urine Albumin test results at 4th ANC visit, if available"
urine_sugar_a4 "Urine Sugar test done at 4th ANC visit?"
urine_sugar_test_results_a4 "Record urine sugar test results at 4th ANC visit, if available"
urine_micro_a4 "Urine Microscopy test done at 4th ANC visit?"
urine_microscopy_results_a4 "Record urine microscopy results at 4th ANC visit, if available"
usg_a4 "Did ultrasonography on the 4th ANC visit?"
where_done_usg_a4 "Where was it done at 4th ANC visit?"
nst_ctg_done_anc_visit_4 "NST / CTG done ANC visit 4"
where_done_nst_4 "Where it is done"
doppler_done_a4 "Doppler done on 4th ANC visit ?"
where_done_doppler_a4 "Where was the Doppler done at 4th ANC visit?"
any_oth_radiological_tests_a4 "Any other Radiological tests done in the 4th ANC visit?"
where_done_oth_investigation_a4 "Where was the Radiological test done at the 4th ANC visit?"
anc_visit_5 "5th ANC visit"
place_of_anc_visit_5 "Place of ANC visit"
vomiting_anc_vst_5 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_5 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_5 "Any breathlessness / tiredness"
headache_blurred_vision_anc_5 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_5 "Jaundice"
abdominal_pain_anc_5 "Abdominal pain"
bleeding_per_vagina_anc_5 "Bleeding per vagina"
leaking_per_vagina_anc_5 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_5 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_5 "Treatment for conception"
fever_anc_vst_5 "Fever"
other_anc_vst_5 "Other"
ht_checked_anc_visit_5 "Height checked for ANC visit 5th"
wt_checked_anc_visit_5 "Weight checked for ANC visit 5th"
bp_checked_anc_visit_5 "Blood Pressure checked for ANC visit 5th"
checked_pulse_anc_5 "Checked pulse"
checkd_respiration_anc_5 "Checked respiration"
checked_for_swelling_anc_5 "Checked for swelling"
checked_for_jaundice_anc_5 "Checked for jaundice"
checked_fetal_lie_anc_5 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_5 "Record of fetal lie in ANC visit 5"
checked_fetal_position_anc_5 "Checked fetal position [>32weeks GA only]"
checkd_pallor_5 "Checked for Pallor at 5th Visit"
oedema_a5 "Checked for Pedal Oedema at 5th Visit"
breasts_examined_a5 "Breasts Examined at 5th Visit"
rcrd_symp_5 "Record symphysis fundal height (SFH) at the 5th ANC visit"
rcrd_fhr_5 "Record FHR [>22wks] at 5th Visit"
hemo_5 "Hemoglobin at 5th Visit"
rndm_bld_5 "Random blood sugar at 5th Visit"
vdrl_5 "VDRL/ Syphilis at 5th Visit"
hiv_5 "HIV at 5th Visit"
hbsag_5 "HBsAG at 5th Visit"
malaria_anc_visit_5 "Malaria test at ANC visit 5"
cbc_done_at_anc_visit_5 "CBC done at ANC visit 5"
tft_5 "Thyroid profile at 5th Visit"
bld_rh_5 "Blood group and Rh at 5th Visit"
gtt_5 "Glucose Tolerance Test (GTT) at 5th Visit"
oth_5 "Any other test at 5th Visit"
urine_albumin_a5 "Urine Albumin test done at 5th ANC visit?"
urine_albumin_results_a5 "Record Urine Albumin test results at 5th ANC visit, if available"
urine_sugar_a5 "Urine Sugar test done at 5th ANC visit?"
urine_sugar_test_results_a5 "Record urine sugar test results at 5th ANC visit, if available"
urine_micro_a5 "Urine Microscopy test done at 5th ANC visit?"
urine_microscopy_results_a5 "Record urine microscopy results at 5th ANC visit, if available"
usg_a5 "Did ultrasonography on the 5th ANC visit?"
where_done_usg_a5 "Where was it done at 5th ANC visit?"
nst_ctg_done_anc_visit_5 "NST / CTG done ANC visit 5"
where_done_nst_5 "Where it is done"
doppler_done_a5 "Doppler done on 5th ANC visit ?"
where_done_doppler_a5 "Where was the Doppler done at 5th ANC visit?"
any_oth_radiological_tests_a5 "Any other Radiological tests done in the 5th ANC visit?"
where_done_oth_investigation_a5 "Where was the Radiological test done at the 5th ANC visit?"
anc_visit_6 "6th ANC visit"
place_of_anc_visit_6 "Place of ANC visit"
vomiting_anc_vst_6 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_6 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_6 "Any breathlessness / tiredness"
headache_blurred_vision_anc_6 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_6 "Jaundice"
abdominal_pain_anc_6 "Abdominal pain"
bleeding_per_vagina_anc_6 "Bleeding per vagina"
leaking_per_vagina_anc_6 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_6 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_6 "Treatment for conception"
fever_anc_vst_6 "Fever"
other_anc_vst_6 "Other"
ht_checked_anc_visit_6 "Height checked for ANC visit 6th"
wt_checked_anc_visit_6 "Weight checked for ANC visit 6th"
bp_checked_anc_visit_6 "Blood Pressure checked for ANC visit 6th"
checked_pulse_anc_6 "Checked pulse"
checkd_respiration_anc_6 "Checked respiration"
checked_for_swelling_anc_6 "Checked for swelling"
checked_for_jaundice_anc_6 "Checked for jaundice"
checked_fetal_lie_anc_6 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_6 "Record of fetal lie in ANC visit 6"
checked_fetal_position_anc_6 "Checked fetal position [>32weeks GA only]"
checkd_pallor_6 "Checked for Pallor at 6th Visit"
oedema_a6 "Checked for Pedal Oedema at 6th Visit"
breasts_examined_a6 "Breasts Examined at 6th Visit"
rcrd_symp_6 "Record symphysis fundal height (SFH) at the 6th ANC visit"
rcrd_fhr_6 "Record FHR [>22wks] at 6th Visit"
hemo_6 "Hemoglobin at 6th Visit"
rndm_bld_6 "Random blood sugar at 6th Visit"
vdrl_6 "VDRL/ Syphilis at 6th Visit"
hiv_6 "HIV at 6th Visit"
hbsag_6 "HBsAG at 6th Visit"
malaria_anc_visit_6 "Malaria test at ANC visit 6"
cbc_done_at_anc_visit_6 "CBC done at ANC visit 6"
tft_6 "Thyroid profile at 6th Visit"
bld_rh_6 "Blood group and Rh at 6th Visit"
gtt_6 "Glucose Tolerance Test (GTT) at 6th Visit"
oth_6 "Any other test at 6th Visit"
urine_albumin_a6 "Urine Albumin test done at 6th ANC visit?"
urine_albumin_results_a6 "Record Urine Albumin test results at 6th ANC visit, if available"
urine_sugar_a6 "Urine Sugar test done at 6th ANC visit?"
urine_sugar_test_results_a6 "Record urine sugar test results at 6th ANC visit, if available"
urine_micro_a6 "Urine Microscopy test done at 6th ANC visit?"
urine_microscopy_results_a6 "Record urine microscopy results at 6th ANC visit, if available"
usg_a6 "Did ultrasonography on the 6th ANC visit?"
where_done_usg_a6 "Where was it done at 6th ANC visit?"
nst_ctg_done_anc_visit_6 "NST / CTG done ANC visit 6"
where_done_nst_6 "Where it is done"
doppler_done_a6 "Doppler done on 6th ANC visit ?"
where_done_doppler_a6 "Where was the Doppler done at 6th ANC visit?"
any_oth_radiological_tests_a6 "Any other Radiological tests done in the 6th ANC visit?"
where_done_oth_investigation_a6 "Where was the Radiological test done at the 6th ANC visit?"
anc_visit_7 "7th ANC visit"
place_of_anc_visit_7 "Place of ANC visit"
vomiting_anc_vst_7 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_7 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_7 "Any breathlessness / tiredness"
headache_blurred_vision_anc_7 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_7 "Jaundice"
abdominal_pain_anc_7 "Abdominal pain"
bleeding_per_vagina_anc_7 "Bleeding per vagina"
leaking_per_vagina_anc_7 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_7 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_7 "Treatment for conception"
fever_anc_vst_7 "Fever"
other_anc_vst_7 "Other"
ht_checked_anc_visit_7 "Height checked for ANC visit 7th"
wt_checked_anc_visit_7 "Weight checked for ANC visit 7th"
bp_checked_anc_visit_7 "Blood Pressure checked for ANC visit 7th"
checked_pulse_anc_7 "Checked pulse"
checkd_respiration_anc_7 "Checked respiration"
checked_for_swelling_anc_7 "Checked for swelling"
checked_for_jaundice_anc_7 "Checked for jaundice"
checked_fetal_lie_anc_7 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_7 "Record of fetal lie in ANC visit 7"
checked_fetal_position_anc_7 "Checked fetal position [>32weeks GA only]"
checkd_pallor_7 "Checked for Pallor at 7th Visit"
oedema_a7 "Checked for Pedal Oedema at 7th Visit"
breasts_examined_a7 "Breasts Examined at 7th Visit"
rcrd_symp_7 "Record symphysis fundal height (SFH) at the 7th ANC visit"
rcrd_fhr_7 "Record FHR [>22wks] at 7th Visit"
hemo_7 "Hemoglobin at 7th Visit"
rndm_bld_7 "Random blood sugar at 7th Visit"
vdrl_7 "VDRL/ Syphilis at 7th Visit"
hiv_7 "HIV at 7th Visit"
hbsag_7 "HBsAG at 7th Visit"
malaria_anc_visit_7 "Malaria test at ANC visit 7"
cbc_done_at_anc_visit_7 "CBC done at ANC visit 7"
tft_7 "Thyroid profile at 7th Visit"
bld_rh_7 "Blood group and Rh at 7th Visit"
gtt_7 "Glucose Tolerance Test (GTT) at 7th Visit"
oth_7 "Any other test at 7th Visit"
urine_albumin_a7 "Urine Albumin test done at 7th ANC visit?"
urine_albumin_results_a7 "Record Urine Albumin test results at 7th ANC visit, if available"
urine_sugar_a7 "Urine Sugar test done at 7th ANC visit?"
urine_sugar_test_results_a7 "Record urine sugar test results at 7th ANC visit, if available"
urine_micro_a7 "Urine Microscopy test done at 7th ANC visit?"
urine_microscopy_results_a7 "Record urine microscopy results at 7th ANC visit, if available"
usg_a7 "Did ultrasonography on the 7th ANC visit?"
where_done_usg_a7 "Where was it done at 7th ANC visit?"
nst_ctg_done_anc_visit_7 "NST / CTG done ANC visit 7"
where_done_nst_7 "Where it is done"
doppler_done_a7 "Doppler done on 7th ANC visit ?"
where_done_doppler_a7 "Where was the Doppler done at 7th ANC visit?"
any_oth_radiological_tests_a7 "Any other Radiological tests done in the 7th ANC visit?"
where_done_oth_investigation_a7 "Where was the Radiological test done at the 7th ANC visit?"
anc_visit_8 "8th ANC visit"
place_of_anc_visit_8 "Place of ANC visit"
vomiting_anc_vst_8 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_8 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_8 "Any breathlessness / tiredness"
headache_blurred_vision_anc_8 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_8 "Jaundice"
abdominal_pain_anc_8 "Abdominal pain"
bleeding_per_vagina_anc_8 "Bleeding per vagina"
leaking_per_vagina_anc_8 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_8 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_8 "Treatment for conception"
fever_anc_vst_8 "Fever"
other_anc_vst_8 "Other"
ht_checked_anc_visit_8 "Height checked for ANC visit 8th"
wt_checked_anc_visit_8 "Weight checked for ANC visit 8th"
bp_checked_anc_visit_8 "Blood Pressure checked for ANC visit 8th"
checked_pulse_anc_8 "Checked pulse"
checkd_respiration_anc_8 "Checked respiration"
checked_for_swelling_anc_8 "Checked for swelling"
checked_for_jaundice_anc_8 "Checked for jaundice"
checked_fetal_lie_anc_8 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_8 "Record of fetal lie in ANC visit 8"
checked_fetal_position_anc_8 "Checked fetal position [>32weeks GA only]"
checkd_pallor_8 "Checked for Pallor at 8th Visit"
oedema_a8 "Checked for Pedal Oedema at 8th Visit"
breasts_examined_a8 "Breasts Examined at 8th Visit"
rcrd_symp_8 "Record symphysis fundal height (SFH) at the 8th ANC visit"
rcrd_fhr_8 "Record FHR [>22wks] at 8th Visit"
hemo_8 "Hemoglobin at 8th Visit"
rndm_bld_8 "Random blood sugar at 8th Visit"
vdrl_8 "VDRL/ Syphilis at 8th Visit"
hiv_8 "HIV at 8th Visit"
hbsag_8 "HBsAG at 8th Visit"
malaria_anc_visit_8 "Malaria test at ANC visit 8"
cbc_done_at_anc_visit_8 "CBC done at ANC visit 8"
tsh_8 "TSH at 8th Visit"
bld_rh_8 "Blood group and Rh at 8th Visit"
gtt_8 "Glucose Tolerance Test (GTT) at 8th Visit"
oth_8 "Any other test at 8th Visit"
urine_albumin_a8 "Urine Albumin test done at 8th ANC visit?"
urine_albumin_results_a8 "Record Urine Albumin test results at 8th ANC visit, if available"
urine_sugar_a8 "Urine Sugar test done at 8th ANC visit?"
urine_sugar_test_results_a8 "Record urine sugar test results at 8th ANC visit, if available"
urine_micro_a8 "Urine Microscopy test done at 8th ANC visit?"
urine_microscopy_results_a8 "Record urine microscopy results at 8th ANC visit, if available"
usg_a8 "Did ultrasonography on the 8th ANC visit?"
where_done_usg_a8 "Where was the Radiological test done at the 8th ANC visit?"
nst_ctg_done_anc_visit_8 "NST / CTG done ANC visit 8"
where_done_nst_8 "Where it is done"
doppler_done_a8 "Doppler done on 8th ANC visit?[Expected at 18-2... severe SGA/FGR]"
where_done_doppler_a8 "Where was the Doppler done at 8th ANC visit?"
any_oth_radiological_tests_a8 "Any other Radiological tests done in the 8th ANC visit?"
where_done_oth_investigation_a8 "Where was the Radiological test done at the 8th ANC visit?"
prescribe_folic_acid_iron "5.1.1. Iron & Folic acid(only in 1st trimester) "
took_iron_folic_acid "Took the medication (Iron & Folic acid)"
prescribed_ca "5.1.2. Calcium"
taken_ca "Taken medication Calcium?"
details_ca_medication "Details of calcium medication"
prescribed_asp "5.1.3. Low dose Aspirin"
taken_asp "Taken Medication Aspirin?"
details_asp_medication "Details"
pih_hypertension "5.1.4. PIH/ Hypertension"
took_pih_hyp_medication "Then specify if you took the medication"
details_pih_hyp_medication "Details"
prescribed_inj_tt "5.1.5 Injection TT(on registration, then 1 mont... xt visit) / dT?"
taken_inj_tt "Took the medication Injection TT?"
prescribed_inj_iron "5.1.6 Prescribed Injection Iron?"
took_inj_iron "Then specify if you took the medication"
prescribed_antibiotics "5.1.7 Anti-D"
taken_antibiotics "Taken Anti-D?"
prescribed_diab_medication "5.1.8 Diabetes"
took_diabetes_medication "Then specify if you took the medication"
details_diabetes_medication "Details"
thyroid_medication_prescribed "5.1.9 Thyroid supplement"
took_thyroid_medication "Then specify if you took the medication"
details_thyroid_medication "Details"
oth_tablets_prescribed "5.1.10 Other tablets / Syrup"
took_oth_medication "then specify if you took the medication"
oth_inj_medication "5.1.11 Other injections"
took_oth_inj "then specify if you took the medication"
take_adequate_rest "a. Take adequate rest."
who_gave_information "Who gave information"
complied_counselling_1 "Complied"
sleep_side_right_or_left "b. Sleep on a side (right or left side)"
who_gave_information_2 "Who gave information"
complied_counselling_2 "Complied"
perform_adequate_physical "c. Perform adequate physical activity."
who_gave_information_3 "Who gave information"
complied_counselling_3 "Complied"
consume_a_balanced_diet "d. Consume a balanced diet / Take dietary supplements from ICDS."
who_gave_information_4 "Who gave information"
complied_counselling_4 "Complied"
take_medications_prescrib "e. Take medications prescribed."
who_gave_information_5 "Who gave information"
complied_counselling_5 "Complied"
check_daily_fetal_movement "f. Check daily fetal movement (FM begins 16-22... ts by 26 weeks."
who_gave_information_6 "Who gave information"
complied_counselling_6 "Complied"
look_danger_signs_report "g. Look for danger signs and report"
complied_counselling_7 "Complied"
birth_preparednes_and_plan "h. Birth preparedness and plan"
who_gave_information_8 "Who gave information"
complied_counselling_8 "Complied"
refer_higher_level_faci "5.2 Was the mother referred to seek care at a h... level facility?"
admitted_during_preg "5.3 Was admitted any time during pregnancy?"
where_admitted_during_preg "5.3.3 Where was she admitted during pregnancy?"
same_health_facility "5.3.5 Did she go to the same health facility?[I... not applicable]"
incentives "5.4 Received any incentives?"
pmmvy_incevtive "a. Pradhana Mantri Matru Vandana Yojana (PMMVY)"
early_reg_preg_incentives "Early registration of Pregnancy"
anc_incentive_reci "ANC visit (After 6 months of pregnancy with at... e ANC check-up)"
pmsma "b. Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)"
jsy "c. Janani Suraksha Yojana (JSY)"
food_suppl "5.5. Received any food supplements during pregnancy?"
outcome_of_crnt_pregnancy "Outcome of current pregnancy"
form_1_complete "Complete?"
Live Filter 2
-- select a field --
record_id "Record ID"
mcp_card "Section 1: Demographic and pregnancy details 1.MCP card available"
district "1.1.1 Pregnant woman's District"
taluk "1.1.2 Pregnant woman's Taluk"
education "1.6 Education"
ration_card "1.7 Ration Card"
yes_ration_card "Type of ration card"
caste "1.8 Caste"
district_address "District"
present_same_address "1.9.a Is the present address same as the permanent address?"
stillbirths_confirmation "2.5 Stillbirths (birth of dead fetes any time... s of gestation)"
menstruation_regular "2.7 Menstruation regular"
kitchen "3.2 Kitchen (Can answer only ONE response)"
tobacco "3.3 Chewing tobacco and smoking"
another_smoke_inside_home "3.4 Another household member who smokes inside the house"
contracep_3 "3.6 Did you use any contraception (pills/natur... fore pregnancy?"
rcvd_angawd "3.7 Received services from Anganwadi"
spcl_medi_3 "3.8 Special Medication"
sm_high_dose_flic_acd_prec "3.8.1 High dose Folic acid (0.5g per day) prescribed"
sm_took_medication "Medication was prescribed, then did you take th... on (folic acid)"
sm_iron_prescribed "3.8.2 Weekly Iron Supplementation prescribed"
sm_took_iron_medication "Medication was prescribed, then did you take th... dication (Iron)"
anc_done "Section Header: Part 2 (Antenatal Care) Section... ANC visit done"
obtained_previous_pregn_ancy_history_and_recorde_d "4.2 Was previous pregnancy history obtained and... not applicable]"
complication_previous_p_regnancy "4.2.1 Was there any complication/problem in any... ious pregnancy?"
medical_problem_prev_pr_eg "4.3 Has been diagnosed with any medical problem... sent pregnancy?"
anc_visit_1 "(4.4 What all was performed at the ANC (source:... First ANC visit"
place_of_anc_visit_1 "Place of ANC visit"
vomiting_anc_vst_1 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_1 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_1 "Any breathlessness / tiredness"
headache_blurred_vision_anc_1 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_1 "Jaundice"
abdominal_pain_anc_1 "Abdominal pain"
bleeding_per_vagina_anc_1 "Bleeding per vagina"
leaking_per_vagina_anc_1 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_1 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_1 "Treatment for conception"
fever_anc_vst_1 "Fever"
other_anc_vst_1 "Other"
ht_checked_anc_visit_1 "Height checked for ANC visit 1"
wt_checked_anc_visit_1 "Weight checked for ANC visit 1"
bp_checked_anc_visit_1 "Blood Pressure checked for ANC visit 1"
checked_pulse_anc_1 "Checked pulse"
checkd_respiration_anc_1 "Checked respiration"
checked_for_swelling_anc_1 "Checked for swelling"
checked_for_jaundice_anc_1 "Checked for jaundice"
checked_fetal_lie_anc_1 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_1 "Record of fetal lie in ANC visit 1"
checked_fetal_position_anc_1 "Checked fetal position [>32weeks GA only]"
checkd_pallor_1 "Checked for Pallor at 1st Visit"
oedema_a1 "Checked for Pedal Oedema at 1st Visit"
breasts_examined_a1 "Breasts Examined at 1st Visit"
pre_scar_a1 "Checked for Previous Scar"
rcrd_symp_1 "Record symphysis fundal height (SFH) at the 1st ANC visit"
rcrd_fhr_1 "Record FHR [>22wks] at 1st Visit"
hemo_1 "Hemoglobin at 1st Visit"
rndm_bld_1 "Random blood sugar at 1st Visit"
vdrl_1 "VDRL at first ANC visit"
hiv_1 "HIV test at 1st ANC visit"
hbsag_1 "HBsAG at 1st Visit"
malaria_anc_visit_1 "Malaria test at ANC visit 1"
cbc_done_at_anc_visit_1 "CBC done at ANC visit 1"
tft_1 "Thyroid profile at 1st Visit"
bld_rh_1 "Blood group and Rh at 1st Visit"
gtt_1 "Glucose Tolerance Test (GTT) at 1st Visit"
oth_1 "Any other test at 1st Visit"
urine_albumin_a1 "Urine Albumin test done at 1st ANC visit?"
urine_albumin_results_a1 "Record Urine Albumin test results at 1st ANC visit, if available"
urine_sugar_a1 "Urine Sugar test done at 1st ANC visit?"
urine_sugar_test_results_a1 "Record urine sugar test results at 1st ANC visit, if available"
urine_micro_a1 "Urine Microscopy test done at 1st ANC visit?"
urine_microscopy_results_a1 "Record urine microscopy results at 1st ANC visit, if available"
usg_a1 "Did ultrasonography on the 1st ANC visit?"
where_done_usg_a1 "Where was it done at 1st ANC visit?"
nst_ctg_done_anc_visit_1 "NST / CTG done ANC visit 1"
where_done_nst_1 "Where it is done"
doppler_done_a1 "Doppler done on 1st ANC visit?"
where_done_doppler_a1 "Where was the Doppler done at 1st ANC visit?"
any_oth_radiological_tests_a1 "Any other Radiological tests done in the 1st ANC visit?"
where_done_oth_investigation_a1 "Where was the Radiological test done at the 1st ANC visit?"
anc_visit_2 "Second ANC visit"
place_of_anc_visit_2 "Place of ANC visit"
vomiting_anc_vst_2 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_2 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_2 "Any breathlessness / tiredness"
headache_blurred_vision_anc_2 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_2 "Jaundice"
abdominal_pain_anc_2 "Abdominal pain"
bleeding_per_vagina_anc_2 "Bleeding per vagina"
leaking_per_vagina_anc_2 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_2 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_2 "Treatment for conception"
fever_anc_vst_2 "Fever"
other_anc_vst_2 "Other"
ht_checked_anc_visit_2 "Height checked for ANC visit 2"
wt_checked_anc_visit_2 "Weight checked for ANC visit 2"
bp_checked_anc_visit_2 "Blood Pressure checked for ANC visit 2"
checked_pulse_anc_2 "Checked pulse"
checkd_respiration_anc_2 "Checked respiration"
checked_for_swelling_anc_2 "Checked for swelling"
checked_for_jaundice_anc_2 "Checked for jaundice"
checked_fetal_lie_anc_2 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_2 "Record of fetal lie in ANC visit 2"
checked_fetal_position_anc_2 "Checked fetal position [>32weeks GA only]"
checkd_pallor_2 "Checked for Pallor at 2nd Visit"
oedema_a2 "Checked for Pedal Oedema at 2nd Visit"
breasts_examined_a2 "Breasts Examined at 2nd Visit"
rcrd_symp_2 "Record symphysis fundal height (SFH) at the 2nd ANC visit"
rcrd_fhr_2 "Record FHR [>22wks] at 2nd Visit"
hemo_2 "Hemoglobin at 2nd Visit"
rndm_bld_2 "Random blood sugar at 2nd Visit"
vdrl_2 "VDRL/ Syphilis at 2nd Visit"
hiv_2 "HIV at 2nd Visit"
hbsag_2 "HBsAG at 2nd Visit"
malaria_anc_visit_2 "Malaria test at ANC visit 2"
cbc_done_at_anc_visit_2 "CBC done at ANC visit 2"
tft_2 "Thyroid profile at 2nd Visit"
bld_rh_2 "Blood group and Rh at 2nd Visit"
gtt_2 "Glucose Tolerance Test (GTT) at 2nd Visit"
oth_2 "Any other test at 2nd Visit"
urine_albumin_a2 "Urine Albumin test done at 2nd ANC visit?"
urine_albumin_results_a2 "Record Urine Albumin test results at 2nd ANC visit, if available"
urine_sugar_a2 "Urine Sugar test done at 2nd ANC visit?"
urine_sugar_test_results_a2 "Record urine sugar test results at 2nd ANC visit, if available"
urine_micro_a2 "Urine Microscopy test done at 2nd ANC visit?"
urine_microscopy_results_a2 "Record urine microscopy results at 2nd ANC visit, if available"
usg_a2 "Did ultrasonography on the 2nd ANC visit?"
where_done_usg_a2 "Where was it done at 2nd ANC visit?"
nst_ctg_done_anc_visit_2 "NST / CTG done ANC visit 2"
where_done_nst_2 "Where it is done"
doppler_done_a2 "Doppler done on 2nd ANC visit ?"
where_done_doppler_a2 "Where was the Doppler done at 2nd ANC visit?"
any_oth_radiological_tests_a2 "Any other Radiological tests done in the 2nd ANC visit?"
where_done_oth_investigation_a2 "Where was the Radiological test done at the 2nd ANC visit?"
anc_visit_3 "3rd ANC visit"
place_of_anc_visit_3 "Place of ANC visit"
vomiting_anc_vst_3 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_3 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_3 "Any breathlessness / tiredness"
headache_blurred_vision_anc_3 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_3 "Jaundice"
abdominal_pain_anc_3 "Abdominal pain"
bleeding_per_vagina_anc_3 "Bleeding per vagina"
leaking_per_vagina_anc_3 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_3 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_3 "Treatment for conception"
fever_anc_vst_3 "Fever"
other_anc_vst_3 "Other"
ht_checked_anc_visit_3 "Height checked for ANC visit 3"
wt_checked_anc_visit_3 "Weight checked for ANC visit 3"
bp_checked_anc_visit_3 "Blood Pressure checked for ANC visit 3"
checked_pulse_anc_3 "Checked pulse"
checkd_respiration_anc_3 "Checked respiration"
checked_for_swelling_anc_3 "Checked for swelling"
checked_for_jaundice_anc_3 "Checked for jaundice"
checked_fetal_lie_anc_3 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_3 "Record of fetal lie in ANC visit 3"
checked_fetal_position_anc_3 "Checked fetal position [>32weeks GA only]"
checkd_pallor_3 "Checked for Pallor at 3rd Visit"
oedema_a3 "Checked for Pedal Oedema at 3rd Visit"
breasts_examined_a3 "Breasts Examined at 3rd Visit"
rcrd_symp_3 "Record symphysis fundal height (SFH) at the 3rd ANC visit"
rcrd_fhr_3 "Record FHR [>22wks] at 3rd Visit"
hemo_3 "Hemoglobin at 3rd Visit"
rndm_bld_3 "Random blood sugar at 3rd Visit"
vdrl_3 "VDRL/ Syphilis at 3rd Visit"
hiv_3 "HIV at 3rd Visit"
hbsag_3 "HBsAG at 3rd Visit"
malaria_anc_visit_3 "Malaria test at ANC visit 3"
cbc_done_at_anc_visit_3 "CBC done at ANC visit 3"
tft_3 "Thyroid profile at 3rd Visit"
bld_rh_3 "Blood group and Rh at 3rd Visit"
gtt_3 "Glucose Tolerance Test (GTT) at 3rd Visit"
oth_3 "Any other test at 3rd Visit"
urine_albumin_a3 "Urine Albumin test done at 3rd ANC visit?"
urine_albumin_results_a3 "Record Urine Albumin test results at 3rd ANC visit, if available"
urine_sugar_a3 "Urine Sugar test done at 3rd ANC visit?"
urine_sugar_test_results_a3 "Record urine sugar test results at 3rd ANC visit, if available"
urine_micro_a3 "Urine Microscopy test done at 3rd ANC visit?"
urine_microscopy_results_a3 "Record urine microscopy results at 3rd ANC visit, if available"
usg_a3 "Did ultrasonography on the 3rd ANC visit?"
where_done_usg_a3 "Where was it done at 3rd ANC visit?"
nst_ctg_done_anc_visit_3 "NST / CTG done ANC visit 3"
where_done_nst_3 "Where it is done"
doppler_done_a3 "Doppler done on 3rd ANC visit ?"
where_done_doppler_a3 "Where was the Doppler done at 3rd ANC visit?"
any_oth_radiological_tests_a3 "Any other Radiological tests done in the 3rd ANC visit?"
where_done_oth_investigation_a3 "Where was the Radiological test done at the 3rd ANC visit?"
anc_visit_4 "4th ANC visit"
place_of_anc_visit_4 "Place of ANC visit"
vomiting_anc_vst_4 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_4 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_4 "Any breathlessness / tiredness"
headache_blurred_vision_anc_4 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_4 "Jaundice"
abdominal_pain_anc_4 "Abdominal pain"
bleeding_per_vagina_anc_4 "Bleeding per vagina"
leaking_per_vagina_anc_4 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_4 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_4 "Treatment for conception"
fever_anc_vst_4 "Fever"
other_anc_vst_4 "Other"
ht_checked_anc_visit_4 "Height checked for ANC visit 4th"
wt_checked_anc_visit_4 "Weight checked for ANC visit 4th"
bp_checked_anc_visit_4 "Blood Pressure checked for ANC visit 4th"
checked_pulse_anc_4 "Checked pulse"
checkd_respiration_anc_4 "Checked respiration"
checked_for_swelling_anc_4 "Checked for swelling"
checked_for_jaundice_anc_4 "Checked for jaundice"
checked_fetal_lie_anc_4 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_4 "Record of fetal lie in ANC visit 4"
checked_fetal_position_anc_4 "Checked fetal position [>32weeks GA only]"
checkd_pallor_4 "Checked for Pallor at 4th Visit"
oedema_a4 "Checked for Pedal Oedema at 4th Visit"
breasts_examined_a4 "Breasts Examined at 4th Visit"
rcrd_symp_4 "Record symphysis fundal height (SFH) at the 4th ANC visit"
rcrd_fhr_4 "Record FHR [>22wks] at 4th Visit"
hemo_4 "Hemoglobin at 4th Visit"
rndm_bld_4 "Random blood sugar at 4th Visit"
vdrl_4 "VDRL/ Syphilis at 4th Visit"
hiv_4 "HIV at 4th Visit"
hbsag_4 "HBsAG at 4th Visit"
malaria_anc_visit_4 "Malaria test at ANC visit 4"
cbc_done_at_anc_visit_4 "CBC done at ANC visit 4"
tft_4 "Thyroid profile at 4th Visit"
bld_rh_4 "Blood group and Rh at 4th Visit"
gtt_4 "Glucose Tolerance Test (GTT) at 4thVisit"
oth_4 "Any other test at 4th Visit"
urine_albumin_a4 "Urine Albumin test done at 4th ANC visit?"
urine_albumin_results_a4 "Record Urine Albumin test results at 4th ANC visit, if available"
urine_sugar_a4 "Urine Sugar test done at 4th ANC visit?"
urine_sugar_test_results_a4 "Record urine sugar test results at 4th ANC visit, if available"
urine_micro_a4 "Urine Microscopy test done at 4th ANC visit?"
urine_microscopy_results_a4 "Record urine microscopy results at 4th ANC visit, if available"
usg_a4 "Did ultrasonography on the 4th ANC visit?"
where_done_usg_a4 "Where was it done at 4th ANC visit?"
nst_ctg_done_anc_visit_4 "NST / CTG done ANC visit 4"
where_done_nst_4 "Where it is done"
doppler_done_a4 "Doppler done on 4th ANC visit ?"
where_done_doppler_a4 "Where was the Doppler done at 4th ANC visit?"
any_oth_radiological_tests_a4 "Any other Radiological tests done in the 4th ANC visit?"
where_done_oth_investigation_a4 "Where was the Radiological test done at the 4th ANC visit?"
anc_visit_5 "5th ANC visit"
place_of_anc_visit_5 "Place of ANC visit"
vomiting_anc_vst_5 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_5 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_5 "Any breathlessness / tiredness"
headache_blurred_vision_anc_5 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_5 "Jaundice"
abdominal_pain_anc_5 "Abdominal pain"
bleeding_per_vagina_anc_5 "Bleeding per vagina"
leaking_per_vagina_anc_5 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_5 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_5 "Treatment for conception"
fever_anc_vst_5 "Fever"
other_anc_vst_5 "Other"
ht_checked_anc_visit_5 "Height checked for ANC visit 5th"
wt_checked_anc_visit_5 "Weight checked for ANC visit 5th"
bp_checked_anc_visit_5 "Blood Pressure checked for ANC visit 5th"
checked_pulse_anc_5 "Checked pulse"
checkd_respiration_anc_5 "Checked respiration"
checked_for_swelling_anc_5 "Checked for swelling"
checked_for_jaundice_anc_5 "Checked for jaundice"
checked_fetal_lie_anc_5 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_5 "Record of fetal lie in ANC visit 5"
checked_fetal_position_anc_5 "Checked fetal position [>32weeks GA only]"
checkd_pallor_5 "Checked for Pallor at 5th Visit"
oedema_a5 "Checked for Pedal Oedema at 5th Visit"
breasts_examined_a5 "Breasts Examined at 5th Visit"
rcrd_symp_5 "Record symphysis fundal height (SFH) at the 5th ANC visit"
rcrd_fhr_5 "Record FHR [>22wks] at 5th Visit"
hemo_5 "Hemoglobin at 5th Visit"
rndm_bld_5 "Random blood sugar at 5th Visit"
vdrl_5 "VDRL/ Syphilis at 5th Visit"
hiv_5 "HIV at 5th Visit"
hbsag_5 "HBsAG at 5th Visit"
malaria_anc_visit_5 "Malaria test at ANC visit 5"
cbc_done_at_anc_visit_5 "CBC done at ANC visit 5"
tft_5 "Thyroid profile at 5th Visit"
bld_rh_5 "Blood group and Rh at 5th Visit"
gtt_5 "Glucose Tolerance Test (GTT) at 5th Visit"
oth_5 "Any other test at 5th Visit"
urine_albumin_a5 "Urine Albumin test done at 5th ANC visit?"
urine_albumin_results_a5 "Record Urine Albumin test results at 5th ANC visit, if available"
urine_sugar_a5 "Urine Sugar test done at 5th ANC visit?"
urine_sugar_test_results_a5 "Record urine sugar test results at 5th ANC visit, if available"
urine_micro_a5 "Urine Microscopy test done at 5th ANC visit?"
urine_microscopy_results_a5 "Record urine microscopy results at 5th ANC visit, if available"
usg_a5 "Did ultrasonography on the 5th ANC visit?"
where_done_usg_a5 "Where was it done at 5th ANC visit?"
nst_ctg_done_anc_visit_5 "NST / CTG done ANC visit 5"
where_done_nst_5 "Where it is done"
doppler_done_a5 "Doppler done on 5th ANC visit ?"
where_done_doppler_a5 "Where was the Doppler done at 5th ANC visit?"
any_oth_radiological_tests_a5 "Any other Radiological tests done in the 5th ANC visit?"
where_done_oth_investigation_a5 "Where was the Radiological test done at the 5th ANC visit?"
anc_visit_6 "6th ANC visit"
place_of_anc_visit_6 "Place of ANC visit"
vomiting_anc_vst_6 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_6 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_6 "Any breathlessness / tiredness"
headache_blurred_vision_anc_6 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_6 "Jaundice"
abdominal_pain_anc_6 "Abdominal pain"
bleeding_per_vagina_anc_6 "Bleeding per vagina"
leaking_per_vagina_anc_6 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_6 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_6 "Treatment for conception"
fever_anc_vst_6 "Fever"
other_anc_vst_6 "Other"
ht_checked_anc_visit_6 "Height checked for ANC visit 6th"
wt_checked_anc_visit_6 "Weight checked for ANC visit 6th"
bp_checked_anc_visit_6 "Blood Pressure checked for ANC visit 6th"
checked_pulse_anc_6 "Checked pulse"
checkd_respiration_anc_6 "Checked respiration"
checked_for_swelling_anc_6 "Checked for swelling"
checked_for_jaundice_anc_6 "Checked for jaundice"
checked_fetal_lie_anc_6 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_6 "Record of fetal lie in ANC visit 6"
checked_fetal_position_anc_6 "Checked fetal position [>32weeks GA only]"
checkd_pallor_6 "Checked for Pallor at 6th Visit"
oedema_a6 "Checked for Pedal Oedema at 6th Visit"
breasts_examined_a6 "Breasts Examined at 6th Visit"
rcrd_symp_6 "Record symphysis fundal height (SFH) at the 6th ANC visit"
rcrd_fhr_6 "Record FHR [>22wks] at 6th Visit"
hemo_6 "Hemoglobin at 6th Visit"
rndm_bld_6 "Random blood sugar at 6th Visit"
vdrl_6 "VDRL/ Syphilis at 6th Visit"
hiv_6 "HIV at 6th Visit"
hbsag_6 "HBsAG at 6th Visit"
malaria_anc_visit_6 "Malaria test at ANC visit 6"
cbc_done_at_anc_visit_6 "CBC done at ANC visit 6"
tft_6 "Thyroid profile at 6th Visit"
bld_rh_6 "Blood group and Rh at 6th Visit"
gtt_6 "Glucose Tolerance Test (GTT) at 6th Visit"
oth_6 "Any other test at 6th Visit"
urine_albumin_a6 "Urine Albumin test done at 6th ANC visit?"
urine_albumin_results_a6 "Record Urine Albumin test results at 6th ANC visit, if available"
urine_sugar_a6 "Urine Sugar test done at 6th ANC visit?"
urine_sugar_test_results_a6 "Record urine sugar test results at 6th ANC visit, if available"
urine_micro_a6 "Urine Microscopy test done at 6th ANC visit?"
urine_microscopy_results_a6 "Record urine microscopy results at 6th ANC visit, if available"
usg_a6 "Did ultrasonography on the 6th ANC visit?"
where_done_usg_a6 "Where was it done at 6th ANC visit?"
nst_ctg_done_anc_visit_6 "NST / CTG done ANC visit 6"
where_done_nst_6 "Where it is done"
doppler_done_a6 "Doppler done on 6th ANC visit ?"
where_done_doppler_a6 "Where was the Doppler done at 6th ANC visit?"
any_oth_radiological_tests_a6 "Any other Radiological tests done in the 6th ANC visit?"
where_done_oth_investigation_a6 "Where was the Radiological test done at the 6th ANC visit?"
anc_visit_7 "7th ANC visit"
place_of_anc_visit_7 "Place of ANC visit"
vomiting_anc_vst_7 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_7 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_7 "Any breathlessness / tiredness"
headache_blurred_vision_anc_7 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_7 "Jaundice"
abdominal_pain_anc_7 "Abdominal pain"
bleeding_per_vagina_anc_7 "Bleeding per vagina"
leaking_per_vagina_anc_7 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_7 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_7 "Treatment for conception"
fever_anc_vst_7 "Fever"
other_anc_vst_7 "Other"
ht_checked_anc_visit_7 "Height checked for ANC visit 7th"
wt_checked_anc_visit_7 "Weight checked for ANC visit 7th"
bp_checked_anc_visit_7 "Blood Pressure checked for ANC visit 7th"
checked_pulse_anc_7 "Checked pulse"
checkd_respiration_anc_7 "Checked respiration"
checked_for_swelling_anc_7 "Checked for swelling"
checked_for_jaundice_anc_7 "Checked for jaundice"
checked_fetal_lie_anc_7 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_7 "Record of fetal lie in ANC visit 7"
checked_fetal_position_anc_7 "Checked fetal position [>32weeks GA only]"
checkd_pallor_7 "Checked for Pallor at 7th Visit"
oedema_a7 "Checked for Pedal Oedema at 7th Visit"
breasts_examined_a7 "Breasts Examined at 7th Visit"
rcrd_symp_7 "Record symphysis fundal height (SFH) at the 7th ANC visit"
rcrd_fhr_7 "Record FHR [>22wks] at 7th Visit"
hemo_7 "Hemoglobin at 7th Visit"
rndm_bld_7 "Random blood sugar at 7th Visit"
vdrl_7 "VDRL/ Syphilis at 7th Visit"
hiv_7 "HIV at 7th Visit"
hbsag_7 "HBsAG at 7th Visit"
malaria_anc_visit_7 "Malaria test at ANC visit 7"
cbc_done_at_anc_visit_7 "CBC done at ANC visit 7"
tft_7 "Thyroid profile at 7th Visit"
bld_rh_7 "Blood group and Rh at 7th Visit"
gtt_7 "Glucose Tolerance Test (GTT) at 7th Visit"
oth_7 "Any other test at 7th Visit"
urine_albumin_a7 "Urine Albumin test done at 7th ANC visit?"
urine_albumin_results_a7 "Record Urine Albumin test results at 7th ANC visit, if available"
urine_sugar_a7 "Urine Sugar test done at 7th ANC visit?"
urine_sugar_test_results_a7 "Record urine sugar test results at 7th ANC visit, if available"
urine_micro_a7 "Urine Microscopy test done at 7th ANC visit?"
urine_microscopy_results_a7 "Record urine microscopy results at 7th ANC visit, if available"
usg_a7 "Did ultrasonography on the 7th ANC visit?"
where_done_usg_a7 "Where was it done at 7th ANC visit?"
nst_ctg_done_anc_visit_7 "NST / CTG done ANC visit 7"
where_done_nst_7 "Where it is done"
doppler_done_a7 "Doppler done on 7th ANC visit ?"
where_done_doppler_a7 "Where was the Doppler done at 7th ANC visit?"
any_oth_radiological_tests_a7 "Any other Radiological tests done in the 7th ANC visit?"
where_done_oth_investigation_a7 "Where was the Radiological test done at the 7th ANC visit?"
anc_visit_8 "8th ANC visit"
place_of_anc_visit_8 "Place of ANC visit"
vomiting_anc_vst_8 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_8 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_8 "Any breathlessness / tiredness"
headache_blurred_vision_anc_8 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_8 "Jaundice"
abdominal_pain_anc_8 "Abdominal pain"
bleeding_per_vagina_anc_8 "Bleeding per vagina"
leaking_per_vagina_anc_8 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_8 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_8 "Treatment for conception"
fever_anc_vst_8 "Fever"
other_anc_vst_8 "Other"
ht_checked_anc_visit_8 "Height checked for ANC visit 8th"
wt_checked_anc_visit_8 "Weight checked for ANC visit 8th"
bp_checked_anc_visit_8 "Blood Pressure checked for ANC visit 8th"
checked_pulse_anc_8 "Checked pulse"
checkd_respiration_anc_8 "Checked respiration"
checked_for_swelling_anc_8 "Checked for swelling"
checked_for_jaundice_anc_8 "Checked for jaundice"
checked_fetal_lie_anc_8 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_8 "Record of fetal lie in ANC visit 8"
checked_fetal_position_anc_8 "Checked fetal position [>32weeks GA only]"
checkd_pallor_8 "Checked for Pallor at 8th Visit"
oedema_a8 "Checked for Pedal Oedema at 8th Visit"
breasts_examined_a8 "Breasts Examined at 8th Visit"
rcrd_symp_8 "Record symphysis fundal height (SFH) at the 8th ANC visit"
rcrd_fhr_8 "Record FHR [>22wks] at 8th Visit"
hemo_8 "Hemoglobin at 8th Visit"
rndm_bld_8 "Random blood sugar at 8th Visit"
vdrl_8 "VDRL/ Syphilis at 8th Visit"
hiv_8 "HIV at 8th Visit"
hbsag_8 "HBsAG at 8th Visit"
malaria_anc_visit_8 "Malaria test at ANC visit 8"
cbc_done_at_anc_visit_8 "CBC done at ANC visit 8"
tsh_8 "TSH at 8th Visit"
bld_rh_8 "Blood group and Rh at 8th Visit"
gtt_8 "Glucose Tolerance Test (GTT) at 8th Visit"
oth_8 "Any other test at 8th Visit"
urine_albumin_a8 "Urine Albumin test done at 8th ANC visit?"
urine_albumin_results_a8 "Record Urine Albumin test results at 8th ANC visit, if available"
urine_sugar_a8 "Urine Sugar test done at 8th ANC visit?"
urine_sugar_test_results_a8 "Record urine sugar test results at 8th ANC visit, if available"
urine_micro_a8 "Urine Microscopy test done at 8th ANC visit?"
urine_microscopy_results_a8 "Record urine microscopy results at 8th ANC visit, if available"
usg_a8 "Did ultrasonography on the 8th ANC visit?"
where_done_usg_a8 "Where was the Radiological test done at the 8th ANC visit?"
nst_ctg_done_anc_visit_8 "NST / CTG done ANC visit 8"
where_done_nst_8 "Where it is done"
doppler_done_a8 "Doppler done on 8th ANC visit?[Expected at 18-2... severe SGA/FGR]"
where_done_doppler_a8 "Where was the Doppler done at 8th ANC visit?"
any_oth_radiological_tests_a8 "Any other Radiological tests done in the 8th ANC visit?"
where_done_oth_investigation_a8 "Where was the Radiological test done at the 8th ANC visit?"
prescribe_folic_acid_iron "5.1.1. Iron & Folic acid(only in 1st trimester) "
took_iron_folic_acid "Took the medication (Iron & Folic acid)"
prescribed_ca "5.1.2. Calcium"
taken_ca "Taken medication Calcium?"
details_ca_medication "Details of calcium medication"
prescribed_asp "5.1.3. Low dose Aspirin"
taken_asp "Taken Medication Aspirin?"
details_asp_medication "Details"
pih_hypertension "5.1.4. PIH/ Hypertension"
took_pih_hyp_medication "Then specify if you took the medication"
details_pih_hyp_medication "Details"
prescribed_inj_tt "5.1.5 Injection TT(on registration, then 1 mont... xt visit) / dT?"
taken_inj_tt "Took the medication Injection TT?"
prescribed_inj_iron "5.1.6 Prescribed Injection Iron?"
took_inj_iron "Then specify if you took the medication"
prescribed_antibiotics "5.1.7 Anti-D"
taken_antibiotics "Taken Anti-D?"
prescribed_diab_medication "5.1.8 Diabetes"
took_diabetes_medication "Then specify if you took the medication"
details_diabetes_medication "Details"
thyroid_medication_prescribed "5.1.9 Thyroid supplement"
took_thyroid_medication "Then specify if you took the medication"
details_thyroid_medication "Details"
oth_tablets_prescribed "5.1.10 Other tablets / Syrup"
took_oth_medication "then specify if you took the medication"
oth_inj_medication "5.1.11 Other injections"
took_oth_inj "then specify if you took the medication"
take_adequate_rest "a. Take adequate rest."
who_gave_information "Who gave information"
complied_counselling_1 "Complied"
sleep_side_right_or_left "b. Sleep on a side (right or left side)"
who_gave_information_2 "Who gave information"
complied_counselling_2 "Complied"
perform_adequate_physical "c. Perform adequate physical activity."
who_gave_information_3 "Who gave information"
complied_counselling_3 "Complied"
consume_a_balanced_diet "d. Consume a balanced diet / Take dietary supplements from ICDS."
who_gave_information_4 "Who gave information"
complied_counselling_4 "Complied"
take_medications_prescrib "e. Take medications prescribed."
who_gave_information_5 "Who gave information"
complied_counselling_5 "Complied"
check_daily_fetal_movement "f. Check daily fetal movement (FM begins 16-22... ts by 26 weeks."
who_gave_information_6 "Who gave information"
complied_counselling_6 "Complied"
look_danger_signs_report "g. Look for danger signs and report"
complied_counselling_7 "Complied"
birth_preparednes_and_plan "h. Birth preparedness and plan"
who_gave_information_8 "Who gave information"
complied_counselling_8 "Complied"
refer_higher_level_faci "5.2 Was the mother referred to seek care at a h... level facility?"
admitted_during_preg "5.3 Was admitted any time during pregnancy?"
where_admitted_during_preg "5.3.3 Where was she admitted during pregnancy?"
same_health_facility "5.3.5 Did she go to the same health facility?[I... not applicable]"
incentives "5.4 Received any incentives?"
pmmvy_incevtive "a. Pradhana Mantri Matru Vandana Yojana (PMMVY)"
early_reg_preg_incentives "Early registration of Pregnancy"
anc_incentive_reci "ANC visit (After 6 months of pregnancy with at... e ANC check-up)"
pmsma "b. Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)"
jsy "c. Janani Suraksha Yojana (JSY)"
food_suppl "5.5. Received any food supplements during pregnancy?"
outcome_of_crnt_pregnancy "Outcome of current pregnancy"
form_1_complete "Complete?"
Live Filter 3
-- select a field --
record_id "Record ID"
mcp_card "Section 1: Demographic and pregnancy details 1.MCP card available"
district "1.1.1 Pregnant woman's District"
taluk "1.1.2 Pregnant woman's Taluk"
education "1.6 Education"
ration_card "1.7 Ration Card"
yes_ration_card "Type of ration card"
caste "1.8 Caste"
district_address "District"
present_same_address "1.9.a Is the present address same as the permanent address?"
stillbirths_confirmation "2.5 Stillbirths (birth of dead fetes any time... s of gestation)"
menstruation_regular "2.7 Menstruation regular"
kitchen "3.2 Kitchen (Can answer only ONE response)"
tobacco "3.3 Chewing tobacco and smoking"
another_smoke_inside_home "3.4 Another household member who smokes inside the house"
contracep_3 "3.6 Did you use any contraception (pills/natur... fore pregnancy?"
rcvd_angawd "3.7 Received services from Anganwadi"
spcl_medi_3 "3.8 Special Medication"
sm_high_dose_flic_acd_prec "3.8.1 High dose Folic acid (0.5g per day) prescribed"
sm_took_medication "Medication was prescribed, then did you take th... on (folic acid)"
sm_iron_prescribed "3.8.2 Weekly Iron Supplementation prescribed"
sm_took_iron_medication "Medication was prescribed, then did you take th... dication (Iron)"
anc_done "Section Header: Part 2 (Antenatal Care) Section... ANC visit done"
obtained_previous_pregn_ancy_history_and_recorde_d "4.2 Was previous pregnancy history obtained and... not applicable]"
complication_previous_p_regnancy "4.2.1 Was there any complication/problem in any... ious pregnancy?"
medical_problem_prev_pr_eg "4.3 Has been diagnosed with any medical problem... sent pregnancy?"
anc_visit_1 "(4.4 What all was performed at the ANC (source:... First ANC visit"
place_of_anc_visit_1 "Place of ANC visit"
vomiting_anc_vst_1 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_1 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_1 "Any breathlessness / tiredness"
headache_blurred_vision_anc_1 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_1 "Jaundice"
abdominal_pain_anc_1 "Abdominal pain"
bleeding_per_vagina_anc_1 "Bleeding per vagina"
leaking_per_vagina_anc_1 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_1 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_1 "Treatment for conception"
fever_anc_vst_1 "Fever"
other_anc_vst_1 "Other"
ht_checked_anc_visit_1 "Height checked for ANC visit 1"
wt_checked_anc_visit_1 "Weight checked for ANC visit 1"
bp_checked_anc_visit_1 "Blood Pressure checked for ANC visit 1"
checked_pulse_anc_1 "Checked pulse"
checkd_respiration_anc_1 "Checked respiration"
checked_for_swelling_anc_1 "Checked for swelling"
checked_for_jaundice_anc_1 "Checked for jaundice"
checked_fetal_lie_anc_1 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_1 "Record of fetal lie in ANC visit 1"
checked_fetal_position_anc_1 "Checked fetal position [>32weeks GA only]"
checkd_pallor_1 "Checked for Pallor at 1st Visit"
oedema_a1 "Checked for Pedal Oedema at 1st Visit"
breasts_examined_a1 "Breasts Examined at 1st Visit"
pre_scar_a1 "Checked for Previous Scar"
rcrd_symp_1 "Record symphysis fundal height (SFH) at the 1st ANC visit"
rcrd_fhr_1 "Record FHR [>22wks] at 1st Visit"
hemo_1 "Hemoglobin at 1st Visit"
rndm_bld_1 "Random blood sugar at 1st Visit"
vdrl_1 "VDRL at first ANC visit"
hiv_1 "HIV test at 1st ANC visit"
hbsag_1 "HBsAG at 1st Visit"
malaria_anc_visit_1 "Malaria test at ANC visit 1"
cbc_done_at_anc_visit_1 "CBC done at ANC visit 1"
tft_1 "Thyroid profile at 1st Visit"
bld_rh_1 "Blood group and Rh at 1st Visit"
gtt_1 "Glucose Tolerance Test (GTT) at 1st Visit"
oth_1 "Any other test at 1st Visit"
urine_albumin_a1 "Urine Albumin test done at 1st ANC visit?"
urine_albumin_results_a1 "Record Urine Albumin test results at 1st ANC visit, if available"
urine_sugar_a1 "Urine Sugar test done at 1st ANC visit?"
urine_sugar_test_results_a1 "Record urine sugar test results at 1st ANC visit, if available"
urine_micro_a1 "Urine Microscopy test done at 1st ANC visit?"
urine_microscopy_results_a1 "Record urine microscopy results at 1st ANC visit, if available"
usg_a1 "Did ultrasonography on the 1st ANC visit?"
where_done_usg_a1 "Where was it done at 1st ANC visit?"
nst_ctg_done_anc_visit_1 "NST / CTG done ANC visit 1"
where_done_nst_1 "Where it is done"
doppler_done_a1 "Doppler done on 1st ANC visit?"
where_done_doppler_a1 "Where was the Doppler done at 1st ANC visit?"
any_oth_radiological_tests_a1 "Any other Radiological tests done in the 1st ANC visit?"
where_done_oth_investigation_a1 "Where was the Radiological test done at the 1st ANC visit?"
anc_visit_2 "Second ANC visit"
place_of_anc_visit_2 "Place of ANC visit"
vomiting_anc_vst_2 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_2 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_2 "Any breathlessness / tiredness"
headache_blurred_vision_anc_2 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_2 "Jaundice"
abdominal_pain_anc_2 "Abdominal pain"
bleeding_per_vagina_anc_2 "Bleeding per vagina"
leaking_per_vagina_anc_2 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_2 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_2 "Treatment for conception"
fever_anc_vst_2 "Fever"
other_anc_vst_2 "Other"
ht_checked_anc_visit_2 "Height checked for ANC visit 2"
wt_checked_anc_visit_2 "Weight checked for ANC visit 2"
bp_checked_anc_visit_2 "Blood Pressure checked for ANC visit 2"
checked_pulse_anc_2 "Checked pulse"
checkd_respiration_anc_2 "Checked respiration"
checked_for_swelling_anc_2 "Checked for swelling"
checked_for_jaundice_anc_2 "Checked for jaundice"
checked_fetal_lie_anc_2 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_2 "Record of fetal lie in ANC visit 2"
checked_fetal_position_anc_2 "Checked fetal position [>32weeks GA only]"
checkd_pallor_2 "Checked for Pallor at 2nd Visit"
oedema_a2 "Checked for Pedal Oedema at 2nd Visit"
breasts_examined_a2 "Breasts Examined at 2nd Visit"
rcrd_symp_2 "Record symphysis fundal height (SFH) at the 2nd ANC visit"
rcrd_fhr_2 "Record FHR [>22wks] at 2nd Visit"
hemo_2 "Hemoglobin at 2nd Visit"
rndm_bld_2 "Random blood sugar at 2nd Visit"
vdrl_2 "VDRL/ Syphilis at 2nd Visit"
hiv_2 "HIV at 2nd Visit"
hbsag_2 "HBsAG at 2nd Visit"
malaria_anc_visit_2 "Malaria test at ANC visit 2"
cbc_done_at_anc_visit_2 "CBC done at ANC visit 2"
tft_2 "Thyroid profile at 2nd Visit"
bld_rh_2 "Blood group and Rh at 2nd Visit"
gtt_2 "Glucose Tolerance Test (GTT) at 2nd Visit"
oth_2 "Any other test at 2nd Visit"
urine_albumin_a2 "Urine Albumin test done at 2nd ANC visit?"
urine_albumin_results_a2 "Record Urine Albumin test results at 2nd ANC visit, if available"
urine_sugar_a2 "Urine Sugar test done at 2nd ANC visit?"
urine_sugar_test_results_a2 "Record urine sugar test results at 2nd ANC visit, if available"
urine_micro_a2 "Urine Microscopy test done at 2nd ANC visit?"
urine_microscopy_results_a2 "Record urine microscopy results at 2nd ANC visit, if available"
usg_a2 "Did ultrasonography on the 2nd ANC visit?"
where_done_usg_a2 "Where was it done at 2nd ANC visit?"
nst_ctg_done_anc_visit_2 "NST / CTG done ANC visit 2"
where_done_nst_2 "Where it is done"
doppler_done_a2 "Doppler done on 2nd ANC visit ?"
where_done_doppler_a2 "Where was the Doppler done at 2nd ANC visit?"
any_oth_radiological_tests_a2 "Any other Radiological tests done in the 2nd ANC visit?"
where_done_oth_investigation_a2 "Where was the Radiological test done at the 2nd ANC visit?"
anc_visit_3 "3rd ANC visit"
place_of_anc_visit_3 "Place of ANC visit"
vomiting_anc_vst_3 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_3 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_3 "Any breathlessness / tiredness"
headache_blurred_vision_anc_3 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_3 "Jaundice"
abdominal_pain_anc_3 "Abdominal pain"
bleeding_per_vagina_anc_3 "Bleeding per vagina"
leaking_per_vagina_anc_3 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_3 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_3 "Treatment for conception"
fever_anc_vst_3 "Fever"
other_anc_vst_3 "Other"
ht_checked_anc_visit_3 "Height checked for ANC visit 3"
wt_checked_anc_visit_3 "Weight checked for ANC visit 3"
bp_checked_anc_visit_3 "Blood Pressure checked for ANC visit 3"
checked_pulse_anc_3 "Checked pulse"
checkd_respiration_anc_3 "Checked respiration"
checked_for_swelling_anc_3 "Checked for swelling"
checked_for_jaundice_anc_3 "Checked for jaundice"
checked_fetal_lie_anc_3 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_3 "Record of fetal lie in ANC visit 3"
checked_fetal_position_anc_3 "Checked fetal position [>32weeks GA only]"
checkd_pallor_3 "Checked for Pallor at 3rd Visit"
oedema_a3 "Checked for Pedal Oedema at 3rd Visit"
breasts_examined_a3 "Breasts Examined at 3rd Visit"
rcrd_symp_3 "Record symphysis fundal height (SFH) at the 3rd ANC visit"
rcrd_fhr_3 "Record FHR [>22wks] at 3rd Visit"
hemo_3 "Hemoglobin at 3rd Visit"
rndm_bld_3 "Random blood sugar at 3rd Visit"
vdrl_3 "VDRL/ Syphilis at 3rd Visit"
hiv_3 "HIV at 3rd Visit"
hbsag_3 "HBsAG at 3rd Visit"
malaria_anc_visit_3 "Malaria test at ANC visit 3"
cbc_done_at_anc_visit_3 "CBC done at ANC visit 3"
tft_3 "Thyroid profile at 3rd Visit"
bld_rh_3 "Blood group and Rh at 3rd Visit"
gtt_3 "Glucose Tolerance Test (GTT) at 3rd Visit"
oth_3 "Any other test at 3rd Visit"
urine_albumin_a3 "Urine Albumin test done at 3rd ANC visit?"
urine_albumin_results_a3 "Record Urine Albumin test results at 3rd ANC visit, if available"
urine_sugar_a3 "Urine Sugar test done at 3rd ANC visit?"
urine_sugar_test_results_a3 "Record urine sugar test results at 3rd ANC visit, if available"
urine_micro_a3 "Urine Microscopy test done at 3rd ANC visit?"
urine_microscopy_results_a3 "Record urine microscopy results at 3rd ANC visit, if available"
usg_a3 "Did ultrasonography on the 3rd ANC visit?"
where_done_usg_a3 "Where was it done at 3rd ANC visit?"
nst_ctg_done_anc_visit_3 "NST / CTG done ANC visit 3"
where_done_nst_3 "Where it is done"
doppler_done_a3 "Doppler done on 3rd ANC visit ?"
where_done_doppler_a3 "Where was the Doppler done at 3rd ANC visit?"
any_oth_radiological_tests_a3 "Any other Radiological tests done in the 3rd ANC visit?"
where_done_oth_investigation_a3 "Where was the Radiological test done at the 3rd ANC visit?"
anc_visit_4 "4th ANC visit"
place_of_anc_visit_4 "Place of ANC visit"
vomiting_anc_vst_4 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_4 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_4 "Any breathlessness / tiredness"
headache_blurred_vision_anc_4 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_4 "Jaundice"
abdominal_pain_anc_4 "Abdominal pain"
bleeding_per_vagina_anc_4 "Bleeding per vagina"
leaking_per_vagina_anc_4 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_4 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_4 "Treatment for conception"
fever_anc_vst_4 "Fever"
other_anc_vst_4 "Other"
ht_checked_anc_visit_4 "Height checked for ANC visit 4th"
wt_checked_anc_visit_4 "Weight checked for ANC visit 4th"
bp_checked_anc_visit_4 "Blood Pressure checked for ANC visit 4th"
checked_pulse_anc_4 "Checked pulse"
checkd_respiration_anc_4 "Checked respiration"
checked_for_swelling_anc_4 "Checked for swelling"
checked_for_jaundice_anc_4 "Checked for jaundice"
checked_fetal_lie_anc_4 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_4 "Record of fetal lie in ANC visit 4"
checked_fetal_position_anc_4 "Checked fetal position [>32weeks GA only]"
checkd_pallor_4 "Checked for Pallor at 4th Visit"
oedema_a4 "Checked for Pedal Oedema at 4th Visit"
breasts_examined_a4 "Breasts Examined at 4th Visit"
rcrd_symp_4 "Record symphysis fundal height (SFH) at the 4th ANC visit"
rcrd_fhr_4 "Record FHR [>22wks] at 4th Visit"
hemo_4 "Hemoglobin at 4th Visit"
rndm_bld_4 "Random blood sugar at 4th Visit"
vdrl_4 "VDRL/ Syphilis at 4th Visit"
hiv_4 "HIV at 4th Visit"
hbsag_4 "HBsAG at 4th Visit"
malaria_anc_visit_4 "Malaria test at ANC visit 4"
cbc_done_at_anc_visit_4 "CBC done at ANC visit 4"
tft_4 "Thyroid profile at 4th Visit"
bld_rh_4 "Blood group and Rh at 4th Visit"
gtt_4 "Glucose Tolerance Test (GTT) at 4thVisit"
oth_4 "Any other test at 4th Visit"
urine_albumin_a4 "Urine Albumin test done at 4th ANC visit?"
urine_albumin_results_a4 "Record Urine Albumin test results at 4th ANC visit, if available"
urine_sugar_a4 "Urine Sugar test done at 4th ANC visit?"
urine_sugar_test_results_a4 "Record urine sugar test results at 4th ANC visit, if available"
urine_micro_a4 "Urine Microscopy test done at 4th ANC visit?"
urine_microscopy_results_a4 "Record urine microscopy results at 4th ANC visit, if available"
usg_a4 "Did ultrasonography on the 4th ANC visit?"
where_done_usg_a4 "Where was it done at 4th ANC visit?"
nst_ctg_done_anc_visit_4 "NST / CTG done ANC visit 4"
where_done_nst_4 "Where it is done"
doppler_done_a4 "Doppler done on 4th ANC visit ?"
where_done_doppler_a4 "Where was the Doppler done at 4th ANC visit?"
any_oth_radiological_tests_a4 "Any other Radiological tests done in the 4th ANC visit?"
where_done_oth_investigation_a4 "Where was the Radiological test done at the 4th ANC visit?"
anc_visit_5 "5th ANC visit"
place_of_anc_visit_5 "Place of ANC visit"
vomiting_anc_vst_5 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_5 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_5 "Any breathlessness / tiredness"
headache_blurred_vision_anc_5 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_5 "Jaundice"
abdominal_pain_anc_5 "Abdominal pain"
bleeding_per_vagina_anc_5 "Bleeding per vagina"
leaking_per_vagina_anc_5 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_5 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_5 "Treatment for conception"
fever_anc_vst_5 "Fever"
other_anc_vst_5 "Other"
ht_checked_anc_visit_5 "Height checked for ANC visit 5th"
wt_checked_anc_visit_5 "Weight checked for ANC visit 5th"
bp_checked_anc_visit_5 "Blood Pressure checked for ANC visit 5th"
checked_pulse_anc_5 "Checked pulse"
checkd_respiration_anc_5 "Checked respiration"
checked_for_swelling_anc_5 "Checked for swelling"
checked_for_jaundice_anc_5 "Checked for jaundice"
checked_fetal_lie_anc_5 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_5 "Record of fetal lie in ANC visit 5"
checked_fetal_position_anc_5 "Checked fetal position [>32weeks GA only]"
checkd_pallor_5 "Checked for Pallor at 5th Visit"
oedema_a5 "Checked for Pedal Oedema at 5th Visit"
breasts_examined_a5 "Breasts Examined at 5th Visit"
rcrd_symp_5 "Record symphysis fundal height (SFH) at the 5th ANC visit"
rcrd_fhr_5 "Record FHR [>22wks] at 5th Visit"
hemo_5 "Hemoglobin at 5th Visit"
rndm_bld_5 "Random blood sugar at 5th Visit"
vdrl_5 "VDRL/ Syphilis at 5th Visit"
hiv_5 "HIV at 5th Visit"
hbsag_5 "HBsAG at 5th Visit"
malaria_anc_visit_5 "Malaria test at ANC visit 5"
cbc_done_at_anc_visit_5 "CBC done at ANC visit 5"
tft_5 "Thyroid profile at 5th Visit"
bld_rh_5 "Blood group and Rh at 5th Visit"
gtt_5 "Glucose Tolerance Test (GTT) at 5th Visit"
oth_5 "Any other test at 5th Visit"
urine_albumin_a5 "Urine Albumin test done at 5th ANC visit?"
urine_albumin_results_a5 "Record Urine Albumin test results at 5th ANC visit, if available"
urine_sugar_a5 "Urine Sugar test done at 5th ANC visit?"
urine_sugar_test_results_a5 "Record urine sugar test results at 5th ANC visit, if available"
urine_micro_a5 "Urine Microscopy test done at 5th ANC visit?"
urine_microscopy_results_a5 "Record urine microscopy results at 5th ANC visit, if available"
usg_a5 "Did ultrasonography on the 5th ANC visit?"
where_done_usg_a5 "Where was it done at 5th ANC visit?"
nst_ctg_done_anc_visit_5 "NST / CTG done ANC visit 5"
where_done_nst_5 "Where it is done"
doppler_done_a5 "Doppler done on 5th ANC visit ?"
where_done_doppler_a5 "Where was the Doppler done at 5th ANC visit?"
any_oth_radiological_tests_a5 "Any other Radiological tests done in the 5th ANC visit?"
where_done_oth_investigation_a5 "Where was the Radiological test done at the 5th ANC visit?"
anc_visit_6 "6th ANC visit"
place_of_anc_visit_6 "Place of ANC visit"
vomiting_anc_vst_6 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_6 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_6 "Any breathlessness / tiredness"
headache_blurred_vision_anc_6 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_6 "Jaundice"
abdominal_pain_anc_6 "Abdominal pain"
bleeding_per_vagina_anc_6 "Bleeding per vagina"
leaking_per_vagina_anc_6 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_6 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_6 "Treatment for conception"
fever_anc_vst_6 "Fever"
other_anc_vst_6 "Other"
ht_checked_anc_visit_6 "Height checked for ANC visit 6th"
wt_checked_anc_visit_6 "Weight checked for ANC visit 6th"
bp_checked_anc_visit_6 "Blood Pressure checked for ANC visit 6th"
checked_pulse_anc_6 "Checked pulse"
checkd_respiration_anc_6 "Checked respiration"
checked_for_swelling_anc_6 "Checked for swelling"
checked_for_jaundice_anc_6 "Checked for jaundice"
checked_fetal_lie_anc_6 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_6 "Record of fetal lie in ANC visit 6"
checked_fetal_position_anc_6 "Checked fetal position [>32weeks GA only]"
checkd_pallor_6 "Checked for Pallor at 6th Visit"
oedema_a6 "Checked for Pedal Oedema at 6th Visit"
breasts_examined_a6 "Breasts Examined at 6th Visit"
rcrd_symp_6 "Record symphysis fundal height (SFH) at the 6th ANC visit"
rcrd_fhr_6 "Record FHR [>22wks] at 6th Visit"
hemo_6 "Hemoglobin at 6th Visit"
rndm_bld_6 "Random blood sugar at 6th Visit"
vdrl_6 "VDRL/ Syphilis at 6th Visit"
hiv_6 "HIV at 6th Visit"
hbsag_6 "HBsAG at 6th Visit"
malaria_anc_visit_6 "Malaria test at ANC visit 6"
cbc_done_at_anc_visit_6 "CBC done at ANC visit 6"
tft_6 "Thyroid profile at 6th Visit"
bld_rh_6 "Blood group and Rh at 6th Visit"
gtt_6 "Glucose Tolerance Test (GTT) at 6th Visit"
oth_6 "Any other test at 6th Visit"
urine_albumin_a6 "Urine Albumin test done at 6th ANC visit?"
urine_albumin_results_a6 "Record Urine Albumin test results at 6th ANC visit, if available"
urine_sugar_a6 "Urine Sugar test done at 6th ANC visit?"
urine_sugar_test_results_a6 "Record urine sugar test results at 6th ANC visit, if available"
urine_micro_a6 "Urine Microscopy test done at 6th ANC visit?"
urine_microscopy_results_a6 "Record urine microscopy results at 6th ANC visit, if available"
usg_a6 "Did ultrasonography on the 6th ANC visit?"
where_done_usg_a6 "Where was it done at 6th ANC visit?"
nst_ctg_done_anc_visit_6 "NST / CTG done ANC visit 6"
where_done_nst_6 "Where it is done"
doppler_done_a6 "Doppler done on 6th ANC visit ?"
where_done_doppler_a6 "Where was the Doppler done at 6th ANC visit?"
any_oth_radiological_tests_a6 "Any other Radiological tests done in the 6th ANC visit?"
where_done_oth_investigation_a6 "Where was the Radiological test done at the 6th ANC visit?"
anc_visit_7 "7th ANC visit"
place_of_anc_visit_7 "Place of ANC visit"
vomiting_anc_vst_7 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_7 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_7 "Any breathlessness / tiredness"
headache_blurred_vision_anc_7 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_7 "Jaundice"
abdominal_pain_anc_7 "Abdominal pain"
bleeding_per_vagina_anc_7 "Bleeding per vagina"
leaking_per_vagina_anc_7 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_7 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_7 "Treatment for conception"
fever_anc_vst_7 "Fever"
other_anc_vst_7 "Other"
ht_checked_anc_visit_7 "Height checked for ANC visit 7th"
wt_checked_anc_visit_7 "Weight checked for ANC visit 7th"
bp_checked_anc_visit_7 "Blood Pressure checked for ANC visit 7th"
checked_pulse_anc_7 "Checked pulse"
checkd_respiration_anc_7 "Checked respiration"
checked_for_swelling_anc_7 "Checked for swelling"
checked_for_jaundice_anc_7 "Checked for jaundice"
checked_fetal_lie_anc_7 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_7 "Record of fetal lie in ANC visit 7"
checked_fetal_position_anc_7 "Checked fetal position [>32weeks GA only]"
checkd_pallor_7 "Checked for Pallor at 7th Visit"
oedema_a7 "Checked for Pedal Oedema at 7th Visit"
breasts_examined_a7 "Breasts Examined at 7th Visit"
rcrd_symp_7 "Record symphysis fundal height (SFH) at the 7th ANC visit"
rcrd_fhr_7 "Record FHR [>22wks] at 7th Visit"
hemo_7 "Hemoglobin at 7th Visit"
rndm_bld_7 "Random blood sugar at 7th Visit"
vdrl_7 "VDRL/ Syphilis at 7th Visit"
hiv_7 "HIV at 7th Visit"
hbsag_7 "HBsAG at 7th Visit"
malaria_anc_visit_7 "Malaria test at ANC visit 7"
cbc_done_at_anc_visit_7 "CBC done at ANC visit 7"
tft_7 "Thyroid profile at 7th Visit"
bld_rh_7 "Blood group and Rh at 7th Visit"
gtt_7 "Glucose Tolerance Test (GTT) at 7th Visit"
oth_7 "Any other test at 7th Visit"
urine_albumin_a7 "Urine Albumin test done at 7th ANC visit?"
urine_albumin_results_a7 "Record Urine Albumin test results at 7th ANC visit, if available"
urine_sugar_a7 "Urine Sugar test done at 7th ANC visit?"
urine_sugar_test_results_a7 "Record urine sugar test results at 7th ANC visit, if available"
urine_micro_a7 "Urine Microscopy test done at 7th ANC visit?"
urine_microscopy_results_a7 "Record urine microscopy results at 7th ANC visit, if available"
usg_a7 "Did ultrasonography on the 7th ANC visit?"
where_done_usg_a7 "Where was it done at 7th ANC visit?"
nst_ctg_done_anc_visit_7 "NST / CTG done ANC visit 7"
where_done_nst_7 "Where it is done"
doppler_done_a7 "Doppler done on 7th ANC visit ?"
where_done_doppler_a7 "Where was the Doppler done at 7th ANC visit?"
any_oth_radiological_tests_a7 "Any other Radiological tests done in the 7th ANC visit?"
where_done_oth_investigation_a7 "Where was the Radiological test done at the 7th ANC visit?"
anc_visit_8 "8th ANC visit"
place_of_anc_visit_8 "Place of ANC visit"
vomiting_anc_vst_8 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_8 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_8 "Any breathlessness / tiredness"
headache_blurred_vision_anc_8 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_8 "Jaundice"
abdominal_pain_anc_8 "Abdominal pain"
bleeding_per_vagina_anc_8 "Bleeding per vagina"
leaking_per_vagina_anc_8 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_8 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_8 "Treatment for conception"
fever_anc_vst_8 "Fever"
other_anc_vst_8 "Other"
ht_checked_anc_visit_8 "Height checked for ANC visit 8th"
wt_checked_anc_visit_8 "Weight checked for ANC visit 8th"
bp_checked_anc_visit_8 "Blood Pressure checked for ANC visit 8th"
checked_pulse_anc_8 "Checked pulse"
checkd_respiration_anc_8 "Checked respiration"
checked_for_swelling_anc_8 "Checked for swelling"
checked_for_jaundice_anc_8 "Checked for jaundice"
checked_fetal_lie_anc_8 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_8 "Record of fetal lie in ANC visit 8"
checked_fetal_position_anc_8 "Checked fetal position [>32weeks GA only]"
checkd_pallor_8 "Checked for Pallor at 8th Visit"
oedema_a8 "Checked for Pedal Oedema at 8th Visit"
breasts_examined_a8 "Breasts Examined at 8th Visit"
rcrd_symp_8 "Record symphysis fundal height (SFH) at the 8th ANC visit"
rcrd_fhr_8 "Record FHR [>22wks] at 8th Visit"
hemo_8 "Hemoglobin at 8th Visit"
rndm_bld_8 "Random blood sugar at 8th Visit"
vdrl_8 "VDRL/ Syphilis at 8th Visit"
hiv_8 "HIV at 8th Visit"
hbsag_8 "HBsAG at 8th Visit"
malaria_anc_visit_8 "Malaria test at ANC visit 8"
cbc_done_at_anc_visit_8 "CBC done at ANC visit 8"
tsh_8 "TSH at 8th Visit"
bld_rh_8 "Blood group and Rh at 8th Visit"
gtt_8 "Glucose Tolerance Test (GTT) at 8th Visit"
oth_8 "Any other test at 8th Visit"
urine_albumin_a8 "Urine Albumin test done at 8th ANC visit?"
urine_albumin_results_a8 "Record Urine Albumin test results at 8th ANC visit, if available"
urine_sugar_a8 "Urine Sugar test done at 8th ANC visit?"
urine_sugar_test_results_a8 "Record urine sugar test results at 8th ANC visit, if available"
urine_micro_a8 "Urine Microscopy test done at 8th ANC visit?"
urine_microscopy_results_a8 "Record urine microscopy results at 8th ANC visit, if available"
usg_a8 "Did ultrasonography on the 8th ANC visit?"
where_done_usg_a8 "Where was the Radiological test done at the 8th ANC visit?"
nst_ctg_done_anc_visit_8 "NST / CTG done ANC visit 8"
where_done_nst_8 "Where it is done"
doppler_done_a8 "Doppler done on 8th ANC visit?[Expected at 18-2... severe SGA/FGR]"
where_done_doppler_a8 "Where was the Doppler done at 8th ANC visit?"
any_oth_radiological_tests_a8 "Any other Radiological tests done in the 8th ANC visit?"
where_done_oth_investigation_a8 "Where was the Radiological test done at the 8th ANC visit?"
prescribe_folic_acid_iron "5.1.1. Iron & Folic acid(only in 1st trimester) "
took_iron_folic_acid "Took the medication (Iron & Folic acid)"
prescribed_ca "5.1.2. Calcium"
taken_ca "Taken medication Calcium?"
details_ca_medication "Details of calcium medication"
prescribed_asp "5.1.3. Low dose Aspirin"
taken_asp "Taken Medication Aspirin?"
details_asp_medication "Details"
pih_hypertension "5.1.4. PIH/ Hypertension"
took_pih_hyp_medication "Then specify if you took the medication"
details_pih_hyp_medication "Details"
prescribed_inj_tt "5.1.5 Injection TT(on registration, then 1 mont... xt visit) / dT?"
taken_inj_tt "Took the medication Injection TT?"
prescribed_inj_iron "5.1.6 Prescribed Injection Iron?"
took_inj_iron "Then specify if you took the medication"
prescribed_antibiotics "5.1.7 Anti-D"
taken_antibiotics "Taken Anti-D?"
prescribed_diab_medication "5.1.8 Diabetes"
took_diabetes_medication "Then specify if you took the medication"
details_diabetes_medication "Details"
thyroid_medication_prescribed "5.1.9 Thyroid supplement"
took_thyroid_medication "Then specify if you took the medication"
details_thyroid_medication "Details"
oth_tablets_prescribed "5.1.10 Other tablets / Syrup"
took_oth_medication "then specify if you took the medication"
oth_inj_medication "5.1.11 Other injections"
took_oth_inj "then specify if you took the medication"
take_adequate_rest "a. Take adequate rest."
who_gave_information "Who gave information"
complied_counselling_1 "Complied"
sleep_side_right_or_left "b. Sleep on a side (right or left side)"
who_gave_information_2 "Who gave information"
complied_counselling_2 "Complied"
perform_adequate_physical "c. Perform adequate physical activity."
who_gave_information_3 "Who gave information"
complied_counselling_3 "Complied"
consume_a_balanced_diet "d. Consume a balanced diet / Take dietary supplements from ICDS."
who_gave_information_4 "Who gave information"
complied_counselling_4 "Complied"
take_medications_prescrib "e. Take medications prescribed."
who_gave_information_5 "Who gave information"
complied_counselling_5 "Complied"
check_daily_fetal_movement "f. Check daily fetal movement (FM begins 16-22... ts by 26 weeks."
who_gave_information_6 "Who gave information"
complied_counselling_6 "Complied"
look_danger_signs_report "g. Look for danger signs and report"
complied_counselling_7 "Complied"
birth_preparednes_and_plan "h. Birth preparedness and plan"
who_gave_information_8 "Who gave information"
complied_counselling_8 "Complied"
refer_higher_level_faci "5.2 Was the mother referred to seek care at a h... level facility?"
admitted_during_preg "5.3 Was admitted any time during pregnancy?"
where_admitted_during_preg "5.3.3 Where was she admitted during pregnancy?"
same_health_facility "5.3.5 Did she go to the same health facility?[I... not applicable]"
incentives "5.4 Received any incentives?"
pmmvy_incevtive "a. Pradhana Mantri Matru Vandana Yojana (PMMVY)"
early_reg_preg_incentives "Early registration of Pregnancy"
anc_incentive_reci "ANC visit (After 6 months of pregnancy with at... e ANC check-up)"
pmsma "b. Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)"
jsy "c. Janani Suraksha Yojana (JSY)"
food_suppl "5.5. Received any food supplements during pregnancy?"
outcome_of_crnt_pregnancy "Outcome of current pregnancy"
form_1_complete "Complete?"
STEP 4
Order the Results (optional)
First by
-- select a field --
record_id "Record ID"
mcp_card "Section 1: Demographic and pregnancy details 1.MCP card available"
rch_id "1.1 RCH-ID / MCP card"
receive_date "Date when received"
district "1.1.1 Pregnant woman's District"
other_district_name "Other district name"
taluk "1.1.2 Pregnant woman's Taluk"
other_taluka_name "Other taluka name"
name_of_the_asha "1.1.3 Name of the ASHA"
mobile_number_of_the_as_ha "1.1.4 Mobile Number of the ASHA"
name_of_the_mother "1.2 Name of the mother"
age_mother "Age of the mother"
name_of_the_spouse "1.3 Name of the husband"
mobile1 "1.4 Mobile No 1"
mobile2 "1.5 Mobile No 2"
education "1.6 Education"
ration_card "1.7 Ration Card"
yes_ration_card "Type of ration card"
ration_card_other "Specify"
caste "1.8 Caste"
other_caste "Specify"
house_number_and_street "House Number and Street"
city_town_village_name "City / Town / Village Name"
district_address "District"
other_district_name_1 "Other district name"
pin_code "Pin Code"
present_same_address "1.9.a Is the present address same as the permanent address?"
house_number_and_street_2 "House Number and Street"
city_town_village_name_2 "City / Town / Village Name"
district_address_2 "District"
pin_code_2 "Pin Code"
gravida "Section Header: Section 2 : Obstetric Details2.... s a woman had)"
parity "2.2 Parity (number of times a woman has given birth to a baby)"
living "2.3 Living (number of children living presently)"
abortions "2.4. Abortions"
mnth_occur "2.4.a Which month did the first abortion occur?"
scnd_abort "2.4.b Which month did the second abortion occur?"
stillbirths_confirmation "2.5 Stillbirths (birth of dead fetes any time... s of gestation)"
stillbirths "Stillbirths (birth of dead fetes any time after... s of gestation)"
stllbrth_1 "2.5.a Which month did the first stillbirth occur?"
stllbrth_2 "2.5.b Which month did the second stillbirth occur?"
neontl_count "2.6 Number of neonatal death (death of baby wit... 8days of birth)"
neonatal_deaths "2.6 a. Which day of life did first neonatal death occur?"
cause_nd "2.6.b. Cause of first neonatal death"
neontl_dths "2.6.c Which day of life did second neonatal death occur?"
cuse_neontl_dths "2.6.d Cause of second neonatal death"
menstruation_regular "2.7 Menstruation regular"
no_of_days_menstruation_cycle "No of days of menstruation cycle"
no_of_days_between_cycle "2.7.1 Number of days between each menstruation... regular or not"
lmp "2.7.2 LMP"
edd "2.7.3 EDD"
kitchen "3.2 Kitchen (Can answer only ONE response)"
tobacco "3.3 Chewing tobacco and smoking"
another_smoke_inside_home "3.4 Another household member who smokes inside the house"
oth_spcfy_3 "Specify"
contracep_3 "3.6 Did you use any contraception (pills/natur... fore pregnancy?"
rcvd_angawd "3.7 Received services from Anganwadi"
spcl_medi_3 "3.8 Special Medication"
sm_high_dose_flic_acd_prec "3.8.1 High dose Folic acid (0.5g per day) prescribed"
sm_took_medication "Medication was prescribed, then did you take th... on (folic acid)"
sp_fa_tablets_bought "How many tablets were bought/given?"
sp_fa_tablets_consumed "How many tablets were consumed?"
sm_iron_prescribed "3.8.2 Weekly Iron Supplementation prescribed"
sm_took_iron_medication "Medication was prescribed, then did you take th... dication (Iron)"
sm_iron_tab_bought "How many tablets were bought/given?"
sm_iron_tab_consumed "How many tablets were consumed?"
anc_done "Section Header: Part 2 (Antenatal Care) Section... ANC visit done"
yes_howmny_anc "How many ANC visits did you have for this pregnancy?"
why_no_anc "Why did you not go for any ANC?"
obtained_previous_pregn_ancy_history_and_recorde_d "4.2 Was previous pregnancy history obtained and... not applicable]"
complication_previous_p_regnancy "4.2.1 Was there any complication/problem in any... ious pregnancy?"
previous_lscs_if_yes_sp_ecify_reason "LSCS: If YES, specify reason"
baby_with_congenital_ab_normalities_if_yes_speci_fy "Specify (Baby with congenital abnormalities) "
others_specify_complica_tion_pre_preg "Specify Other"
medical_problem_prev_pr_eg "4.3 Has been diagnosed with any medical problem... sent pregnancy?"
other_medical_prob_prev_preg "Specify"
anc_visit_1 "(4.4 What all was performed at the ANC (source:... First ANC visit"
date_anc_visits_a1 "Date of 1st ANC visit"
gestational_ages_a1 "Gestational age at 1st ANC visit(in weeks)"
months_amenorrhea_a1 "Months of amenorrhea at 1st ANC visit"
place_of_anc_visit_1 "Place of ANC visit"
vomiting_anc_vst_1 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_1 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_1 "Any breathlessness / tiredness"
headache_blurred_vision_anc_1 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_1 "Jaundice"
abdominal_pain_anc_1 "Abdominal pain"
bleeding_per_vagina_anc_1 "Bleeding per vagina"
leaking_per_vagina_anc_1 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_1 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_1 "Treatment for conception"
fever_anc_vst_1 "Fever"
other_anc_vst_1 "Other"
specify_other_anc_vst_1 "Specify other"
ht_checked_anc_visit_1 "Height checked for ANC visit 1"
wt_checked_anc_visit_1 "Weight checked for ANC visit 1"
bp_checked_anc_visit_1 "Blood Pressure checked for ANC visit 1"
checked_pulse_anc_1 "Checked pulse"
checkd_respiration_anc_1 "Checked respiration"
checked_for_swelling_anc_1 "Checked for swelling"
checked_for_jaundice_anc_1 "Checked for jaundice"
checked_fetal_lie_anc_1 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_1 "Record of fetal lie in ANC visit 1"
checked_fetal_position_anc_1 "Checked fetal position [>32weeks GA only]"
checkd_pallor_1 "Checked for Pallor at 1st Visit"
oedema_a1 "Checked for Pedal Oedema at 1st Visit"
breasts_examined_a1 "Breasts Examined at 1st Visit"
pre_scar_a1 "Checked for Previous Scar"
rcrd_symp_1 "Record symphysis fundal height (SFH) at the 1st ANC visit"
rcrd_fhr_1 "Record FHR [>22wks] at 1st Visit"
hemo_1 "Hemoglobin at 1st Visit"
rndm_bld_1 "Random blood sugar at 1st Visit"
vdrl_1 "VDRL at first ANC visit"
hiv_1 "HIV test at 1st ANC visit"
hbsag_1 "HBsAG at 1st Visit"
malaria_anc_visit_1 "Malaria test at ANC visit 1"
cbc_done_at_anc_visit_1 "CBC done at ANC visit 1"
tft_1 "Thyroid profile at 1st Visit"
bld_rh_1 "Blood group and Rh at 1st Visit"
gtt_1 "Glucose Tolerance Test (GTT) at 1st Visit"
oth_1 "Any other test at 1st Visit"
aobt_results_a1 "Record any other test results at the 1st ANC visit, if available"
urine_albumin_a1 "Urine Albumin test done at 1st ANC visit?"
urine_albumin_results_a1 "Record Urine Albumin test results at 1st ANC visit, if available"
urine_sugar_a1 "Urine Sugar test done at 1st ANC visit?"
urine_sugar_test_results_a1 "Record urine sugar test results at 1st ANC visit, if available"
urine_micro_a1 "Urine Microscopy test done at 1st ANC visit?"
urine_microscopy_results_a1 "Record urine microscopy results at 1st ANC visit, if available"
usg_a1 "Did ultrasonography on the 1st ANC visit?"
usgda_a1 "Date of ultrasonography at 1st ANC visit"
reason_usg_anc_1 "Reason for ultrasonography done ?"
result_of_usg_1 "Finding of ultrasonography at 1st ANC visit"
where_done_usg_a1 "Where was it done at 1st ANC visit?"
nst_ctg_done_anc_visit_1 "NST / CTG done ANC visit 1"
date_nst_ctg_anc_1 "Date NST / CTG done ANC visit 1"
reson_nst_anc_1 "Reason for NST/CTG ?"
result_of_nst_anc_1 "Result of NST/CTG"
where_done_nst_1 "Where it is done"
doppler_done_a1 "Doppler done on 1st ANC visit?"
doppler_date_a1 "Date of Doppler at 1st ANC visit"
reason_for_doppler_anc_1 "Reason for Doppler"
where_done_doppler_a1 "Where was the Doppler done at 1st ANC visit?"
doppler_findings_a1 "Findings of Doppler at 1st ANC visit"
any_oth_radiological_tests_a1 "Any other Radiological tests done in the 1st ANC visit?"
oth_investigation_test_name_a1 "Name of any other radiological test done at the 1st ANC visit"
oth_investigation_test_date_a1 "Date of the Radiological test at the 1st ANC visit"
reason_for_otr_radio_exa_anc_1 "Reason for other radiological examination"
where_done_oth_investigation_a1 "Where was the Radiological test done at the 1st ANC visit?"
oth_investigation_findings_a1 "Findings of the Radiological test at the 1st ANC visit"
anc_visit_2 "Second ANC visit"
date_anc_visits_a2 "Date of 2nd ANC visit"
gestational_ages_a2 "Gestational age at 2nd ANC visit(in weeks)"
months_amenorrhea_a2 "Months of amenorrhea at 2nd ANC visit"
place_of_anc_visit_2 "Place of ANC visit"
vomiting_anc_vst_2 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_2 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_2 "Any breathlessness / tiredness"
headache_blurred_vision_anc_2 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_2 "Jaundice"
abdominal_pain_anc_2 "Abdominal pain"
bleeding_per_vagina_anc_2 "Bleeding per vagina"
leaking_per_vagina_anc_2 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_2 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_2 "Treatment for conception"
fever_anc_vst_2 "Fever"
other_anc_vst_2 "Other"
specify_other_anc_vst_2 "Specify other"
ht_checked_anc_visit_2 "Height checked for ANC visit 2"
wt_checked_anc_visit_2 "Weight checked for ANC visit 2"
bp_checked_anc_visit_2 "Blood Pressure checked for ANC visit 2"
checked_pulse_anc_2 "Checked pulse"
checkd_respiration_anc_2 "Checked respiration"
checked_for_swelling_anc_2 "Checked for swelling"
checked_for_jaundice_anc_2 "Checked for jaundice"
checked_fetal_lie_anc_2 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_2 "Record of fetal lie in ANC visit 2"
checked_fetal_position_anc_2 "Checked fetal position [>32weeks GA only]"
checkd_pallor_2 "Checked for Pallor at 2nd Visit"
oedema_a2 "Checked for Pedal Oedema at 2nd Visit"
breasts_examined_a2 "Breasts Examined at 2nd Visit"
rcrd_symp_2 "Record symphysis fundal height (SFH) at the 2nd ANC visit"
rcrd_fhr_2 "Record FHR [>22wks] at 2nd Visit"
hemo_2 "Hemoglobin at 2nd Visit"
rndm_bld_2 "Random blood sugar at 2nd Visit"
vdrl_2 "VDRL/ Syphilis at 2nd Visit"
hiv_2 "HIV at 2nd Visit"
hbsag_2 "HBsAG at 2nd Visit"
malaria_anc_visit_2 "Malaria test at ANC visit 2"
cbc_done_at_anc_visit_2 "CBC done at ANC visit 2"
tft_2 "Thyroid profile at 2nd Visit"
bld_rh_2 "Blood group and Rh at 2nd Visit"
gtt_2 "Glucose Tolerance Test (GTT) at 2nd Visit"
oth_2 "Any other test at 2nd Visit"
aobt_results_a2 "Record any other test results at the 2nd ANC visit, if available"
urine_albumin_a2 "Urine Albumin test done at 2nd ANC visit?"
urine_albumin_results_a2 "Record Urine Albumin test results at 2nd ANC visit, if available"
urine_sugar_a2 "Urine Sugar test done at 2nd ANC visit?"
urine_sugar_test_results_a2 "Record urine sugar test results at 2nd ANC visit, if available"
urine_micro_a2 "Urine Microscopy test done at 2nd ANC visit?"
urine_microscopy_results_a2 "Record urine microscopy results at 2nd ANC visit, if available"
usg_a2 "Did ultrasonography on the 2nd ANC visit?"
usgda_a2 "Date of ultrasonography at 2nd ANC visit"
reason_usg_anc_2 "Reason for ultrasonography done ?"
result_of_usg_2 "Result of ultrasonography"
where_done_usg_a2 "Where was it done at 2nd ANC visit?"
nst_ctg_done_anc_visit_2 "NST / CTG done ANC visit 2"
date_nst_ctg_anc_2 "Date NST / CTG done ANC visit 2"
reson_nst_anc_2 "Reason for NST/CTG ?"
result_of_nst_anc_2 "Finding of NST/CTG ANC visit 2"
where_done_nst_2 "Where it is done"
doppler_done_a2 "Doppler done on 2nd ANC visit ?"
doppler_date_a2 "Date of Doppler at 2nd ANC visit"
reason_for_doppler_anc_2 "Reason for Doppler"
where_done_doppler_a2 "Where was the Doppler done at 2nd ANC visit?"
doppler_findings_a2 "Findings of Doppler at 2nd ANC visit"
any_oth_radiological_tests_a2 "Any other Radiological tests done in the 2nd ANC visit?"
oth_investigation_test_name_a2 "Name of any other radiological test done at the 2nd ANC visit"
oth_investigation_test_date_a2 "Date of the Radiological test at the 2nd ANC visit"
reason_for_otr_radio_exa_anc_2 "Reason for other radiological examination"
where_done_oth_investigation_a2 "Where was the Radiological test done at the 2nd ANC visit?"
oth_investigation_findings_a2 "Findings of the Radiological test at the 2nd ANC visit"
anc_visit_3 "3rd ANC visit"
date_anc_visits_a3 "Date of 3rd ANC visit"
gestational_ages_a3 "Gestational age at 3rd ANC visit(in weeks)"
months_amenorrhea_a3 "Months of amenorrhea at 3rd ANC visit"
place_of_anc_visit_3 "Place of ANC visit"
vomiting_anc_vst_3 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_3 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_3 "Any breathlessness / tiredness"
headache_blurred_vision_anc_3 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_3 "Jaundice"
abdominal_pain_anc_3 "Abdominal pain"
bleeding_per_vagina_anc_3 "Bleeding per vagina"
leaking_per_vagina_anc_3 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_3 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_3 "Treatment for conception"
fever_anc_vst_3 "Fever"
other_anc_vst_3 "Other"
specify_other_anc_vst_3 "Specify other"
ht_checked_anc_visit_3 "Height checked for ANC visit 3"
wt_checked_anc_visit_3 "Weight checked for ANC visit 3"
bp_checked_anc_visit_3 "Blood Pressure checked for ANC visit 3"
checked_pulse_anc_3 "Checked pulse"
checkd_respiration_anc_3 "Checked respiration"
checked_for_swelling_anc_3 "Checked for swelling"
checked_for_jaundice_anc_3 "Checked for jaundice"
checked_fetal_lie_anc_3 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_3 "Record of fetal lie in ANC visit 3"
checked_fetal_position_anc_3 "Checked fetal position [>32weeks GA only]"
checkd_pallor_3 "Checked for Pallor at 3rd Visit"
oedema_a3 "Checked for Pedal Oedema at 3rd Visit"
breasts_examined_a3 "Breasts Examined at 3rd Visit"
rcrd_symp_3 "Record symphysis fundal height (SFH) at the 3rd ANC visit"
rcrd_fhr_3 "Record FHR [>22wks] at 3rd Visit"
hemo_3 "Hemoglobin at 3rd Visit"
rndm_bld_3 "Random blood sugar at 3rd Visit"
vdrl_3 "VDRL/ Syphilis at 3rd Visit"
hiv_3 "HIV at 3rd Visit"
hbsag_3 "HBsAG at 3rd Visit"
malaria_anc_visit_3 "Malaria test at ANC visit 3"
cbc_done_at_anc_visit_3 "CBC done at ANC visit 3"
tft_3 "Thyroid profile at 3rd Visit"
bld_rh_3 "Blood group and Rh at 3rd Visit"
gtt_3 "Glucose Tolerance Test (GTT) at 3rd Visit"
oth_3 "Any other test at 3rd Visit"
aobt_results_a3 "Record any other test results at the 3rd ANC visit, if available"
urine_albumin_a3 "Urine Albumin test done at 3rd ANC visit?"
urine_albumin_results_a3 "Record Urine Albumin test results at 3rd ANC visit, if available"
urine_sugar_a3 "Urine Sugar test done at 3rd ANC visit?"
urine_sugar_test_results_a3 "Record urine sugar test results at 3rd ANC visit, if available"
urine_micro_a3 "Urine Microscopy test done at 3rd ANC visit?"
urine_microscopy_results_a3 "Record urine microscopy results at 3rd ANC visit, if available"
usg_a3 "Did ultrasonography on the 3rd ANC visit?"
usgda_a3 "Date of ultrasonography at 3rd ANC visit"
reason_usg_anc_3 "Reason for ultrasonography done ?"
result_of_usg_3 "Finding of ultrasonography at ANC visit 3"
where_done_usg_a3 "Where was it done at 3rd ANC visit?"
nst_ctg_done_anc_visit_3 "NST / CTG done ANC visit 3"
date_nst_ctg_anc_3 "Date NST / CTG done ANC visit 3"
reson_nst_anc_3 "Reason for NST/CTG ?"
result_of_nst_anc_3 "Finding of NST/CTG at ANC visit 3"
where_done_nst_3 "Where it is done"
doppler_done_a3 "Doppler done on 3rd ANC visit ?"
doppler_date_a3 "Date of Doppler at 3rd ANC visit"
reason_for_doppler_anc_3 "Reason for Doppler"
where_done_doppler_a3 "Where was the Doppler done at 3rd ANC visit?"
doppler_findings_a3 "Findings of Doppler at 3rd ANC visit"
any_oth_radiological_tests_a3 "Any other Radiological tests done in the 3rd ANC visit?"
oth_investigation_test_name_a3 "Name of any other radiological test done at the 3rd ANC visit"
oth_investigation_test_date_a3 "Date of the Radiological test at the 3rd ANC visit"
reason_for_otr_radio_exa_anc_3 "Reason for other radiological examination"
where_done_oth_investigation_a3 "Where was the Radiological test done at the 3rd ANC visit?"
oth_investigation_findings_a3 "Findings of the Radiological test at the 3rd ANC visit"
anc_visit_4 "4th ANC visit"
date_anc_visits_a4 "Date of 4th ANC visit"
gestational_ages_a4 "Gestational age at 4th ANC visit(in weeks)"
months_amenorrhea_a4 "Months of amenorrhea at 4th ANC visit"
place_of_anc_visit_4 "Place of ANC visit"
vomiting_anc_vst_4 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_4 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_4 "Any breathlessness / tiredness"
headache_blurred_vision_anc_4 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_4 "Jaundice"
abdominal_pain_anc_4 "Abdominal pain"
bleeding_per_vagina_anc_4 "Bleeding per vagina"
leaking_per_vagina_anc_4 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_4 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_4 "Treatment for conception"
fever_anc_vst_4 "Fever"
other_anc_vst_4 "Other"
specify_other_anc_vst_4 "Specify other"
ht_checked_anc_visit_4 "Height checked for ANC visit 4th"
wt_checked_anc_visit_4 "Weight checked for ANC visit 4th"
bp_checked_anc_visit_4 "Blood Pressure checked for ANC visit 4th"
checked_pulse_anc_4 "Checked pulse"
checkd_respiration_anc_4 "Checked respiration"
checked_for_swelling_anc_4 "Checked for swelling"
checked_for_jaundice_anc_4 "Checked for jaundice"
checked_fetal_lie_anc_4 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_4 "Record of fetal lie in ANC visit 4"
checked_fetal_position_anc_4 "Checked fetal position [>32weeks GA only]"
checkd_pallor_4 "Checked for Pallor at 4th Visit"
oedema_a4 "Checked for Pedal Oedema at 4th Visit"
breasts_examined_a4 "Breasts Examined at 4th Visit"
rcrd_symp_4 "Record symphysis fundal height (SFH) at the 4th ANC visit"
rcrd_fhr_4 "Record FHR [>22wks] at 4th Visit"
hemo_4 "Hemoglobin at 4th Visit"
rndm_bld_4 "Random blood sugar at 4th Visit"
vdrl_4 "VDRL/ Syphilis at 4th Visit"
hiv_4 "HIV at 4th Visit"
hbsag_4 "HBsAG at 4th Visit"
malaria_anc_visit_4 "Malaria test at ANC visit 4"
cbc_done_at_anc_visit_4 "CBC done at ANC visit 4"
tft_4 "Thyroid profile at 4th Visit"
bld_rh_4 "Blood group and Rh at 4th Visit"
gtt_4 "Glucose Tolerance Test (GTT) at 4thVisit"
oth_4 "Any other test at 4th Visit"
aobt_results_a4 "Record any other test results at the 4th ANC visit, if available"
urine_albumin_a4 "Urine Albumin test done at 4th ANC visit?"
urine_albumin_results_a4 "Record Urine Albumin test results at 4th ANC visit, if available"
urine_sugar_a4 "Urine Sugar test done at 4th ANC visit?"
urine_sugar_test_results_a4 "Record urine sugar test results at 4th ANC visit, if available"
urine_micro_a4 "Urine Microscopy test done at 4th ANC visit?"
urine_microscopy_results_a4 "Record urine microscopy results at 4th ANC visit, if available"
usg_a4 "Did ultrasonography on the 4th ANC visit?"
usgda_a4 "Date of ultrasonography at 4th ANC visit"
reason_usg_anc_4 "Reason for ultrasonography done ?"
result_of_usg_4 "Finding of ultrasonography done at ANC visit 4"
where_done_usg_a4 "Where was it done at 4th ANC visit?"
nst_ctg_done_anc_visit_4 "NST / CTG done ANC visit 4"
date_nst_ctg_anc_4 "Date NST / CTG done ANC visit 4"
reson_nst_anc_4 "Reason for NST/CTG ?"
result_of_nst_anc_4 "Finding of NST/CTG at ANC visit 4"
where_done_nst_4 "Where it is done"
doppler_done_a4 "Doppler done on 4th ANC visit ?"
doppler_date_a4 "Date of Doppler at 4th ANC visit"
reason_for_doppler_anc_4 "Reason for Doppler"
where_done_doppler_a4 "Where was the Doppler done at 4th ANC visit?"
doppler_findings_a4 "Findings of Doppler at 4th ANC visit"
any_oth_radiological_tests_a4 "Any other Radiological tests done in the 4th ANC visit?"
oth_investigation_test_name_a4 "Name of any other radiological test done at the 4th ANC visit"
oth_investigation_test_date_a4 "Date of the Radiological test at the 4th ANC visit"
reason_for_otr_radio_exa_anc_4 "Reason for other radiological examination"
where_done_oth_investigation_a4 "Where was the Radiological test done at the 4th ANC visit?"
oth_investigation_findings_a4 "Findings of the Radiological test at the 4th ANC visit"
anc_visit_5 "5th ANC visit"
date_anc_visits_a5 "Date of 5th ANC visit"
gestational_ages_a5 "Gestational age at 5th ANC visit(in weeks)"
months_amenorrhea_a5 "Months of amenorrhea at 5th ANC visit"
place_of_anc_visit_5 "Place of ANC visit"
vomiting_anc_vst_5 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_5 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_5 "Any breathlessness / tiredness"
headache_blurred_vision_anc_5 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_5 "Jaundice"
abdominal_pain_anc_5 "Abdominal pain"
bleeding_per_vagina_anc_5 "Bleeding per vagina"
leaking_per_vagina_anc_5 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_5 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_5 "Treatment for conception"
fever_anc_vst_5 "Fever"
other_anc_vst_5 "Other"
specify_other_anc_vst_5 "Specify other"
ht_checked_anc_visit_5 "Height checked for ANC visit 5th"
wt_checked_anc_visit_5 "Weight checked for ANC visit 5th"
bp_checked_anc_visit_5 "Blood Pressure checked for ANC visit 5th"
checked_pulse_anc_5 "Checked pulse"
checkd_respiration_anc_5 "Checked respiration"
checked_for_swelling_anc_5 "Checked for swelling"
checked_for_jaundice_anc_5 "Checked for jaundice"
checked_fetal_lie_anc_5 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_5 "Record of fetal lie in ANC visit 5"
checked_fetal_position_anc_5 "Checked fetal position [>32weeks GA only]"
checkd_pallor_5 "Checked for Pallor at 5th Visit"
oedema_a5 "Checked for Pedal Oedema at 5th Visit"
breasts_examined_a5 "Breasts Examined at 5th Visit"
rcrd_symp_5 "Record symphysis fundal height (SFH) at the 5th ANC visit"
rcrd_fhr_5 "Record FHR [>22wks] at 5th Visit"
hemo_5 "Hemoglobin at 5th Visit"
rndm_bld_5 "Random blood sugar at 5th Visit"
vdrl_5 "VDRL/ Syphilis at 5th Visit"
hiv_5 "HIV at 5th Visit"
hbsag_5 "HBsAG at 5th Visit"
malaria_anc_visit_5 "Malaria test at ANC visit 5"
cbc_done_at_anc_visit_5 "CBC done at ANC visit 5"
tft_5 "Thyroid profile at 5th Visit"
bld_rh_5 "Blood group and Rh at 5th Visit"
gtt_5 "Glucose Tolerance Test (GTT) at 5th Visit"
oth_5 "Any other test at 5th Visit"
aobt_results_a5 "Record any other test results at the 5th ANC visit, if available"
urine_albumin_a5 "Urine Albumin test done at 5th ANC visit?"
urine_albumin_results_a5 "Record Urine Albumin test results at 5th ANC visit, if available"
urine_sugar_a5 "Urine Sugar test done at 5th ANC visit?"
urine_sugar_test_results_a5 "Record urine sugar test results at 5th ANC visit, if available"
urine_micro_a5 "Urine Microscopy test done at 5th ANC visit?"
urine_microscopy_results_a5 "Record urine microscopy results at 5th ANC visit, if available"
usg_a5 "Did ultrasonography on the 5th ANC visit?"
usgda_a5 "Date of ultrasonography at 5th ANC visit"
reason_usg_anc_5 "Reason for ultrasonography done ?"
result_of_usg_5 "Finding of ultrasonography done at ANC visit 5"
where_done_usg_a5 "Where was it done at 5th ANC visit?"
nst_ctg_done_anc_visit_5 "NST / CTG done ANC visit 5"
date_nst_ctg_anc_5 "Date NST / CTG done ANC visit 5"
reson_nst_anc_5 "Reason for NST/CTG ?"
result_of_nst_anc_5 "Finding of NST/CTG done at ANC visit 5"
where_done_nst_5 "Where it is done"
doppler_done_a5 "Doppler done on 5th ANC visit ?"
doppler_date_a5 "Date of Doppler at 5th ANC visit"
reason_for_doppler_anc_5 "Reason for Doppler"
where_done_doppler_a5 "Where was the Doppler done at 5th ANC visit?"
doppler_findings_a5 "Findings of Doppler at 5th ANC visit"
any_oth_radiological_tests_a5 "Any other Radiological tests done in the 5th ANC visit?"
oth_investigation_test_name_a5 "Name of any other radiological test done at the 5th ANC visit"
oth_investigation_test_date_a5 "Date of the Radiological test at the 5th ANC visit"
reason_for_otr_radio_exa_anc_5 "Reason for other radiological examination"
where_done_oth_investigation_a5 "Where was the Radiological test done at the 5th ANC visit?"
oth_investigation_findings_a5 "Findings of the Radiological test at the 5th ANC visit"
anc_visit_6 "6th ANC visit"
date_anc_visits_a6 "Date of 6th ANC visit"
gestational_ages_a6 "Gestational age at 6th ANC visit(in weeks)"
months_amenorrhea_a6 "Months of amenorrhea at 6th ANC visit"
place_of_anc_visit_6 "Place of ANC visit"
vomiting_anc_vst_6 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_6 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_6 "Any breathlessness / tiredness"
headache_blurred_vision_anc_6 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_6 "Jaundice"
abdominal_pain_anc_6 "Abdominal pain"
bleeding_per_vagina_anc_6 "Bleeding per vagina"
leaking_per_vagina_anc_6 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_6 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_6 "Treatment for conception"
fever_anc_vst_6 "Fever"
other_anc_vst_6 "Other"
specify_other_anc_vst_6 "Specify other"
ht_checked_anc_visit_6 "Height checked for ANC visit 6th"
wt_checked_anc_visit_6 "Weight checked for ANC visit 6th"
bp_checked_anc_visit_6 "Blood Pressure checked for ANC visit 6th"
checked_pulse_anc_6 "Checked pulse"
checkd_respiration_anc_6 "Checked respiration"
checked_for_swelling_anc_6 "Checked for swelling"
checked_for_jaundice_anc_6 "Checked for jaundice"
checked_fetal_lie_anc_6 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_6 "Record of fetal lie in ANC visit 6"
checked_fetal_position_anc_6 "Checked fetal position [>32weeks GA only]"
checkd_pallor_6 "Checked for Pallor at 6th Visit"
oedema_a6 "Checked for Pedal Oedema at 6th Visit"
breasts_examined_a6 "Breasts Examined at 6th Visit"
rcrd_symp_6 "Record symphysis fundal height (SFH) at the 6th ANC visit"
rcrd_fhr_6 "Record FHR [>22wks] at 6th Visit"
hemo_6 "Hemoglobin at 6th Visit"
rndm_bld_6 "Random blood sugar at 6th Visit"
vdrl_6 "VDRL/ Syphilis at 6th Visit"
hiv_6 "HIV at 6th Visit"
hbsag_6 "HBsAG at 6th Visit"
malaria_anc_visit_6 "Malaria test at ANC visit 6"
cbc_done_at_anc_visit_6 "CBC done at ANC visit 6"
tft_6 "Thyroid profile at 6th Visit"
bld_rh_6 "Blood group and Rh at 6th Visit"
gtt_6 "Glucose Tolerance Test (GTT) at 6th Visit"
oth_6 "Any other test at 6th Visit"
aobt_results_a7 "Record any other test results at the 6th ANC visit, if available"
urine_albumin_a6 "Urine Albumin test done at 6th ANC visit?"
urine_albumin_results_a6 "Record Urine Albumin test results at 6th ANC visit, if available"
urine_sugar_a6 "Urine Sugar test done at 6th ANC visit?"
urine_sugar_test_results_a6 "Record urine sugar test results at 6th ANC visit, if available"
urine_micro_a6 "Urine Microscopy test done at 6th ANC visit?"
urine_microscopy_results_a6 "Record urine microscopy results at 6th ANC visit, if available"
usg_a6 "Did ultrasonography on the 6th ANC visit?"
usgda_a6 "Date of ultrasonography at 6th ANC visit"
reason_usg_anc_6 "Reason for ultrasonography done ?"
result_of_usg_6 "Findings of ultrasonography done at ANC visit 6"
where_done_usg_a6 "Where was it done at 6th ANC visit?"
nst_ctg_done_anc_visit_6 "NST / CTG done ANC visit 6"
date_nst_ctg_anc_6 "Date NST / CTG done ANC visit 6"
reson_nst_anc_6 "Reason for NST/CTG ?"
result_of_nst_anc_6 "Finding of NST/CTG done at ANC visit 6"
where_done_nst_6 "Where it is done"
doppler_done_a6 "Doppler done on 6th ANC visit ?"
doppler_date_a6 "Date of Doppler at 6th ANC visit"
reason_for_doppler_anc_6 "Reason for Doppler"
where_done_doppler_a6 "Where was the Doppler done at 6th ANC visit?"
doppler_findings_a6 "Findings of Doppler at 6th ANC visit"
any_oth_radiological_tests_a6 "Any other Radiological tests done in the 6th ANC visit?"
oth_investigation_test_name_a6 "Name of any other radiological test done at the 6th ANC visit"
oth_investigation_test_date_a6 "Date of the Radiological test at the 6th ANC visit"
reason_for_otr_radio_exa_anc_6 "Reason for other radiological examination"
where_done_oth_investigation_a6 "Where was the Radiological test done at the 6th ANC visit?"
oth_investigation_findings_a6 "Findings of the Radiological test at the 6th ANC visit"
anc_visit_7 "7th ANC visit"
date_anc_visits_a7 "Date of 7th ANC visit"
gestational_ages_a7 "Gestational age at 7th ANC visit(in weeks)"
months_amenorrhea_a7 "Months of amenorrhea at 7th ANC visit"
place_of_anc_visit_7 "Place of ANC visit"
vomiting_anc_vst_7 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_7 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_7 "Any breathlessness / tiredness"
headache_blurred_vision_anc_7 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_7 "Jaundice"
abdominal_pain_anc_7 "Abdominal pain"
bleeding_per_vagina_anc_7 "Bleeding per vagina"
leaking_per_vagina_anc_7 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_7 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_7 "Treatment for conception"
fever_anc_vst_7 "Fever"
other_anc_vst_7 "Other"
specify_other_anc_vst_7 "Specify other"
ht_checked_anc_visit_7 "Height checked for ANC visit 7th"
wt_checked_anc_visit_7 "Weight checked for ANC visit 7th"
bp_checked_anc_visit_7 "Blood Pressure checked for ANC visit 7th"
checked_pulse_anc_7 "Checked pulse"
checkd_respiration_anc_7 "Checked respiration"
checked_for_swelling_anc_7 "Checked for swelling"
checked_for_jaundice_anc_7 "Checked for jaundice"
checked_fetal_lie_anc_7 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_7 "Record of fetal lie in ANC visit 7"
checked_fetal_position_anc_7 "Checked fetal position [>32weeks GA only]"
checkd_pallor_7 "Checked for Pallor at 7th Visit"
oedema_a7 "Checked for Pedal Oedema at 7th Visit"
breasts_examined_a7 "Breasts Examined at 7th Visit"
rcrd_symp_7 "Record symphysis fundal height (SFH) at the 7th ANC visit"
rcrd_fhr_7 "Record FHR [>22wks] at 7th Visit"
hemo_7 "Hemoglobin at 7th Visit"
rndm_bld_7 "Random blood sugar at 7th Visit"
vdrl_7 "VDRL/ Syphilis at 7th Visit"
hiv_7 "HIV at 7th Visit"
hbsag_7 "HBsAG at 7th Visit"
malaria_anc_visit_7 "Malaria test at ANC visit 7"
cbc_done_at_anc_visit_7 "CBC done at ANC visit 7"
tft_7 "Thyroid profile at 7th Visit"
bld_rh_7 "Blood group and Rh at 7th Visit"
gtt_7 "Glucose Tolerance Test (GTT) at 7th Visit"
oth_7 "Any other test at 7th Visit"
aobt_results_a6 "Record any other test results at the 6th ANC visit, if available"
urine_albumin_a7 "Urine Albumin test done at 7th ANC visit?"
urine_albumin_results_a7 "Record Urine Albumin test results at 7th ANC visit, if available"
urine_sugar_a7 "Urine Sugar test done at 7th ANC visit?"
urine_sugar_test_results_a7 "Record urine sugar test results at 7th ANC visit, if available"
urine_micro_a7 "Urine Microscopy test done at 7th ANC visit?"
urine_microscopy_results_a7 "Record urine microscopy results at 7th ANC visit, if available"
usg_a7 "Did ultrasonography on the 7th ANC visit?"
usgda_a7 "Date of ultrasonography at 7th ANC visit"
reason_usg_anc_7 "Reason for ultrasonography done ?"
result_of_usg_7 "Findings of ultrasonography done at ANC visit 7"
where_done_usg_a7 "Where was it done at 7th ANC visit?"
nst_ctg_done_anc_visit_7 "NST / CTG done ANC visit 7"
date_nst_ctg_anc_7 "Date NST / CTG done ANC visit 7"
reson_nst_anc_7 "Reason for NST/CTG ?"
result_of_nst_anc_7 "Findings of NST/CTG done at ANC visit 7"
where_done_nst_7 "Where it is done"
doppler_done_a7 "Doppler done on 7th ANC visit ?"
doppler_date_a7 "Date of Doppler at 7th ANC visit"
reason_for_doppler_anc_7 "Reason for Doppler"
where_done_doppler_a7 "Where was the Doppler done at 7th ANC visit?"
doppler_findings_a7 "Findings of Doppler at 7th ANC visit"
any_oth_radiological_tests_a7 "Any other Radiological tests done in the 7th ANC visit?"
oth_investigation_test_name_a7 "Name of any other radiological test done at the 7th ANC visit"
oth_investigation_test_date_a7 "Date of the Radiological test at the 7th ANC visit"
reason_for_otr_radio_exa_anc_7 "Reason for other radiological examination"
where_done_oth_investigation_a7 "Where was the Radiological test done at the 7th ANC visit?"
oth_investigation_findings_a7 "Findings of the Radiological test at the 7th ANC visit"
anc_visit_8 "8th ANC visit"
date_anc_visits_a8 "Date of 8th ANC visit"
gestational_ages_a8 "Gestational age at 8th ANC visit(in weeks)"
months_amenorrhea_a8 "Months of amenorrhea at 8th ANC visit"
place_of_anc_visit_8 "Place of ANC visit"
vomiting_anc_vst_8 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_8 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_8 "Any breathlessness / tiredness"
headache_blurred_vision_anc_8 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_8 "Jaundice"
abdominal_pain_anc_8 "Abdominal pain"
bleeding_per_vagina_anc_8 "Bleeding per vagina"
leaking_per_vagina_anc_8 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_8 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_8 "Treatment for conception"
fever_anc_vst_8 "Fever"
other_anc_vst_8 "Other"
specify_other_anc_vst_8 "Specify other"
ht_checked_anc_visit_8 "Height checked for ANC visit 8th"
wt_checked_anc_visit_8 "Weight checked for ANC visit 8th"
bp_checked_anc_visit_8 "Blood Pressure checked for ANC visit 8th"
checked_pulse_anc_8 "Checked pulse"
checkd_respiration_anc_8 "Checked respiration"
checked_for_swelling_anc_8 "Checked for swelling"
checked_for_jaundice_anc_8 "Checked for jaundice"
checked_fetal_lie_anc_8 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_8 "Record of fetal lie in ANC visit 8"
checked_fetal_position_anc_8 "Checked fetal position [>32weeks GA only]"
checkd_pallor_8 "Checked for Pallor at 8th Visit"
oedema_a8 "Checked for Pedal Oedema at 8th Visit"
breasts_examined_a8 "Breasts Examined at 8th Visit"
rcrd_symp_8 "Record symphysis fundal height (SFH) at the 8th ANC visit"
rcrd_fhr_8 "Record FHR [>22wks] at 8th Visit"
hemo_8 "Hemoglobin at 8th Visit"
rndm_bld_8 "Random blood sugar at 8th Visit"
vdrl_8 "VDRL/ Syphilis at 8th Visit"
hiv_8 "HIV at 8th Visit"
hbsag_8 "HBsAG at 8th Visit"
malaria_anc_visit_8 "Malaria test at ANC visit 8"
cbc_done_at_anc_visit_8 "CBC done at ANC visit 8"
tsh_8 "TSH at 8th Visit"
bld_rh_8 "Blood group and Rh at 8th Visit"
gtt_8 "Glucose Tolerance Test (GTT) at 8th Visit"
oth_8 "Any other test at 8th Visit"
aobt_results_a8 "Record any other test results at the 8th ANC visit, if available"
urine_albumin_a8 "Urine Albumin test done at 8th ANC visit?"
urine_albumin_results_a8 "Record Urine Albumin test results at 8th ANC visit, if available"
urine_sugar_a8 "Urine Sugar test done at 8th ANC visit?"
urine_sugar_test_results_a8 "Record urine sugar test results at 8th ANC visit, if available"
urine_micro_a8 "Urine Microscopy test done at 8th ANC visit?"
urine_microscopy_results_a8 "Record urine microscopy results at 8th ANC visit, if available"
usg_a8 "Did ultrasonography on the 8th ANC visit?"
usgda_a8 "Date of ultrasonography at 8th ANC visit"
reason_usg_anc_8 "Reason for ultrasonography done ?"
result_of_usg_8 "Findings of ultrasonography done at ANC visit 8"
where_done_usg_a8 "Where was the Radiological test done at the 8th ANC visit?"
nst_ctg_done_anc_visit_8 "NST / CTG done ANC visit 8"
date_nst_ctg_anc_8 "Date NST / CTG done ANC visit 8"
reson_nst_anc_8 "Reason for NST/CTG ?"
result_of_nst_anc_8 "Findings of NST/CTG done at ANC visit 8"
where_done_nst_8 "Where it is done"
doppler_done_a8 "Doppler done on 8th ANC visit?[Expected at 18-2... severe SGA/FGR]"
doppler_date_a8 "Date of Doppler at 8th ANC visit"
reason_for_doppler_anc_8 "Reason for Doppler"
where_done_doppler_a8 "Where was the Doppler done at 8th ANC visit?"
doppler_findings_a8 "Findings of Doppler at 8th ANC visit"
any_oth_radiological_tests_a8 "Any other Radiological tests done in the 8th ANC visit?"
oth_investigation_test_name_a8 "Name of any other radiological test done at the 8th ANC visit"
oth_investigation_test_date_a8 "Date of the Radiological test at the 8th ANC visit"
reason_for_otr_radio_exa_anc_8 "Reason for other radiological examination"
where_done_oth_investigation_a8 "Where was the Radiological test done at the 8th ANC visit?"
oth_investigation_findings_a8 "Findings of the Radiological test at the 8th ANC visit"
prescribe_folic_acid_iron "5.1.1. Iron & Folic acid(only in 1st trimester) "
took_iron_folic_acid "Took the medication (Iron & Folic acid)"
folic_acid_details "How many tablets were bought/given"
iron_fa_tablets_comsumed "How many tablets were consumed?"
prescribed_ca "5.1.2. Calcium"
taken_ca "Taken medication Calcium?"
details_ca_medication "Details of calcium medication"
prescribed_asp "5.1.3. Low dose Aspirin"
taken_asp "Taken Medication Aspirin?"
details_asp_medication "Details"
pih_hypertension "5.1.4. PIH/ Hypertension"
took_pih_hyp_medication "Then specify if you took the medication"
pih_hyp_names "Name"
details_pih_hyp_medication "Details"
prescribed_inj_tt "5.1.5 Injection TT(on registration, then 1 mont... xt visit) / dT?"
taken_inj_tt "Took the medication Injection TT?"
date_1st_tt "Date of 1st dose"
date_2nd_tt "Date of 2nd dose"
date_of_booster_dose "Date of Booster Dose (if no of pregnancy second / third / ect. )"
prescribed_inj_iron "5.1.6 Prescribed Injection Iron?"
took_inj_iron "Then specify if you took the medication"
date_inj_iron "Date"
prescribed_antibiotics "5.1.7 Anti-D"
taken_antibiotics "Taken Anti-D?"
date_antibiotics "Date"
prescribed_diab_medication "5.1.8 Diabetes"
took_diabetes_medication "Then specify if you took the medication"
name_diab_medication "Name"
details_diabetes_medication "Details"
thyroid_medication_prescribed "5.1.9 Thyroid supplement"
took_thyroid_medication "Then specify if you took the medication"
name_thyroid_medication "Name"
details_thyroid_medication "Details"
oth_tablets_prescribed "5.1.10 Other tablets / Syrup"
took_oth_medication "then specify if you took the medication"
name_oth_medication "Name"
oth_inj_medication "5.1.11 Other injections"
took_oth_inj "then specify if you took the medication"
oth_inj_name "Name"
take_adequate_rest "a. Take adequate rest."
who_gave_information "Who gave information"
complied_counselling_1 "Complied"
sleep_side_right_or_left "b. Sleep on a side (right or left side)"
who_gave_information_2 "Who gave information"
complied_counselling_2 "Complied"
perform_adequate_physical "c. Perform adequate physical activity."
who_gave_information_3 "Who gave information"
complied_counselling_3 "Complied"
consume_a_balanced_diet "d. Consume a balanced diet / Take dietary supplements from ICDS."
who_gave_information_4 "Who gave information"
complied_counselling_4 "Complied"
take_medications_prescrib "e. Take medications prescribed."
who_gave_information_5 "Who gave information"
complied_counselling_5 "Complied"
check_daily_fetal_movement "f. Check daily fetal movement (FM begins 16-22... ts by 26 weeks."
who_gave_information_6 "Who gave information"
complied_counselling_6 "Complied"
look_danger_signs_report "g. Look for danger signs and report"
complied_counselling_7 "Complied"
birth_preparednes_and_plan "h. Birth preparedness and plan"
who_gave_information_8 "Who gave information"
complied_counselling_8 "Complied"
refer_higher_level_faci "5.2 Was the mother referred to seek care at a h... level facility?"
moth_referal_reason "Why was she referred? Specify"
admitted_during_preg "5.3 Was admitted any time during pregnancy?"
yes_admitted_during_preg "5.3.1 Why"
when_admitted_during_preg "5.3.2 When was she admitted"
where_admitted_during_preg "5.3.3 Where was she admitted during pregnancy?"
no_admitted_during_preg "5.3.4 How many times was she admitted during pregnancy?"
same_health_facility "5.3.5 Did she go to the same health facility?[I... not applicable]"
no_where "5.3.6 Where did she go? and why?"
no_where_why "Why?"
incentives "5.4 Received any incentives?"
which_recvd "5.4.1 If Yes, specify which of the following were received"
pmmvy_incevtive "a. Pradhana Mantri Matru Vandana Yojana (PMMVY)"
early_reg_preg_incentives "Early registration of Pregnancy"
pmmvy_ea_reg_incen_aftr_d_m "Please specify how many days/ months after the... t was received:"
anc_incentive_reci "ANC visit (After 6 months of pregnancy with at... e ANC check-up)"
pmmvy_anc_incen_aftr_d_m "please specify how many days/ months after the... it was received"
pmsma "b. Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)"
jsy "c. Janani Suraksha Yojana (JSY)"
food_suppl "5.5. Received any food supplements during pregnancy?"
oth_food_supplements "Any other"
outcome_of_crnt_pregnancy "Outcome of current pregnancy"
general_comments "General Comments"
form_1_complete "Complete?"
Ascending order
Descending order
Then by
-- select a field --
record_id "Record ID"
mcp_card "Section 1: Demographic and pregnancy details 1.MCP card available"
rch_id "1.1 RCH-ID / MCP card"
receive_date "Date when received"
district "1.1.1 Pregnant woman's District"
other_district_name "Other district name"
taluk "1.1.2 Pregnant woman's Taluk"
other_taluka_name "Other taluka name"
name_of_the_asha "1.1.3 Name of the ASHA"
mobile_number_of_the_as_ha "1.1.4 Mobile Number of the ASHA"
name_of_the_mother "1.2 Name of the mother"
age_mother "Age of the mother"
name_of_the_spouse "1.3 Name of the husband"
mobile1 "1.4 Mobile No 1"
mobile2 "1.5 Mobile No 2"
education "1.6 Education"
ration_card "1.7 Ration Card"
yes_ration_card "Type of ration card"
ration_card_other "Specify"
caste "1.8 Caste"
other_caste "Specify"
house_number_and_street "House Number and Street"
city_town_village_name "City / Town / Village Name"
district_address "District"
other_district_name_1 "Other district name"
pin_code "Pin Code"
present_same_address "1.9.a Is the present address same as the permanent address?"
house_number_and_street_2 "House Number and Street"
city_town_village_name_2 "City / Town / Village Name"
district_address_2 "District"
pin_code_2 "Pin Code"
gravida "Section Header: Section 2 : Obstetric Details2.... s a woman had)"
parity "2.2 Parity (number of times a woman has given birth to a baby)"
living "2.3 Living (number of children living presently)"
abortions "2.4. Abortions"
mnth_occur "2.4.a Which month did the first abortion occur?"
scnd_abort "2.4.b Which month did the second abortion occur?"
stillbirths_confirmation "2.5 Stillbirths (birth of dead fetes any time... s of gestation)"
stillbirths "Stillbirths (birth of dead fetes any time after... s of gestation)"
stllbrth_1 "2.5.a Which month did the first stillbirth occur?"
stllbrth_2 "2.5.b Which month did the second stillbirth occur?"
neontl_count "2.6 Number of neonatal death (death of baby wit... 8days of birth)"
neonatal_deaths "2.6 a. Which day of life did first neonatal death occur?"
cause_nd "2.6.b. Cause of first neonatal death"
neontl_dths "2.6.c Which day of life did second neonatal death occur?"
cuse_neontl_dths "2.6.d Cause of second neonatal death"
menstruation_regular "2.7 Menstruation regular"
no_of_days_menstruation_cycle "No of days of menstruation cycle"
no_of_days_between_cycle "2.7.1 Number of days between each menstruation... regular or not"
lmp "2.7.2 LMP"
edd "2.7.3 EDD"
kitchen "3.2 Kitchen (Can answer only ONE response)"
tobacco "3.3 Chewing tobacco and smoking"
another_smoke_inside_home "3.4 Another household member who smokes inside the house"
oth_spcfy_3 "Specify"
contracep_3 "3.6 Did you use any contraception (pills/natur... fore pregnancy?"
rcvd_angawd "3.7 Received services from Anganwadi"
spcl_medi_3 "3.8 Special Medication"
sm_high_dose_flic_acd_prec "3.8.1 High dose Folic acid (0.5g per day) prescribed"
sm_took_medication "Medication was prescribed, then did you take th... on (folic acid)"
sp_fa_tablets_bought "How many tablets were bought/given?"
sp_fa_tablets_consumed "How many tablets were consumed?"
sm_iron_prescribed "3.8.2 Weekly Iron Supplementation prescribed"
sm_took_iron_medication "Medication was prescribed, then did you take th... dication (Iron)"
sm_iron_tab_bought "How many tablets were bought/given?"
sm_iron_tab_consumed "How many tablets were consumed?"
anc_done "Section Header: Part 2 (Antenatal Care) Section... ANC visit done"
yes_howmny_anc "How many ANC visits did you have for this pregnancy?"
why_no_anc "Why did you not go for any ANC?"
obtained_previous_pregn_ancy_history_and_recorde_d "4.2 Was previous pregnancy history obtained and... not applicable]"
complication_previous_p_regnancy "4.2.1 Was there any complication/problem in any... ious pregnancy?"
previous_lscs_if_yes_sp_ecify_reason "LSCS: If YES, specify reason"
baby_with_congenital_ab_normalities_if_yes_speci_fy "Specify (Baby with congenital abnormalities) "
others_specify_complica_tion_pre_preg "Specify Other"
medical_problem_prev_pr_eg "4.3 Has been diagnosed with any medical problem... sent pregnancy?"
other_medical_prob_prev_preg "Specify"
anc_visit_1 "(4.4 What all was performed at the ANC (source:... First ANC visit"
date_anc_visits_a1 "Date of 1st ANC visit"
gestational_ages_a1 "Gestational age at 1st ANC visit(in weeks)"
months_amenorrhea_a1 "Months of amenorrhea at 1st ANC visit"
place_of_anc_visit_1 "Place of ANC visit"
vomiting_anc_vst_1 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_1 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_1 "Any breathlessness / tiredness"
headache_blurred_vision_anc_1 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_1 "Jaundice"
abdominal_pain_anc_1 "Abdominal pain"
bleeding_per_vagina_anc_1 "Bleeding per vagina"
leaking_per_vagina_anc_1 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_1 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_1 "Treatment for conception"
fever_anc_vst_1 "Fever"
other_anc_vst_1 "Other"
specify_other_anc_vst_1 "Specify other"
ht_checked_anc_visit_1 "Height checked for ANC visit 1"
wt_checked_anc_visit_1 "Weight checked for ANC visit 1"
bp_checked_anc_visit_1 "Blood Pressure checked for ANC visit 1"
checked_pulse_anc_1 "Checked pulse"
checkd_respiration_anc_1 "Checked respiration"
checked_for_swelling_anc_1 "Checked for swelling"
checked_for_jaundice_anc_1 "Checked for jaundice"
checked_fetal_lie_anc_1 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_1 "Record of fetal lie in ANC visit 1"
checked_fetal_position_anc_1 "Checked fetal position [>32weeks GA only]"
checkd_pallor_1 "Checked for Pallor at 1st Visit"
oedema_a1 "Checked for Pedal Oedema at 1st Visit"
breasts_examined_a1 "Breasts Examined at 1st Visit"
pre_scar_a1 "Checked for Previous Scar"
rcrd_symp_1 "Record symphysis fundal height (SFH) at the 1st ANC visit"
rcrd_fhr_1 "Record FHR [>22wks] at 1st Visit"
hemo_1 "Hemoglobin at 1st Visit"
rndm_bld_1 "Random blood sugar at 1st Visit"
vdrl_1 "VDRL at first ANC visit"
hiv_1 "HIV test at 1st ANC visit"
hbsag_1 "HBsAG at 1st Visit"
malaria_anc_visit_1 "Malaria test at ANC visit 1"
cbc_done_at_anc_visit_1 "CBC done at ANC visit 1"
tft_1 "Thyroid profile at 1st Visit"
bld_rh_1 "Blood group and Rh at 1st Visit"
gtt_1 "Glucose Tolerance Test (GTT) at 1st Visit"
oth_1 "Any other test at 1st Visit"
aobt_results_a1 "Record any other test results at the 1st ANC visit, if available"
urine_albumin_a1 "Urine Albumin test done at 1st ANC visit?"
urine_albumin_results_a1 "Record Urine Albumin test results at 1st ANC visit, if available"
urine_sugar_a1 "Urine Sugar test done at 1st ANC visit?"
urine_sugar_test_results_a1 "Record urine sugar test results at 1st ANC visit, if available"
urine_micro_a1 "Urine Microscopy test done at 1st ANC visit?"
urine_microscopy_results_a1 "Record urine microscopy results at 1st ANC visit, if available"
usg_a1 "Did ultrasonography on the 1st ANC visit?"
usgda_a1 "Date of ultrasonography at 1st ANC visit"
reason_usg_anc_1 "Reason for ultrasonography done ?"
result_of_usg_1 "Finding of ultrasonography at 1st ANC visit"
where_done_usg_a1 "Where was it done at 1st ANC visit?"
nst_ctg_done_anc_visit_1 "NST / CTG done ANC visit 1"
date_nst_ctg_anc_1 "Date NST / CTG done ANC visit 1"
reson_nst_anc_1 "Reason for NST/CTG ?"
result_of_nst_anc_1 "Result of NST/CTG"
where_done_nst_1 "Where it is done"
doppler_done_a1 "Doppler done on 1st ANC visit?"
doppler_date_a1 "Date of Doppler at 1st ANC visit"
reason_for_doppler_anc_1 "Reason for Doppler"
where_done_doppler_a1 "Where was the Doppler done at 1st ANC visit?"
doppler_findings_a1 "Findings of Doppler at 1st ANC visit"
any_oth_radiological_tests_a1 "Any other Radiological tests done in the 1st ANC visit?"
oth_investigation_test_name_a1 "Name of any other radiological test done at the 1st ANC visit"
oth_investigation_test_date_a1 "Date of the Radiological test at the 1st ANC visit"
reason_for_otr_radio_exa_anc_1 "Reason for other radiological examination"
where_done_oth_investigation_a1 "Where was the Radiological test done at the 1st ANC visit?"
oth_investigation_findings_a1 "Findings of the Radiological test at the 1st ANC visit"
anc_visit_2 "Second ANC visit"
date_anc_visits_a2 "Date of 2nd ANC visit"
gestational_ages_a2 "Gestational age at 2nd ANC visit(in weeks)"
months_amenorrhea_a2 "Months of amenorrhea at 2nd ANC visit"
place_of_anc_visit_2 "Place of ANC visit"
vomiting_anc_vst_2 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_2 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_2 "Any breathlessness / tiredness"
headache_blurred_vision_anc_2 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_2 "Jaundice"
abdominal_pain_anc_2 "Abdominal pain"
bleeding_per_vagina_anc_2 "Bleeding per vagina"
leaking_per_vagina_anc_2 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_2 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_2 "Treatment for conception"
fever_anc_vst_2 "Fever"
other_anc_vst_2 "Other"
specify_other_anc_vst_2 "Specify other"
ht_checked_anc_visit_2 "Height checked for ANC visit 2"
wt_checked_anc_visit_2 "Weight checked for ANC visit 2"
bp_checked_anc_visit_2 "Blood Pressure checked for ANC visit 2"
checked_pulse_anc_2 "Checked pulse"
checkd_respiration_anc_2 "Checked respiration"
checked_for_swelling_anc_2 "Checked for swelling"
checked_for_jaundice_anc_2 "Checked for jaundice"
checked_fetal_lie_anc_2 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_2 "Record of fetal lie in ANC visit 2"
checked_fetal_position_anc_2 "Checked fetal position [>32weeks GA only]"
checkd_pallor_2 "Checked for Pallor at 2nd Visit"
oedema_a2 "Checked for Pedal Oedema at 2nd Visit"
breasts_examined_a2 "Breasts Examined at 2nd Visit"
rcrd_symp_2 "Record symphysis fundal height (SFH) at the 2nd ANC visit"
rcrd_fhr_2 "Record FHR [>22wks] at 2nd Visit"
hemo_2 "Hemoglobin at 2nd Visit"
rndm_bld_2 "Random blood sugar at 2nd Visit"
vdrl_2 "VDRL/ Syphilis at 2nd Visit"
hiv_2 "HIV at 2nd Visit"
hbsag_2 "HBsAG at 2nd Visit"
malaria_anc_visit_2 "Malaria test at ANC visit 2"
cbc_done_at_anc_visit_2 "CBC done at ANC visit 2"
tft_2 "Thyroid profile at 2nd Visit"
bld_rh_2 "Blood group and Rh at 2nd Visit"
gtt_2 "Glucose Tolerance Test (GTT) at 2nd Visit"
oth_2 "Any other test at 2nd Visit"
aobt_results_a2 "Record any other test results at the 2nd ANC visit, if available"
urine_albumin_a2 "Urine Albumin test done at 2nd ANC visit?"
urine_albumin_results_a2 "Record Urine Albumin test results at 2nd ANC visit, if available"
urine_sugar_a2 "Urine Sugar test done at 2nd ANC visit?"
urine_sugar_test_results_a2 "Record urine sugar test results at 2nd ANC visit, if available"
urine_micro_a2 "Urine Microscopy test done at 2nd ANC visit?"
urine_microscopy_results_a2 "Record urine microscopy results at 2nd ANC visit, if available"
usg_a2 "Did ultrasonography on the 2nd ANC visit?"
usgda_a2 "Date of ultrasonography at 2nd ANC visit"
reason_usg_anc_2 "Reason for ultrasonography done ?"
result_of_usg_2 "Result of ultrasonography"
where_done_usg_a2 "Where was it done at 2nd ANC visit?"
nst_ctg_done_anc_visit_2 "NST / CTG done ANC visit 2"
date_nst_ctg_anc_2 "Date NST / CTG done ANC visit 2"
reson_nst_anc_2 "Reason for NST/CTG ?"
result_of_nst_anc_2 "Finding of NST/CTG ANC visit 2"
where_done_nst_2 "Where it is done"
doppler_done_a2 "Doppler done on 2nd ANC visit ?"
doppler_date_a2 "Date of Doppler at 2nd ANC visit"
reason_for_doppler_anc_2 "Reason for Doppler"
where_done_doppler_a2 "Where was the Doppler done at 2nd ANC visit?"
doppler_findings_a2 "Findings of Doppler at 2nd ANC visit"
any_oth_radiological_tests_a2 "Any other Radiological tests done in the 2nd ANC visit?"
oth_investigation_test_name_a2 "Name of any other radiological test done at the 2nd ANC visit"
oth_investigation_test_date_a2 "Date of the Radiological test at the 2nd ANC visit"
reason_for_otr_radio_exa_anc_2 "Reason for other radiological examination"
where_done_oth_investigation_a2 "Where was the Radiological test done at the 2nd ANC visit?"
oth_investigation_findings_a2 "Findings of the Radiological test at the 2nd ANC visit"
anc_visit_3 "3rd ANC visit"
date_anc_visits_a3 "Date of 3rd ANC visit"
gestational_ages_a3 "Gestational age at 3rd ANC visit(in weeks)"
months_amenorrhea_a3 "Months of amenorrhea at 3rd ANC visit"
place_of_anc_visit_3 "Place of ANC visit"
vomiting_anc_vst_3 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_3 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_3 "Any breathlessness / tiredness"
headache_blurred_vision_anc_3 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_3 "Jaundice"
abdominal_pain_anc_3 "Abdominal pain"
bleeding_per_vagina_anc_3 "Bleeding per vagina"
leaking_per_vagina_anc_3 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_3 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_3 "Treatment for conception"
fever_anc_vst_3 "Fever"
other_anc_vst_3 "Other"
specify_other_anc_vst_3 "Specify other"
ht_checked_anc_visit_3 "Height checked for ANC visit 3"
wt_checked_anc_visit_3 "Weight checked for ANC visit 3"
bp_checked_anc_visit_3 "Blood Pressure checked for ANC visit 3"
checked_pulse_anc_3 "Checked pulse"
checkd_respiration_anc_3 "Checked respiration"
checked_for_swelling_anc_3 "Checked for swelling"
checked_for_jaundice_anc_3 "Checked for jaundice"
checked_fetal_lie_anc_3 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_3 "Record of fetal lie in ANC visit 3"
checked_fetal_position_anc_3 "Checked fetal position [>32weeks GA only]"
checkd_pallor_3 "Checked for Pallor at 3rd Visit"
oedema_a3 "Checked for Pedal Oedema at 3rd Visit"
breasts_examined_a3 "Breasts Examined at 3rd Visit"
rcrd_symp_3 "Record symphysis fundal height (SFH) at the 3rd ANC visit"
rcrd_fhr_3 "Record FHR [>22wks] at 3rd Visit"
hemo_3 "Hemoglobin at 3rd Visit"
rndm_bld_3 "Random blood sugar at 3rd Visit"
vdrl_3 "VDRL/ Syphilis at 3rd Visit"
hiv_3 "HIV at 3rd Visit"
hbsag_3 "HBsAG at 3rd Visit"
malaria_anc_visit_3 "Malaria test at ANC visit 3"
cbc_done_at_anc_visit_3 "CBC done at ANC visit 3"
tft_3 "Thyroid profile at 3rd Visit"
bld_rh_3 "Blood group and Rh at 3rd Visit"
gtt_3 "Glucose Tolerance Test (GTT) at 3rd Visit"
oth_3 "Any other test at 3rd Visit"
aobt_results_a3 "Record any other test results at the 3rd ANC visit, if available"
urine_albumin_a3 "Urine Albumin test done at 3rd ANC visit?"
urine_albumin_results_a3 "Record Urine Albumin test results at 3rd ANC visit, if available"
urine_sugar_a3 "Urine Sugar test done at 3rd ANC visit?"
urine_sugar_test_results_a3 "Record urine sugar test results at 3rd ANC visit, if available"
urine_micro_a3 "Urine Microscopy test done at 3rd ANC visit?"
urine_microscopy_results_a3 "Record urine microscopy results at 3rd ANC visit, if available"
usg_a3 "Did ultrasonography on the 3rd ANC visit?"
usgda_a3 "Date of ultrasonography at 3rd ANC visit"
reason_usg_anc_3 "Reason for ultrasonography done ?"
result_of_usg_3 "Finding of ultrasonography at ANC visit 3"
where_done_usg_a3 "Where was it done at 3rd ANC visit?"
nst_ctg_done_anc_visit_3 "NST / CTG done ANC visit 3"
date_nst_ctg_anc_3 "Date NST / CTG done ANC visit 3"
reson_nst_anc_3 "Reason for NST/CTG ?"
result_of_nst_anc_3 "Finding of NST/CTG at ANC visit 3"
where_done_nst_3 "Where it is done"
doppler_done_a3 "Doppler done on 3rd ANC visit ?"
doppler_date_a3 "Date of Doppler at 3rd ANC visit"
reason_for_doppler_anc_3 "Reason for Doppler"
where_done_doppler_a3 "Where was the Doppler done at 3rd ANC visit?"
doppler_findings_a3 "Findings of Doppler at 3rd ANC visit"
any_oth_radiological_tests_a3 "Any other Radiological tests done in the 3rd ANC visit?"
oth_investigation_test_name_a3 "Name of any other radiological test done at the 3rd ANC visit"
oth_investigation_test_date_a3 "Date of the Radiological test at the 3rd ANC visit"
reason_for_otr_radio_exa_anc_3 "Reason for other radiological examination"
where_done_oth_investigation_a3 "Where was the Radiological test done at the 3rd ANC visit?"
oth_investigation_findings_a3 "Findings of the Radiological test at the 3rd ANC visit"
anc_visit_4 "4th ANC visit"
date_anc_visits_a4 "Date of 4th ANC visit"
gestational_ages_a4 "Gestational age at 4th ANC visit(in weeks)"
months_amenorrhea_a4 "Months of amenorrhea at 4th ANC visit"
place_of_anc_visit_4 "Place of ANC visit"
vomiting_anc_vst_4 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_4 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_4 "Any breathlessness / tiredness"
headache_blurred_vision_anc_4 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_4 "Jaundice"
abdominal_pain_anc_4 "Abdominal pain"
bleeding_per_vagina_anc_4 "Bleeding per vagina"
leaking_per_vagina_anc_4 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_4 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_4 "Treatment for conception"
fever_anc_vst_4 "Fever"
other_anc_vst_4 "Other"
specify_other_anc_vst_4 "Specify other"
ht_checked_anc_visit_4 "Height checked for ANC visit 4th"
wt_checked_anc_visit_4 "Weight checked for ANC visit 4th"
bp_checked_anc_visit_4 "Blood Pressure checked for ANC visit 4th"
checked_pulse_anc_4 "Checked pulse"
checkd_respiration_anc_4 "Checked respiration"
checked_for_swelling_anc_4 "Checked for swelling"
checked_for_jaundice_anc_4 "Checked for jaundice"
checked_fetal_lie_anc_4 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_4 "Record of fetal lie in ANC visit 4"
checked_fetal_position_anc_4 "Checked fetal position [>32weeks GA only]"
checkd_pallor_4 "Checked for Pallor at 4th Visit"
oedema_a4 "Checked for Pedal Oedema at 4th Visit"
breasts_examined_a4 "Breasts Examined at 4th Visit"
rcrd_symp_4 "Record symphysis fundal height (SFH) at the 4th ANC visit"
rcrd_fhr_4 "Record FHR [>22wks] at 4th Visit"
hemo_4 "Hemoglobin at 4th Visit"
rndm_bld_4 "Random blood sugar at 4th Visit"
vdrl_4 "VDRL/ Syphilis at 4th Visit"
hiv_4 "HIV at 4th Visit"
hbsag_4 "HBsAG at 4th Visit"
malaria_anc_visit_4 "Malaria test at ANC visit 4"
cbc_done_at_anc_visit_4 "CBC done at ANC visit 4"
tft_4 "Thyroid profile at 4th Visit"
bld_rh_4 "Blood group and Rh at 4th Visit"
gtt_4 "Glucose Tolerance Test (GTT) at 4thVisit"
oth_4 "Any other test at 4th Visit"
aobt_results_a4 "Record any other test results at the 4th ANC visit, if available"
urine_albumin_a4 "Urine Albumin test done at 4th ANC visit?"
urine_albumin_results_a4 "Record Urine Albumin test results at 4th ANC visit, if available"
urine_sugar_a4 "Urine Sugar test done at 4th ANC visit?"
urine_sugar_test_results_a4 "Record urine sugar test results at 4th ANC visit, if available"
urine_micro_a4 "Urine Microscopy test done at 4th ANC visit?"
urine_microscopy_results_a4 "Record urine microscopy results at 4th ANC visit, if available"
usg_a4 "Did ultrasonography on the 4th ANC visit?"
usgda_a4 "Date of ultrasonography at 4th ANC visit"
reason_usg_anc_4 "Reason for ultrasonography done ?"
result_of_usg_4 "Finding of ultrasonography done at ANC visit 4"
where_done_usg_a4 "Where was it done at 4th ANC visit?"
nst_ctg_done_anc_visit_4 "NST / CTG done ANC visit 4"
date_nst_ctg_anc_4 "Date NST / CTG done ANC visit 4"
reson_nst_anc_4 "Reason for NST/CTG ?"
result_of_nst_anc_4 "Finding of NST/CTG at ANC visit 4"
where_done_nst_4 "Where it is done"
doppler_done_a4 "Doppler done on 4th ANC visit ?"
doppler_date_a4 "Date of Doppler at 4th ANC visit"
reason_for_doppler_anc_4 "Reason for Doppler"
where_done_doppler_a4 "Where was the Doppler done at 4th ANC visit?"
doppler_findings_a4 "Findings of Doppler at 4th ANC visit"
any_oth_radiological_tests_a4 "Any other Radiological tests done in the 4th ANC visit?"
oth_investigation_test_name_a4 "Name of any other radiological test done at the 4th ANC visit"
oth_investigation_test_date_a4 "Date of the Radiological test at the 4th ANC visit"
reason_for_otr_radio_exa_anc_4 "Reason for other radiological examination"
where_done_oth_investigation_a4 "Where was the Radiological test done at the 4th ANC visit?"
oth_investigation_findings_a4 "Findings of the Radiological test at the 4th ANC visit"
anc_visit_5 "5th ANC visit"
date_anc_visits_a5 "Date of 5th ANC visit"
gestational_ages_a5 "Gestational age at 5th ANC visit(in weeks)"
months_amenorrhea_a5 "Months of amenorrhea at 5th ANC visit"
place_of_anc_visit_5 "Place of ANC visit"
vomiting_anc_vst_5 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_5 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_5 "Any breathlessness / tiredness"
headache_blurred_vision_anc_5 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_5 "Jaundice"
abdominal_pain_anc_5 "Abdominal pain"
bleeding_per_vagina_anc_5 "Bleeding per vagina"
leaking_per_vagina_anc_5 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_5 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_5 "Treatment for conception"
fever_anc_vst_5 "Fever"
other_anc_vst_5 "Other"
specify_other_anc_vst_5 "Specify other"
ht_checked_anc_visit_5 "Height checked for ANC visit 5th"
wt_checked_anc_visit_5 "Weight checked for ANC visit 5th"
bp_checked_anc_visit_5 "Blood Pressure checked for ANC visit 5th"
checked_pulse_anc_5 "Checked pulse"
checkd_respiration_anc_5 "Checked respiration"
checked_for_swelling_anc_5 "Checked for swelling"
checked_for_jaundice_anc_5 "Checked for jaundice"
checked_fetal_lie_anc_5 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_5 "Record of fetal lie in ANC visit 5"
checked_fetal_position_anc_5 "Checked fetal position [>32weeks GA only]"
checkd_pallor_5 "Checked for Pallor at 5th Visit"
oedema_a5 "Checked for Pedal Oedema at 5th Visit"
breasts_examined_a5 "Breasts Examined at 5th Visit"
rcrd_symp_5 "Record symphysis fundal height (SFH) at the 5th ANC visit"
rcrd_fhr_5 "Record FHR [>22wks] at 5th Visit"
hemo_5 "Hemoglobin at 5th Visit"
rndm_bld_5 "Random blood sugar at 5th Visit"
vdrl_5 "VDRL/ Syphilis at 5th Visit"
hiv_5 "HIV at 5th Visit"
hbsag_5 "HBsAG at 5th Visit"
malaria_anc_visit_5 "Malaria test at ANC visit 5"
cbc_done_at_anc_visit_5 "CBC done at ANC visit 5"
tft_5 "Thyroid profile at 5th Visit"
bld_rh_5 "Blood group and Rh at 5th Visit"
gtt_5 "Glucose Tolerance Test (GTT) at 5th Visit"
oth_5 "Any other test at 5th Visit"
aobt_results_a5 "Record any other test results at the 5th ANC visit, if available"
urine_albumin_a5 "Urine Albumin test done at 5th ANC visit?"
urine_albumin_results_a5 "Record Urine Albumin test results at 5th ANC visit, if available"
urine_sugar_a5 "Urine Sugar test done at 5th ANC visit?"
urine_sugar_test_results_a5 "Record urine sugar test results at 5th ANC visit, if available"
urine_micro_a5 "Urine Microscopy test done at 5th ANC visit?"
urine_microscopy_results_a5 "Record urine microscopy results at 5th ANC visit, if available"
usg_a5 "Did ultrasonography on the 5th ANC visit?"
usgda_a5 "Date of ultrasonography at 5th ANC visit"
reason_usg_anc_5 "Reason for ultrasonography done ?"
result_of_usg_5 "Finding of ultrasonography done at ANC visit 5"
where_done_usg_a5 "Where was it done at 5th ANC visit?"
nst_ctg_done_anc_visit_5 "NST / CTG done ANC visit 5"
date_nst_ctg_anc_5 "Date NST / CTG done ANC visit 5"
reson_nst_anc_5 "Reason for NST/CTG ?"
result_of_nst_anc_5 "Finding of NST/CTG done at ANC visit 5"
where_done_nst_5 "Where it is done"
doppler_done_a5 "Doppler done on 5th ANC visit ?"
doppler_date_a5 "Date of Doppler at 5th ANC visit"
reason_for_doppler_anc_5 "Reason for Doppler"
where_done_doppler_a5 "Where was the Doppler done at 5th ANC visit?"
doppler_findings_a5 "Findings of Doppler at 5th ANC visit"
any_oth_radiological_tests_a5 "Any other Radiological tests done in the 5th ANC visit?"
oth_investigation_test_name_a5 "Name of any other radiological test done at the 5th ANC visit"
oth_investigation_test_date_a5 "Date of the Radiological test at the 5th ANC visit"
reason_for_otr_radio_exa_anc_5 "Reason for other radiological examination"
where_done_oth_investigation_a5 "Where was the Radiological test done at the 5th ANC visit?"
oth_investigation_findings_a5 "Findings of the Radiological test at the 5th ANC visit"
anc_visit_6 "6th ANC visit"
date_anc_visits_a6 "Date of 6th ANC visit"
gestational_ages_a6 "Gestational age at 6th ANC visit(in weeks)"
months_amenorrhea_a6 "Months of amenorrhea at 6th ANC visit"
place_of_anc_visit_6 "Place of ANC visit"
vomiting_anc_vst_6 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_6 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_6 "Any breathlessness / tiredness"
headache_blurred_vision_anc_6 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_6 "Jaundice"
abdominal_pain_anc_6 "Abdominal pain"
bleeding_per_vagina_anc_6 "Bleeding per vagina"
leaking_per_vagina_anc_6 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_6 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_6 "Treatment for conception"
fever_anc_vst_6 "Fever"
other_anc_vst_6 "Other"
specify_other_anc_vst_6 "Specify other"
ht_checked_anc_visit_6 "Height checked for ANC visit 6th"
wt_checked_anc_visit_6 "Weight checked for ANC visit 6th"
bp_checked_anc_visit_6 "Blood Pressure checked for ANC visit 6th"
checked_pulse_anc_6 "Checked pulse"
checkd_respiration_anc_6 "Checked respiration"
checked_for_swelling_anc_6 "Checked for swelling"
checked_for_jaundice_anc_6 "Checked for jaundice"
checked_fetal_lie_anc_6 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_6 "Record of fetal lie in ANC visit 6"
checked_fetal_position_anc_6 "Checked fetal position [>32weeks GA only]"
checkd_pallor_6 "Checked for Pallor at 6th Visit"
oedema_a6 "Checked for Pedal Oedema at 6th Visit"
breasts_examined_a6 "Breasts Examined at 6th Visit"
rcrd_symp_6 "Record symphysis fundal height (SFH) at the 6th ANC visit"
rcrd_fhr_6 "Record FHR [>22wks] at 6th Visit"
hemo_6 "Hemoglobin at 6th Visit"
rndm_bld_6 "Random blood sugar at 6th Visit"
vdrl_6 "VDRL/ Syphilis at 6th Visit"
hiv_6 "HIV at 6th Visit"
hbsag_6 "HBsAG at 6th Visit"
malaria_anc_visit_6 "Malaria test at ANC visit 6"
cbc_done_at_anc_visit_6 "CBC done at ANC visit 6"
tft_6 "Thyroid profile at 6th Visit"
bld_rh_6 "Blood group and Rh at 6th Visit"
gtt_6 "Glucose Tolerance Test (GTT) at 6th Visit"
oth_6 "Any other test at 6th Visit"
aobt_results_a7 "Record any other test results at the 6th ANC visit, if available"
urine_albumin_a6 "Urine Albumin test done at 6th ANC visit?"
urine_albumin_results_a6 "Record Urine Albumin test results at 6th ANC visit, if available"
urine_sugar_a6 "Urine Sugar test done at 6th ANC visit?"
urine_sugar_test_results_a6 "Record urine sugar test results at 6th ANC visit, if available"
urine_micro_a6 "Urine Microscopy test done at 6th ANC visit?"
urine_microscopy_results_a6 "Record urine microscopy results at 6th ANC visit, if available"
usg_a6 "Did ultrasonography on the 6th ANC visit?"
usgda_a6 "Date of ultrasonography at 6th ANC visit"
reason_usg_anc_6 "Reason for ultrasonography done ?"
result_of_usg_6 "Findings of ultrasonography done at ANC visit 6"
where_done_usg_a6 "Where was it done at 6th ANC visit?"
nst_ctg_done_anc_visit_6 "NST / CTG done ANC visit 6"
date_nst_ctg_anc_6 "Date NST / CTG done ANC visit 6"
reson_nst_anc_6 "Reason for NST/CTG ?"
result_of_nst_anc_6 "Finding of NST/CTG done at ANC visit 6"
where_done_nst_6 "Where it is done"
doppler_done_a6 "Doppler done on 6th ANC visit ?"
doppler_date_a6 "Date of Doppler at 6th ANC visit"
reason_for_doppler_anc_6 "Reason for Doppler"
where_done_doppler_a6 "Where was the Doppler done at 6th ANC visit?"
doppler_findings_a6 "Findings of Doppler at 6th ANC visit"
any_oth_radiological_tests_a6 "Any other Radiological tests done in the 6th ANC visit?"
oth_investigation_test_name_a6 "Name of any other radiological test done at the 6th ANC visit"
oth_investigation_test_date_a6 "Date of the Radiological test at the 6th ANC visit"
reason_for_otr_radio_exa_anc_6 "Reason for other radiological examination"
where_done_oth_investigation_a6 "Where was the Radiological test done at the 6th ANC visit?"
oth_investigation_findings_a6 "Findings of the Radiological test at the 6th ANC visit"
anc_visit_7 "7th ANC visit"
date_anc_visits_a7 "Date of 7th ANC visit"
gestational_ages_a7 "Gestational age at 7th ANC visit(in weeks)"
months_amenorrhea_a7 "Months of amenorrhea at 7th ANC visit"
place_of_anc_visit_7 "Place of ANC visit"
vomiting_anc_vst_7 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_7 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_7 "Any breathlessness / tiredness"
headache_blurred_vision_anc_7 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_7 "Jaundice"
abdominal_pain_anc_7 "Abdominal pain"
bleeding_per_vagina_anc_7 "Bleeding per vagina"
leaking_per_vagina_anc_7 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_7 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_7 "Treatment for conception"
fever_anc_vst_7 "Fever"
other_anc_vst_7 "Other"
specify_other_anc_vst_7 "Specify other"
ht_checked_anc_visit_7 "Height checked for ANC visit 7th"
wt_checked_anc_visit_7 "Weight checked for ANC visit 7th"
bp_checked_anc_visit_7 "Blood Pressure checked for ANC visit 7th"
checked_pulse_anc_7 "Checked pulse"
checkd_respiration_anc_7 "Checked respiration"
checked_for_swelling_anc_7 "Checked for swelling"
checked_for_jaundice_anc_7 "Checked for jaundice"
checked_fetal_lie_anc_7 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_7 "Record of fetal lie in ANC visit 7"
checked_fetal_position_anc_7 "Checked fetal position [>32weeks GA only]"
checkd_pallor_7 "Checked for Pallor at 7th Visit"
oedema_a7 "Checked for Pedal Oedema at 7th Visit"
breasts_examined_a7 "Breasts Examined at 7th Visit"
rcrd_symp_7 "Record symphysis fundal height (SFH) at the 7th ANC visit"
rcrd_fhr_7 "Record FHR [>22wks] at 7th Visit"
hemo_7 "Hemoglobin at 7th Visit"
rndm_bld_7 "Random blood sugar at 7th Visit"
vdrl_7 "VDRL/ Syphilis at 7th Visit"
hiv_7 "HIV at 7th Visit"
hbsag_7 "HBsAG at 7th Visit"
malaria_anc_visit_7 "Malaria test at ANC visit 7"
cbc_done_at_anc_visit_7 "CBC done at ANC visit 7"
tft_7 "Thyroid profile at 7th Visit"
bld_rh_7 "Blood group and Rh at 7th Visit"
gtt_7 "Glucose Tolerance Test (GTT) at 7th Visit"
oth_7 "Any other test at 7th Visit"
aobt_results_a6 "Record any other test results at the 6th ANC visit, if available"
urine_albumin_a7 "Urine Albumin test done at 7th ANC visit?"
urine_albumin_results_a7 "Record Urine Albumin test results at 7th ANC visit, if available"
urine_sugar_a7 "Urine Sugar test done at 7th ANC visit?"
urine_sugar_test_results_a7 "Record urine sugar test results at 7th ANC visit, if available"
urine_micro_a7 "Urine Microscopy test done at 7th ANC visit?"
urine_microscopy_results_a7 "Record urine microscopy results at 7th ANC visit, if available"
usg_a7 "Did ultrasonography on the 7th ANC visit?"
usgda_a7 "Date of ultrasonography at 7th ANC visit"
reason_usg_anc_7 "Reason for ultrasonography done ?"
result_of_usg_7 "Findings of ultrasonography done at ANC visit 7"
where_done_usg_a7 "Where was it done at 7th ANC visit?"
nst_ctg_done_anc_visit_7 "NST / CTG done ANC visit 7"
date_nst_ctg_anc_7 "Date NST / CTG done ANC visit 7"
reson_nst_anc_7 "Reason for NST/CTG ?"
result_of_nst_anc_7 "Findings of NST/CTG done at ANC visit 7"
where_done_nst_7 "Where it is done"
doppler_done_a7 "Doppler done on 7th ANC visit ?"
doppler_date_a7 "Date of Doppler at 7th ANC visit"
reason_for_doppler_anc_7 "Reason for Doppler"
where_done_doppler_a7 "Where was the Doppler done at 7th ANC visit?"
doppler_findings_a7 "Findings of Doppler at 7th ANC visit"
any_oth_radiological_tests_a7 "Any other Radiological tests done in the 7th ANC visit?"
oth_investigation_test_name_a7 "Name of any other radiological test done at the 7th ANC visit"
oth_investigation_test_date_a7 "Date of the Radiological test at the 7th ANC visit"
reason_for_otr_radio_exa_anc_7 "Reason for other radiological examination"
where_done_oth_investigation_a7 "Where was the Radiological test done at the 7th ANC visit?"
oth_investigation_findings_a7 "Findings of the Radiological test at the 7th ANC visit"
anc_visit_8 "8th ANC visit"
date_anc_visits_a8 "Date of 8th ANC visit"
gestational_ages_a8 "Gestational age at 8th ANC visit(in weeks)"
months_amenorrhea_a8 "Months of amenorrhea at 8th ANC visit"
place_of_anc_visit_8 "Place of ANC visit"
vomiting_anc_vst_8 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_8 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_8 "Any breathlessness / tiredness"
headache_blurred_vision_anc_8 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_8 "Jaundice"
abdominal_pain_anc_8 "Abdominal pain"
bleeding_per_vagina_anc_8 "Bleeding per vagina"
leaking_per_vagina_anc_8 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_8 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_8 "Treatment for conception"
fever_anc_vst_8 "Fever"
other_anc_vst_8 "Other"
specify_other_anc_vst_8 "Specify other"
ht_checked_anc_visit_8 "Height checked for ANC visit 8th"
wt_checked_anc_visit_8 "Weight checked for ANC visit 8th"
bp_checked_anc_visit_8 "Blood Pressure checked for ANC visit 8th"
checked_pulse_anc_8 "Checked pulse"
checkd_respiration_anc_8 "Checked respiration"
checked_for_swelling_anc_8 "Checked for swelling"
checked_for_jaundice_anc_8 "Checked for jaundice"
checked_fetal_lie_anc_8 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_8 "Record of fetal lie in ANC visit 8"
checked_fetal_position_anc_8 "Checked fetal position [>32weeks GA only]"
checkd_pallor_8 "Checked for Pallor at 8th Visit"
oedema_a8 "Checked for Pedal Oedema at 8th Visit"
breasts_examined_a8 "Breasts Examined at 8th Visit"
rcrd_symp_8 "Record symphysis fundal height (SFH) at the 8th ANC visit"
rcrd_fhr_8 "Record FHR [>22wks] at 8th Visit"
hemo_8 "Hemoglobin at 8th Visit"
rndm_bld_8 "Random blood sugar at 8th Visit"
vdrl_8 "VDRL/ Syphilis at 8th Visit"
hiv_8 "HIV at 8th Visit"
hbsag_8 "HBsAG at 8th Visit"
malaria_anc_visit_8 "Malaria test at ANC visit 8"
cbc_done_at_anc_visit_8 "CBC done at ANC visit 8"
tsh_8 "TSH at 8th Visit"
bld_rh_8 "Blood group and Rh at 8th Visit"
gtt_8 "Glucose Tolerance Test (GTT) at 8th Visit"
oth_8 "Any other test at 8th Visit"
aobt_results_a8 "Record any other test results at the 8th ANC visit, if available"
urine_albumin_a8 "Urine Albumin test done at 8th ANC visit?"
urine_albumin_results_a8 "Record Urine Albumin test results at 8th ANC visit, if available"
urine_sugar_a8 "Urine Sugar test done at 8th ANC visit?"
urine_sugar_test_results_a8 "Record urine sugar test results at 8th ANC visit, if available"
urine_micro_a8 "Urine Microscopy test done at 8th ANC visit?"
urine_microscopy_results_a8 "Record urine microscopy results at 8th ANC visit, if available"
usg_a8 "Did ultrasonography on the 8th ANC visit?"
usgda_a8 "Date of ultrasonography at 8th ANC visit"
reason_usg_anc_8 "Reason for ultrasonography done ?"
result_of_usg_8 "Findings of ultrasonography done at ANC visit 8"
where_done_usg_a8 "Where was the Radiological test done at the 8th ANC visit?"
nst_ctg_done_anc_visit_8 "NST / CTG done ANC visit 8"
date_nst_ctg_anc_8 "Date NST / CTG done ANC visit 8"
reson_nst_anc_8 "Reason for NST/CTG ?"
result_of_nst_anc_8 "Findings of NST/CTG done at ANC visit 8"
where_done_nst_8 "Where it is done"
doppler_done_a8 "Doppler done on 8th ANC visit?[Expected at 18-2... severe SGA/FGR]"
doppler_date_a8 "Date of Doppler at 8th ANC visit"
reason_for_doppler_anc_8 "Reason for Doppler"
where_done_doppler_a8 "Where was the Doppler done at 8th ANC visit?"
doppler_findings_a8 "Findings of Doppler at 8th ANC visit"
any_oth_radiological_tests_a8 "Any other Radiological tests done in the 8th ANC visit?"
oth_investigation_test_name_a8 "Name of any other radiological test done at the 8th ANC visit"
oth_investigation_test_date_a8 "Date of the Radiological test at the 8th ANC visit"
reason_for_otr_radio_exa_anc_8 "Reason for other radiological examination"
where_done_oth_investigation_a8 "Where was the Radiological test done at the 8th ANC visit?"
oth_investigation_findings_a8 "Findings of the Radiological test at the 8th ANC visit"
prescribe_folic_acid_iron "5.1.1. Iron & Folic acid(only in 1st trimester) "
took_iron_folic_acid "Took the medication (Iron & Folic acid)"
folic_acid_details "How many tablets were bought/given"
iron_fa_tablets_comsumed "How many tablets were consumed?"
prescribed_ca "5.1.2. Calcium"
taken_ca "Taken medication Calcium?"
details_ca_medication "Details of calcium medication"
prescribed_asp "5.1.3. Low dose Aspirin"
taken_asp "Taken Medication Aspirin?"
details_asp_medication "Details"
pih_hypertension "5.1.4. PIH/ Hypertension"
took_pih_hyp_medication "Then specify if you took the medication"
pih_hyp_names "Name"
details_pih_hyp_medication "Details"
prescribed_inj_tt "5.1.5 Injection TT(on registration, then 1 mont... xt visit) / dT?"
taken_inj_tt "Took the medication Injection TT?"
date_1st_tt "Date of 1st dose"
date_2nd_tt "Date of 2nd dose"
date_of_booster_dose "Date of Booster Dose (if no of pregnancy second / third / ect. )"
prescribed_inj_iron "5.1.6 Prescribed Injection Iron?"
took_inj_iron "Then specify if you took the medication"
date_inj_iron "Date"
prescribed_antibiotics "5.1.7 Anti-D"
taken_antibiotics "Taken Anti-D?"
date_antibiotics "Date"
prescribed_diab_medication "5.1.8 Diabetes"
took_diabetes_medication "Then specify if you took the medication"
name_diab_medication "Name"
details_diabetes_medication "Details"
thyroid_medication_prescribed "5.1.9 Thyroid supplement"
took_thyroid_medication "Then specify if you took the medication"
name_thyroid_medication "Name"
details_thyroid_medication "Details"
oth_tablets_prescribed "5.1.10 Other tablets / Syrup"
took_oth_medication "then specify if you took the medication"
name_oth_medication "Name"
oth_inj_medication "5.1.11 Other injections"
took_oth_inj "then specify if you took the medication"
oth_inj_name "Name"
take_adequate_rest "a. Take adequate rest."
who_gave_information "Who gave information"
complied_counselling_1 "Complied"
sleep_side_right_or_left "b. Sleep on a side (right or left side)"
who_gave_information_2 "Who gave information"
complied_counselling_2 "Complied"
perform_adequate_physical "c. Perform adequate physical activity."
who_gave_information_3 "Who gave information"
complied_counselling_3 "Complied"
consume_a_balanced_diet "d. Consume a balanced diet / Take dietary supplements from ICDS."
who_gave_information_4 "Who gave information"
complied_counselling_4 "Complied"
take_medications_prescrib "e. Take medications prescribed."
who_gave_information_5 "Who gave information"
complied_counselling_5 "Complied"
check_daily_fetal_movement "f. Check daily fetal movement (FM begins 16-22... ts by 26 weeks."
who_gave_information_6 "Who gave information"
complied_counselling_6 "Complied"
look_danger_signs_report "g. Look for danger signs and report"
complied_counselling_7 "Complied"
birth_preparednes_and_plan "h. Birth preparedness and plan"
who_gave_information_8 "Who gave information"
complied_counselling_8 "Complied"
refer_higher_level_faci "5.2 Was the mother referred to seek care at a h... level facility?"
moth_referal_reason "Why was she referred? Specify"
admitted_during_preg "5.3 Was admitted any time during pregnancy?"
yes_admitted_during_preg "5.3.1 Why"
when_admitted_during_preg "5.3.2 When was she admitted"
where_admitted_during_preg "5.3.3 Where was she admitted during pregnancy?"
no_admitted_during_preg "5.3.4 How many times was she admitted during pregnancy?"
same_health_facility "5.3.5 Did she go to the same health facility?[I... not applicable]"
no_where "5.3.6 Where did she go? and why?"
no_where_why "Why?"
incentives "5.4 Received any incentives?"
which_recvd "5.4.1 If Yes, specify which of the following were received"
pmmvy_incevtive "a. Pradhana Mantri Matru Vandana Yojana (PMMVY)"
early_reg_preg_incentives "Early registration of Pregnancy"
pmmvy_ea_reg_incen_aftr_d_m "Please specify how many days/ months after the... t was received:"
anc_incentive_reci "ANC visit (After 6 months of pregnancy with at... e ANC check-up)"
pmmvy_anc_incen_aftr_d_m "please specify how many days/ months after the... it was received"
pmsma "b. Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)"
jsy "c. Janani Suraksha Yojana (JSY)"
food_suppl "5.5. Received any food supplements during pregnancy?"
oth_food_supplements "Any other"
outcome_of_crnt_pregnancy "Outcome of current pregnancy"
general_comments "General Comments"
form_1_complete "Complete?"
Ascending order
Descending order
Then by
-- select a field --
record_id "Record ID"
mcp_card "Section 1: Demographic and pregnancy details 1.MCP card available"
rch_id "1.1 RCH-ID / MCP card"
receive_date "Date when received"
district "1.1.1 Pregnant woman's District"
other_district_name "Other district name"
taluk "1.1.2 Pregnant woman's Taluk"
other_taluka_name "Other taluka name"
name_of_the_asha "1.1.3 Name of the ASHA"
mobile_number_of_the_as_ha "1.1.4 Mobile Number of the ASHA"
name_of_the_mother "1.2 Name of the mother"
age_mother "Age of the mother"
name_of_the_spouse "1.3 Name of the husband"
mobile1 "1.4 Mobile No 1"
mobile2 "1.5 Mobile No 2"
education "1.6 Education"
ration_card "1.7 Ration Card"
yes_ration_card "Type of ration card"
ration_card_other "Specify"
caste "1.8 Caste"
other_caste "Specify"
house_number_and_street "House Number and Street"
city_town_village_name "City / Town / Village Name"
district_address "District"
other_district_name_1 "Other district name"
pin_code "Pin Code"
present_same_address "1.9.a Is the present address same as the permanent address?"
house_number_and_street_2 "House Number and Street"
city_town_village_name_2 "City / Town / Village Name"
district_address_2 "District"
pin_code_2 "Pin Code"
gravida "Section Header: Section 2 : Obstetric Details2.... s a woman had)"
parity "2.2 Parity (number of times a woman has given birth to a baby)"
living "2.3 Living (number of children living presently)"
abortions "2.4. Abortions"
mnth_occur "2.4.a Which month did the first abortion occur?"
scnd_abort "2.4.b Which month did the second abortion occur?"
stillbirths_confirmation "2.5 Stillbirths (birth of dead fetes any time... s of gestation)"
stillbirths "Stillbirths (birth of dead fetes any time after... s of gestation)"
stllbrth_1 "2.5.a Which month did the first stillbirth occur?"
stllbrth_2 "2.5.b Which month did the second stillbirth occur?"
neontl_count "2.6 Number of neonatal death (death of baby wit... 8days of birth)"
neonatal_deaths "2.6 a. Which day of life did first neonatal death occur?"
cause_nd "2.6.b. Cause of first neonatal death"
neontl_dths "2.6.c Which day of life did second neonatal death occur?"
cuse_neontl_dths "2.6.d Cause of second neonatal death"
menstruation_regular "2.7 Menstruation regular"
no_of_days_menstruation_cycle "No of days of menstruation cycle"
no_of_days_between_cycle "2.7.1 Number of days between each menstruation... regular or not"
lmp "2.7.2 LMP"
edd "2.7.3 EDD"
kitchen "3.2 Kitchen (Can answer only ONE response)"
tobacco "3.3 Chewing tobacco and smoking"
another_smoke_inside_home "3.4 Another household member who smokes inside the house"
oth_spcfy_3 "Specify"
contracep_3 "3.6 Did you use any contraception (pills/natur... fore pregnancy?"
rcvd_angawd "3.7 Received services from Anganwadi"
spcl_medi_3 "3.8 Special Medication"
sm_high_dose_flic_acd_prec "3.8.1 High dose Folic acid (0.5g per day) prescribed"
sm_took_medication "Medication was prescribed, then did you take th... on (folic acid)"
sp_fa_tablets_bought "How many tablets were bought/given?"
sp_fa_tablets_consumed "How many tablets were consumed?"
sm_iron_prescribed "3.8.2 Weekly Iron Supplementation prescribed"
sm_took_iron_medication "Medication was prescribed, then did you take th... dication (Iron)"
sm_iron_tab_bought "How many tablets were bought/given?"
sm_iron_tab_consumed "How many tablets were consumed?"
anc_done "Section Header: Part 2 (Antenatal Care) Section... ANC visit done"
yes_howmny_anc "How many ANC visits did you have for this pregnancy?"
why_no_anc "Why did you not go for any ANC?"
obtained_previous_pregn_ancy_history_and_recorde_d "4.2 Was previous pregnancy history obtained and... not applicable]"
complication_previous_p_regnancy "4.2.1 Was there any complication/problem in any... ious pregnancy?"
previous_lscs_if_yes_sp_ecify_reason "LSCS: If YES, specify reason"
baby_with_congenital_ab_normalities_if_yes_speci_fy "Specify (Baby with congenital abnormalities) "
others_specify_complica_tion_pre_preg "Specify Other"
medical_problem_prev_pr_eg "4.3 Has been diagnosed with any medical problem... sent pregnancy?"
other_medical_prob_prev_preg "Specify"
anc_visit_1 "(4.4 What all was performed at the ANC (source:... First ANC visit"
date_anc_visits_a1 "Date of 1st ANC visit"
gestational_ages_a1 "Gestational age at 1st ANC visit(in weeks)"
months_amenorrhea_a1 "Months of amenorrhea at 1st ANC visit"
place_of_anc_visit_1 "Place of ANC visit"
vomiting_anc_vst_1 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_1 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_1 "Any breathlessness / tiredness"
headache_blurred_vision_anc_1 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_1 "Jaundice"
abdominal_pain_anc_1 "Abdominal pain"
bleeding_per_vagina_anc_1 "Bleeding per vagina"
leaking_per_vagina_anc_1 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_1 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_1 "Treatment for conception"
fever_anc_vst_1 "Fever"
other_anc_vst_1 "Other"
specify_other_anc_vst_1 "Specify other"
ht_checked_anc_visit_1 "Height checked for ANC visit 1"
wt_checked_anc_visit_1 "Weight checked for ANC visit 1"
bp_checked_anc_visit_1 "Blood Pressure checked for ANC visit 1"
checked_pulse_anc_1 "Checked pulse"
checkd_respiration_anc_1 "Checked respiration"
checked_for_swelling_anc_1 "Checked for swelling"
checked_for_jaundice_anc_1 "Checked for jaundice"
checked_fetal_lie_anc_1 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_1 "Record of fetal lie in ANC visit 1"
checked_fetal_position_anc_1 "Checked fetal position [>32weeks GA only]"
checkd_pallor_1 "Checked for Pallor at 1st Visit"
oedema_a1 "Checked for Pedal Oedema at 1st Visit"
breasts_examined_a1 "Breasts Examined at 1st Visit"
pre_scar_a1 "Checked for Previous Scar"
rcrd_symp_1 "Record symphysis fundal height (SFH) at the 1st ANC visit"
rcrd_fhr_1 "Record FHR [>22wks] at 1st Visit"
hemo_1 "Hemoglobin at 1st Visit"
rndm_bld_1 "Random blood sugar at 1st Visit"
vdrl_1 "VDRL at first ANC visit"
hiv_1 "HIV test at 1st ANC visit"
hbsag_1 "HBsAG at 1st Visit"
malaria_anc_visit_1 "Malaria test at ANC visit 1"
cbc_done_at_anc_visit_1 "CBC done at ANC visit 1"
tft_1 "Thyroid profile at 1st Visit"
bld_rh_1 "Blood group and Rh at 1st Visit"
gtt_1 "Glucose Tolerance Test (GTT) at 1st Visit"
oth_1 "Any other test at 1st Visit"
aobt_results_a1 "Record any other test results at the 1st ANC visit, if available"
urine_albumin_a1 "Urine Albumin test done at 1st ANC visit?"
urine_albumin_results_a1 "Record Urine Albumin test results at 1st ANC visit, if available"
urine_sugar_a1 "Urine Sugar test done at 1st ANC visit?"
urine_sugar_test_results_a1 "Record urine sugar test results at 1st ANC visit, if available"
urine_micro_a1 "Urine Microscopy test done at 1st ANC visit?"
urine_microscopy_results_a1 "Record urine microscopy results at 1st ANC visit, if available"
usg_a1 "Did ultrasonography on the 1st ANC visit?"
usgda_a1 "Date of ultrasonography at 1st ANC visit"
reason_usg_anc_1 "Reason for ultrasonography done ?"
result_of_usg_1 "Finding of ultrasonography at 1st ANC visit"
where_done_usg_a1 "Where was it done at 1st ANC visit?"
nst_ctg_done_anc_visit_1 "NST / CTG done ANC visit 1"
date_nst_ctg_anc_1 "Date NST / CTG done ANC visit 1"
reson_nst_anc_1 "Reason for NST/CTG ?"
result_of_nst_anc_1 "Result of NST/CTG"
where_done_nst_1 "Where it is done"
doppler_done_a1 "Doppler done on 1st ANC visit?"
doppler_date_a1 "Date of Doppler at 1st ANC visit"
reason_for_doppler_anc_1 "Reason for Doppler"
where_done_doppler_a1 "Where was the Doppler done at 1st ANC visit?"
doppler_findings_a1 "Findings of Doppler at 1st ANC visit"
any_oth_radiological_tests_a1 "Any other Radiological tests done in the 1st ANC visit?"
oth_investigation_test_name_a1 "Name of any other radiological test done at the 1st ANC visit"
oth_investigation_test_date_a1 "Date of the Radiological test at the 1st ANC visit"
reason_for_otr_radio_exa_anc_1 "Reason for other radiological examination"
where_done_oth_investigation_a1 "Where was the Radiological test done at the 1st ANC visit?"
oth_investigation_findings_a1 "Findings of the Radiological test at the 1st ANC visit"
anc_visit_2 "Second ANC visit"
date_anc_visits_a2 "Date of 2nd ANC visit"
gestational_ages_a2 "Gestational age at 2nd ANC visit(in weeks)"
months_amenorrhea_a2 "Months of amenorrhea at 2nd ANC visit"
place_of_anc_visit_2 "Place of ANC visit"
vomiting_anc_vst_2 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_2 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_2 "Any breathlessness / tiredness"
headache_blurred_vision_anc_2 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_2 "Jaundice"
abdominal_pain_anc_2 "Abdominal pain"
bleeding_per_vagina_anc_2 "Bleeding per vagina"
leaking_per_vagina_anc_2 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_2 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_2 "Treatment for conception"
fever_anc_vst_2 "Fever"
other_anc_vst_2 "Other"
specify_other_anc_vst_2 "Specify other"
ht_checked_anc_visit_2 "Height checked for ANC visit 2"
wt_checked_anc_visit_2 "Weight checked for ANC visit 2"
bp_checked_anc_visit_2 "Blood Pressure checked for ANC visit 2"
checked_pulse_anc_2 "Checked pulse"
checkd_respiration_anc_2 "Checked respiration"
checked_for_swelling_anc_2 "Checked for swelling"
checked_for_jaundice_anc_2 "Checked for jaundice"
checked_fetal_lie_anc_2 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_2 "Record of fetal lie in ANC visit 2"
checked_fetal_position_anc_2 "Checked fetal position [>32weeks GA only]"
checkd_pallor_2 "Checked for Pallor at 2nd Visit"
oedema_a2 "Checked for Pedal Oedema at 2nd Visit"
breasts_examined_a2 "Breasts Examined at 2nd Visit"
rcrd_symp_2 "Record symphysis fundal height (SFH) at the 2nd ANC visit"
rcrd_fhr_2 "Record FHR [>22wks] at 2nd Visit"
hemo_2 "Hemoglobin at 2nd Visit"
rndm_bld_2 "Random blood sugar at 2nd Visit"
vdrl_2 "VDRL/ Syphilis at 2nd Visit"
hiv_2 "HIV at 2nd Visit"
hbsag_2 "HBsAG at 2nd Visit"
malaria_anc_visit_2 "Malaria test at ANC visit 2"
cbc_done_at_anc_visit_2 "CBC done at ANC visit 2"
tft_2 "Thyroid profile at 2nd Visit"
bld_rh_2 "Blood group and Rh at 2nd Visit"
gtt_2 "Glucose Tolerance Test (GTT) at 2nd Visit"
oth_2 "Any other test at 2nd Visit"
aobt_results_a2 "Record any other test results at the 2nd ANC visit, if available"
urine_albumin_a2 "Urine Albumin test done at 2nd ANC visit?"
urine_albumin_results_a2 "Record Urine Albumin test results at 2nd ANC visit, if available"
urine_sugar_a2 "Urine Sugar test done at 2nd ANC visit?"
urine_sugar_test_results_a2 "Record urine sugar test results at 2nd ANC visit, if available"
urine_micro_a2 "Urine Microscopy test done at 2nd ANC visit?"
urine_microscopy_results_a2 "Record urine microscopy results at 2nd ANC visit, if available"
usg_a2 "Did ultrasonography on the 2nd ANC visit?"
usgda_a2 "Date of ultrasonography at 2nd ANC visit"
reason_usg_anc_2 "Reason for ultrasonography done ?"
result_of_usg_2 "Result of ultrasonography"
where_done_usg_a2 "Where was it done at 2nd ANC visit?"
nst_ctg_done_anc_visit_2 "NST / CTG done ANC visit 2"
date_nst_ctg_anc_2 "Date NST / CTG done ANC visit 2"
reson_nst_anc_2 "Reason for NST/CTG ?"
result_of_nst_anc_2 "Finding of NST/CTG ANC visit 2"
where_done_nst_2 "Where it is done"
doppler_done_a2 "Doppler done on 2nd ANC visit ?"
doppler_date_a2 "Date of Doppler at 2nd ANC visit"
reason_for_doppler_anc_2 "Reason for Doppler"
where_done_doppler_a2 "Where was the Doppler done at 2nd ANC visit?"
doppler_findings_a2 "Findings of Doppler at 2nd ANC visit"
any_oth_radiological_tests_a2 "Any other Radiological tests done in the 2nd ANC visit?"
oth_investigation_test_name_a2 "Name of any other radiological test done at the 2nd ANC visit"
oth_investigation_test_date_a2 "Date of the Radiological test at the 2nd ANC visit"
reason_for_otr_radio_exa_anc_2 "Reason for other radiological examination"
where_done_oth_investigation_a2 "Where was the Radiological test done at the 2nd ANC visit?"
oth_investigation_findings_a2 "Findings of the Radiological test at the 2nd ANC visit"
anc_visit_3 "3rd ANC visit"
date_anc_visits_a3 "Date of 3rd ANC visit"
gestational_ages_a3 "Gestational age at 3rd ANC visit(in weeks)"
months_amenorrhea_a3 "Months of amenorrhea at 3rd ANC visit"
place_of_anc_visit_3 "Place of ANC visit"
vomiting_anc_vst_3 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_3 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_3 "Any breathlessness / tiredness"
headache_blurred_vision_anc_3 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_3 "Jaundice"
abdominal_pain_anc_3 "Abdominal pain"
bleeding_per_vagina_anc_3 "Bleeding per vagina"
leaking_per_vagina_anc_3 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_3 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_3 "Treatment for conception"
fever_anc_vst_3 "Fever"
other_anc_vst_3 "Other"
specify_other_anc_vst_3 "Specify other"
ht_checked_anc_visit_3 "Height checked for ANC visit 3"
wt_checked_anc_visit_3 "Weight checked for ANC visit 3"
bp_checked_anc_visit_3 "Blood Pressure checked for ANC visit 3"
checked_pulse_anc_3 "Checked pulse"
checkd_respiration_anc_3 "Checked respiration"
checked_for_swelling_anc_3 "Checked for swelling"
checked_for_jaundice_anc_3 "Checked for jaundice"
checked_fetal_lie_anc_3 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_3 "Record of fetal lie in ANC visit 3"
checked_fetal_position_anc_3 "Checked fetal position [>32weeks GA only]"
checkd_pallor_3 "Checked for Pallor at 3rd Visit"
oedema_a3 "Checked for Pedal Oedema at 3rd Visit"
breasts_examined_a3 "Breasts Examined at 3rd Visit"
rcrd_symp_3 "Record symphysis fundal height (SFH) at the 3rd ANC visit"
rcrd_fhr_3 "Record FHR [>22wks] at 3rd Visit"
hemo_3 "Hemoglobin at 3rd Visit"
rndm_bld_3 "Random blood sugar at 3rd Visit"
vdrl_3 "VDRL/ Syphilis at 3rd Visit"
hiv_3 "HIV at 3rd Visit"
hbsag_3 "HBsAG at 3rd Visit"
malaria_anc_visit_3 "Malaria test at ANC visit 3"
cbc_done_at_anc_visit_3 "CBC done at ANC visit 3"
tft_3 "Thyroid profile at 3rd Visit"
bld_rh_3 "Blood group and Rh at 3rd Visit"
gtt_3 "Glucose Tolerance Test (GTT) at 3rd Visit"
oth_3 "Any other test at 3rd Visit"
aobt_results_a3 "Record any other test results at the 3rd ANC visit, if available"
urine_albumin_a3 "Urine Albumin test done at 3rd ANC visit?"
urine_albumin_results_a3 "Record Urine Albumin test results at 3rd ANC visit, if available"
urine_sugar_a3 "Urine Sugar test done at 3rd ANC visit?"
urine_sugar_test_results_a3 "Record urine sugar test results at 3rd ANC visit, if available"
urine_micro_a3 "Urine Microscopy test done at 3rd ANC visit?"
urine_microscopy_results_a3 "Record urine microscopy results at 3rd ANC visit, if available"
usg_a3 "Did ultrasonography on the 3rd ANC visit?"
usgda_a3 "Date of ultrasonography at 3rd ANC visit"
reason_usg_anc_3 "Reason for ultrasonography done ?"
result_of_usg_3 "Finding of ultrasonography at ANC visit 3"
where_done_usg_a3 "Where was it done at 3rd ANC visit?"
nst_ctg_done_anc_visit_3 "NST / CTG done ANC visit 3"
date_nst_ctg_anc_3 "Date NST / CTG done ANC visit 3"
reson_nst_anc_3 "Reason for NST/CTG ?"
result_of_nst_anc_3 "Finding of NST/CTG at ANC visit 3"
where_done_nst_3 "Where it is done"
doppler_done_a3 "Doppler done on 3rd ANC visit ?"
doppler_date_a3 "Date of Doppler at 3rd ANC visit"
reason_for_doppler_anc_3 "Reason for Doppler"
where_done_doppler_a3 "Where was the Doppler done at 3rd ANC visit?"
doppler_findings_a3 "Findings of Doppler at 3rd ANC visit"
any_oth_radiological_tests_a3 "Any other Radiological tests done in the 3rd ANC visit?"
oth_investigation_test_name_a3 "Name of any other radiological test done at the 3rd ANC visit"
oth_investigation_test_date_a3 "Date of the Radiological test at the 3rd ANC visit"
reason_for_otr_radio_exa_anc_3 "Reason for other radiological examination"
where_done_oth_investigation_a3 "Where was the Radiological test done at the 3rd ANC visit?"
oth_investigation_findings_a3 "Findings of the Radiological test at the 3rd ANC visit"
anc_visit_4 "4th ANC visit"
date_anc_visits_a4 "Date of 4th ANC visit"
gestational_ages_a4 "Gestational age at 4th ANC visit(in weeks)"
months_amenorrhea_a4 "Months of amenorrhea at 4th ANC visit"
place_of_anc_visit_4 "Place of ANC visit"
vomiting_anc_vst_4 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_4 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_4 "Any breathlessness / tiredness"
headache_blurred_vision_anc_4 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_4 "Jaundice"
abdominal_pain_anc_4 "Abdominal pain"
bleeding_per_vagina_anc_4 "Bleeding per vagina"
leaking_per_vagina_anc_4 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_4 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_4 "Treatment for conception"
fever_anc_vst_4 "Fever"
other_anc_vst_4 "Other"
specify_other_anc_vst_4 "Specify other"
ht_checked_anc_visit_4 "Height checked for ANC visit 4th"
wt_checked_anc_visit_4 "Weight checked for ANC visit 4th"
bp_checked_anc_visit_4 "Blood Pressure checked for ANC visit 4th"
checked_pulse_anc_4 "Checked pulse"
checkd_respiration_anc_4 "Checked respiration"
checked_for_swelling_anc_4 "Checked for swelling"
checked_for_jaundice_anc_4 "Checked for jaundice"
checked_fetal_lie_anc_4 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_4 "Record of fetal lie in ANC visit 4"
checked_fetal_position_anc_4 "Checked fetal position [>32weeks GA only]"
checkd_pallor_4 "Checked for Pallor at 4th Visit"
oedema_a4 "Checked for Pedal Oedema at 4th Visit"
breasts_examined_a4 "Breasts Examined at 4th Visit"
rcrd_symp_4 "Record symphysis fundal height (SFH) at the 4th ANC visit"
rcrd_fhr_4 "Record FHR [>22wks] at 4th Visit"
hemo_4 "Hemoglobin at 4th Visit"
rndm_bld_4 "Random blood sugar at 4th Visit"
vdrl_4 "VDRL/ Syphilis at 4th Visit"
hiv_4 "HIV at 4th Visit"
hbsag_4 "HBsAG at 4th Visit"
malaria_anc_visit_4 "Malaria test at ANC visit 4"
cbc_done_at_anc_visit_4 "CBC done at ANC visit 4"
tft_4 "Thyroid profile at 4th Visit"
bld_rh_4 "Blood group and Rh at 4th Visit"
gtt_4 "Glucose Tolerance Test (GTT) at 4thVisit"
oth_4 "Any other test at 4th Visit"
aobt_results_a4 "Record any other test results at the 4th ANC visit, if available"
urine_albumin_a4 "Urine Albumin test done at 4th ANC visit?"
urine_albumin_results_a4 "Record Urine Albumin test results at 4th ANC visit, if available"
urine_sugar_a4 "Urine Sugar test done at 4th ANC visit?"
urine_sugar_test_results_a4 "Record urine sugar test results at 4th ANC visit, if available"
urine_micro_a4 "Urine Microscopy test done at 4th ANC visit?"
urine_microscopy_results_a4 "Record urine microscopy results at 4th ANC visit, if available"
usg_a4 "Did ultrasonography on the 4th ANC visit?"
usgda_a4 "Date of ultrasonography at 4th ANC visit"
reason_usg_anc_4 "Reason for ultrasonography done ?"
result_of_usg_4 "Finding of ultrasonography done at ANC visit 4"
where_done_usg_a4 "Where was it done at 4th ANC visit?"
nst_ctg_done_anc_visit_4 "NST / CTG done ANC visit 4"
date_nst_ctg_anc_4 "Date NST / CTG done ANC visit 4"
reson_nst_anc_4 "Reason for NST/CTG ?"
result_of_nst_anc_4 "Finding of NST/CTG at ANC visit 4"
where_done_nst_4 "Where it is done"
doppler_done_a4 "Doppler done on 4th ANC visit ?"
doppler_date_a4 "Date of Doppler at 4th ANC visit"
reason_for_doppler_anc_4 "Reason for Doppler"
where_done_doppler_a4 "Where was the Doppler done at 4th ANC visit?"
doppler_findings_a4 "Findings of Doppler at 4th ANC visit"
any_oth_radiological_tests_a4 "Any other Radiological tests done in the 4th ANC visit?"
oth_investigation_test_name_a4 "Name of any other radiological test done at the 4th ANC visit"
oth_investigation_test_date_a4 "Date of the Radiological test at the 4th ANC visit"
reason_for_otr_radio_exa_anc_4 "Reason for other radiological examination"
where_done_oth_investigation_a4 "Where was the Radiological test done at the 4th ANC visit?"
oth_investigation_findings_a4 "Findings of the Radiological test at the 4th ANC visit"
anc_visit_5 "5th ANC visit"
date_anc_visits_a5 "Date of 5th ANC visit"
gestational_ages_a5 "Gestational age at 5th ANC visit(in weeks)"
months_amenorrhea_a5 "Months of amenorrhea at 5th ANC visit"
place_of_anc_visit_5 "Place of ANC visit"
vomiting_anc_vst_5 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_5 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_5 "Any breathlessness / tiredness"
headache_blurred_vision_anc_5 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_5 "Jaundice"
abdominal_pain_anc_5 "Abdominal pain"
bleeding_per_vagina_anc_5 "Bleeding per vagina"
leaking_per_vagina_anc_5 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_5 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_5 "Treatment for conception"
fever_anc_vst_5 "Fever"
other_anc_vst_5 "Other"
specify_other_anc_vst_5 "Specify other"
ht_checked_anc_visit_5 "Height checked for ANC visit 5th"
wt_checked_anc_visit_5 "Weight checked for ANC visit 5th"
bp_checked_anc_visit_5 "Blood Pressure checked for ANC visit 5th"
checked_pulse_anc_5 "Checked pulse"
checkd_respiration_anc_5 "Checked respiration"
checked_for_swelling_anc_5 "Checked for swelling"
checked_for_jaundice_anc_5 "Checked for jaundice"
checked_fetal_lie_anc_5 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_5 "Record of fetal lie in ANC visit 5"
checked_fetal_position_anc_5 "Checked fetal position [>32weeks GA only]"
checkd_pallor_5 "Checked for Pallor at 5th Visit"
oedema_a5 "Checked for Pedal Oedema at 5th Visit"
breasts_examined_a5 "Breasts Examined at 5th Visit"
rcrd_symp_5 "Record symphysis fundal height (SFH) at the 5th ANC visit"
rcrd_fhr_5 "Record FHR [>22wks] at 5th Visit"
hemo_5 "Hemoglobin at 5th Visit"
rndm_bld_5 "Random blood sugar at 5th Visit"
vdrl_5 "VDRL/ Syphilis at 5th Visit"
hiv_5 "HIV at 5th Visit"
hbsag_5 "HBsAG at 5th Visit"
malaria_anc_visit_5 "Malaria test at ANC visit 5"
cbc_done_at_anc_visit_5 "CBC done at ANC visit 5"
tft_5 "Thyroid profile at 5th Visit"
bld_rh_5 "Blood group and Rh at 5th Visit"
gtt_5 "Glucose Tolerance Test (GTT) at 5th Visit"
oth_5 "Any other test at 5th Visit"
aobt_results_a5 "Record any other test results at the 5th ANC visit, if available"
urine_albumin_a5 "Urine Albumin test done at 5th ANC visit?"
urine_albumin_results_a5 "Record Urine Albumin test results at 5th ANC visit, if available"
urine_sugar_a5 "Urine Sugar test done at 5th ANC visit?"
urine_sugar_test_results_a5 "Record urine sugar test results at 5th ANC visit, if available"
urine_micro_a5 "Urine Microscopy test done at 5th ANC visit?"
urine_microscopy_results_a5 "Record urine microscopy results at 5th ANC visit, if available"
usg_a5 "Did ultrasonography on the 5th ANC visit?"
usgda_a5 "Date of ultrasonography at 5th ANC visit"
reason_usg_anc_5 "Reason for ultrasonography done ?"
result_of_usg_5 "Finding of ultrasonography done at ANC visit 5"
where_done_usg_a5 "Where was it done at 5th ANC visit?"
nst_ctg_done_anc_visit_5 "NST / CTG done ANC visit 5"
date_nst_ctg_anc_5 "Date NST / CTG done ANC visit 5"
reson_nst_anc_5 "Reason for NST/CTG ?"
result_of_nst_anc_5 "Finding of NST/CTG done at ANC visit 5"
where_done_nst_5 "Where it is done"
doppler_done_a5 "Doppler done on 5th ANC visit ?"
doppler_date_a5 "Date of Doppler at 5th ANC visit"
reason_for_doppler_anc_5 "Reason for Doppler"
where_done_doppler_a5 "Where was the Doppler done at 5th ANC visit?"
doppler_findings_a5 "Findings of Doppler at 5th ANC visit"
any_oth_radiological_tests_a5 "Any other Radiological tests done in the 5th ANC visit?"
oth_investigation_test_name_a5 "Name of any other radiological test done at the 5th ANC visit"
oth_investigation_test_date_a5 "Date of the Radiological test at the 5th ANC visit"
reason_for_otr_radio_exa_anc_5 "Reason for other radiological examination"
where_done_oth_investigation_a5 "Where was the Radiological test done at the 5th ANC visit?"
oth_investigation_findings_a5 "Findings of the Radiological test at the 5th ANC visit"
anc_visit_6 "6th ANC visit"
date_anc_visits_a6 "Date of 6th ANC visit"
gestational_ages_a6 "Gestational age at 6th ANC visit(in weeks)"
months_amenorrhea_a6 "Months of amenorrhea at 6th ANC visit"
place_of_anc_visit_6 "Place of ANC visit"
vomiting_anc_vst_6 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_6 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_6 "Any breathlessness / tiredness"
headache_blurred_vision_anc_6 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_6 "Jaundice"
abdominal_pain_anc_6 "Abdominal pain"
bleeding_per_vagina_anc_6 "Bleeding per vagina"
leaking_per_vagina_anc_6 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_6 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_6 "Treatment for conception"
fever_anc_vst_6 "Fever"
other_anc_vst_6 "Other"
specify_other_anc_vst_6 "Specify other"
ht_checked_anc_visit_6 "Height checked for ANC visit 6th"
wt_checked_anc_visit_6 "Weight checked for ANC visit 6th"
bp_checked_anc_visit_6 "Blood Pressure checked for ANC visit 6th"
checked_pulse_anc_6 "Checked pulse"
checkd_respiration_anc_6 "Checked respiration"
checked_for_swelling_anc_6 "Checked for swelling"
checked_for_jaundice_anc_6 "Checked for jaundice"
checked_fetal_lie_anc_6 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_6 "Record of fetal lie in ANC visit 6"
checked_fetal_position_anc_6 "Checked fetal position [>32weeks GA only]"
checkd_pallor_6 "Checked for Pallor at 6th Visit"
oedema_a6 "Checked for Pedal Oedema at 6th Visit"
breasts_examined_a6 "Breasts Examined at 6th Visit"
rcrd_symp_6 "Record symphysis fundal height (SFH) at the 6th ANC visit"
rcrd_fhr_6 "Record FHR [>22wks] at 6th Visit"
hemo_6 "Hemoglobin at 6th Visit"
rndm_bld_6 "Random blood sugar at 6th Visit"
vdrl_6 "VDRL/ Syphilis at 6th Visit"
hiv_6 "HIV at 6th Visit"
hbsag_6 "HBsAG at 6th Visit"
malaria_anc_visit_6 "Malaria test at ANC visit 6"
cbc_done_at_anc_visit_6 "CBC done at ANC visit 6"
tft_6 "Thyroid profile at 6th Visit"
bld_rh_6 "Blood group and Rh at 6th Visit"
gtt_6 "Glucose Tolerance Test (GTT) at 6th Visit"
oth_6 "Any other test at 6th Visit"
aobt_results_a7 "Record any other test results at the 6th ANC visit, if available"
urine_albumin_a6 "Urine Albumin test done at 6th ANC visit?"
urine_albumin_results_a6 "Record Urine Albumin test results at 6th ANC visit, if available"
urine_sugar_a6 "Urine Sugar test done at 6th ANC visit?"
urine_sugar_test_results_a6 "Record urine sugar test results at 6th ANC visit, if available"
urine_micro_a6 "Urine Microscopy test done at 6th ANC visit?"
urine_microscopy_results_a6 "Record urine microscopy results at 6th ANC visit, if available"
usg_a6 "Did ultrasonography on the 6th ANC visit?"
usgda_a6 "Date of ultrasonography at 6th ANC visit"
reason_usg_anc_6 "Reason for ultrasonography done ?"
result_of_usg_6 "Findings of ultrasonography done at ANC visit 6"
where_done_usg_a6 "Where was it done at 6th ANC visit?"
nst_ctg_done_anc_visit_6 "NST / CTG done ANC visit 6"
date_nst_ctg_anc_6 "Date NST / CTG done ANC visit 6"
reson_nst_anc_6 "Reason for NST/CTG ?"
result_of_nst_anc_6 "Finding of NST/CTG done at ANC visit 6"
where_done_nst_6 "Where it is done"
doppler_done_a6 "Doppler done on 6th ANC visit ?"
doppler_date_a6 "Date of Doppler at 6th ANC visit"
reason_for_doppler_anc_6 "Reason for Doppler"
where_done_doppler_a6 "Where was the Doppler done at 6th ANC visit?"
doppler_findings_a6 "Findings of Doppler at 6th ANC visit"
any_oth_radiological_tests_a6 "Any other Radiological tests done in the 6th ANC visit?"
oth_investigation_test_name_a6 "Name of any other radiological test done at the 6th ANC visit"
oth_investigation_test_date_a6 "Date of the Radiological test at the 6th ANC visit"
reason_for_otr_radio_exa_anc_6 "Reason for other radiological examination"
where_done_oth_investigation_a6 "Where was the Radiological test done at the 6th ANC visit?"
oth_investigation_findings_a6 "Findings of the Radiological test at the 6th ANC visit"
anc_visit_7 "7th ANC visit"
date_anc_visits_a7 "Date of 7th ANC visit"
gestational_ages_a7 "Gestational age at 7th ANC visit(in weeks)"
months_amenorrhea_a7 "Months of amenorrhea at 7th ANC visit"
place_of_anc_visit_7 "Place of ANC visit"
vomiting_anc_vst_7 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_7 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_7 "Any breathlessness / tiredness"
headache_blurred_vision_anc_7 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_7 "Jaundice"
abdominal_pain_anc_7 "Abdominal pain"
bleeding_per_vagina_anc_7 "Bleeding per vagina"
leaking_per_vagina_anc_7 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_7 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_7 "Treatment for conception"
fever_anc_vst_7 "Fever"
other_anc_vst_7 "Other"
specify_other_anc_vst_7 "Specify other"
ht_checked_anc_visit_7 "Height checked for ANC visit 7th"
wt_checked_anc_visit_7 "Weight checked for ANC visit 7th"
bp_checked_anc_visit_7 "Blood Pressure checked for ANC visit 7th"
checked_pulse_anc_7 "Checked pulse"
checkd_respiration_anc_7 "Checked respiration"
checked_for_swelling_anc_7 "Checked for swelling"
checked_for_jaundice_anc_7 "Checked for jaundice"
checked_fetal_lie_anc_7 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_7 "Record of fetal lie in ANC visit 7"
checked_fetal_position_anc_7 "Checked fetal position [>32weeks GA only]"
checkd_pallor_7 "Checked for Pallor at 7th Visit"
oedema_a7 "Checked for Pedal Oedema at 7th Visit"
breasts_examined_a7 "Breasts Examined at 7th Visit"
rcrd_symp_7 "Record symphysis fundal height (SFH) at the 7th ANC visit"
rcrd_fhr_7 "Record FHR [>22wks] at 7th Visit"
hemo_7 "Hemoglobin at 7th Visit"
rndm_bld_7 "Random blood sugar at 7th Visit"
vdrl_7 "VDRL/ Syphilis at 7th Visit"
hiv_7 "HIV at 7th Visit"
hbsag_7 "HBsAG at 7th Visit"
malaria_anc_visit_7 "Malaria test at ANC visit 7"
cbc_done_at_anc_visit_7 "CBC done at ANC visit 7"
tft_7 "Thyroid profile at 7th Visit"
bld_rh_7 "Blood group and Rh at 7th Visit"
gtt_7 "Glucose Tolerance Test (GTT) at 7th Visit"
oth_7 "Any other test at 7th Visit"
aobt_results_a6 "Record any other test results at the 6th ANC visit, if available"
urine_albumin_a7 "Urine Albumin test done at 7th ANC visit?"
urine_albumin_results_a7 "Record Urine Albumin test results at 7th ANC visit, if available"
urine_sugar_a7 "Urine Sugar test done at 7th ANC visit?"
urine_sugar_test_results_a7 "Record urine sugar test results at 7th ANC visit, if available"
urine_micro_a7 "Urine Microscopy test done at 7th ANC visit?"
urine_microscopy_results_a7 "Record urine microscopy results at 7th ANC visit, if available"
usg_a7 "Did ultrasonography on the 7th ANC visit?"
usgda_a7 "Date of ultrasonography at 7th ANC visit"
reason_usg_anc_7 "Reason for ultrasonography done ?"
result_of_usg_7 "Findings of ultrasonography done at ANC visit 7"
where_done_usg_a7 "Where was it done at 7th ANC visit?"
nst_ctg_done_anc_visit_7 "NST / CTG done ANC visit 7"
date_nst_ctg_anc_7 "Date NST / CTG done ANC visit 7"
reson_nst_anc_7 "Reason for NST/CTG ?"
result_of_nst_anc_7 "Findings of NST/CTG done at ANC visit 7"
where_done_nst_7 "Where it is done"
doppler_done_a7 "Doppler done on 7th ANC visit ?"
doppler_date_a7 "Date of Doppler at 7th ANC visit"
reason_for_doppler_anc_7 "Reason for Doppler"
where_done_doppler_a7 "Where was the Doppler done at 7th ANC visit?"
doppler_findings_a7 "Findings of Doppler at 7th ANC visit"
any_oth_radiological_tests_a7 "Any other Radiological tests done in the 7th ANC visit?"
oth_investigation_test_name_a7 "Name of any other radiological test done at the 7th ANC visit"
oth_investigation_test_date_a7 "Date of the Radiological test at the 7th ANC visit"
reason_for_otr_radio_exa_anc_7 "Reason for other radiological examination"
where_done_oth_investigation_a7 "Where was the Radiological test done at the 7th ANC visit?"
oth_investigation_findings_a7 "Findings of the Radiological test at the 7th ANC visit"
anc_visit_8 "8th ANC visit"
date_anc_visits_a8 "Date of 8th ANC visit"
gestational_ages_a8 "Gestational age at 8th ANC visit(in weeks)"
months_amenorrhea_a8 "Months of amenorrhea at 8th ANC visit"
place_of_anc_visit_8 "Place of ANC visit"
vomiting_anc_vst_8 "Vomiting"
increased_frequency_burning_while_passng_urin_anc_8 "Increased frequency / burning while passing urine"
breathlessness_tirednes_anc_8 "Any breathlessness / tiredness"
headache_blurred_vision_anc_8 "Headache / blurred vision / swelling of legs and body"
jaundice_anc_8 "Jaundice"
abdominal_pain_anc_8 "Abdominal pain"
bleeding_per_vagina_anc_8 "Bleeding per vagina"
leaking_per_vagina_anc_8 "Leaking per vagina"
abnrmal_vaginal_discharg_anc_8 "Abnormal vaginal discharge and itching"
treatment_for_conception_anc_8 "Treatment for conception"
fever_anc_vst_8 "Fever"
other_anc_vst_8 "Other"
specify_other_anc_vst_8 "Specify other"
ht_checked_anc_visit_8 "Height checked for ANC visit 8th"
wt_checked_anc_visit_8 "Weight checked for ANC visit 8th"
bp_checked_anc_visit_8 "Blood Pressure checked for ANC visit 8th"
checked_pulse_anc_8 "Checked pulse"
checkd_respiration_anc_8 "Checked respiration"
checked_for_swelling_anc_8 "Checked for swelling"
checked_for_jaundice_anc_8 "Checked for jaundice"
checked_fetal_lie_anc_8 "Checked fetal lie [after 32 weeks GA]"
rcord_of_fetal_lie_anc_8 "Record of fetal lie in ANC visit 8"
checked_fetal_position_anc_8 "Checked fetal position [>32weeks GA only]"
checkd_pallor_8 "Checked for Pallor at 8th Visit"
oedema_a8 "Checked for Pedal Oedema at 8th Visit"
breasts_examined_a8 "Breasts Examined at 8th Visit"
rcrd_symp_8 "Record symphysis fundal height (SFH) at the 8th ANC visit"
rcrd_fhr_8 "Record FHR [>22wks] at 8th Visit"
hemo_8 "Hemoglobin at 8th Visit"
rndm_bld_8 "Random blood sugar at 8th Visit"
vdrl_8 "VDRL/ Syphilis at 8th Visit"
hiv_8 "HIV at 8th Visit"
hbsag_8 "HBsAG at 8th Visit"
malaria_anc_visit_8 "Malaria test at ANC visit 8"
cbc_done_at_anc_visit_8 "CBC done at ANC visit 8"
tsh_8 "TSH at 8th Visit"
bld_rh_8 "Blood group and Rh at 8th Visit"
gtt_8 "Glucose Tolerance Test (GTT) at 8th Visit"
oth_8 "Any other test at 8th Visit"
aobt_results_a8 "Record any other test results at the 8th ANC visit, if available"
urine_albumin_a8 "Urine Albumin test done at 8th ANC visit?"
urine_albumin_results_a8 "Record Urine Albumin test results at 8th ANC visit, if available"
urine_sugar_a8 "Urine Sugar test done at 8th ANC visit?"
urine_sugar_test_results_a8 "Record urine sugar test results at 8th ANC visit, if available"
urine_micro_a8 "Urine Microscopy test done at 8th ANC visit?"
urine_microscopy_results_a8 "Record urine microscopy results at 8th ANC visit, if available"
usg_a8 "Did ultrasonography on the 8th ANC visit?"
usgda_a8 "Date of ultrasonography at 8th ANC visit"
reason_usg_anc_8 "Reason for ultrasonography done ?"
result_of_usg_8 "Findings of ultrasonography done at ANC visit 8"
where_done_usg_a8 "Where was the Radiological test done at the 8th ANC visit?"
nst_ctg_done_anc_visit_8 "NST / CTG done ANC visit 8"
date_nst_ctg_anc_8 "Date NST / CTG done ANC visit 8"
reson_nst_anc_8 "Reason for NST/CTG ?"
result_of_nst_anc_8 "Findings of NST/CTG done at ANC visit 8"
where_done_nst_8 "Where it is done"
doppler_done_a8 "Doppler done on 8th ANC visit?[Expected at 18-2... severe SGA/FGR]"
doppler_date_a8 "Date of Doppler at 8th ANC visit"
reason_for_doppler_anc_8 "Reason for Doppler"
where_done_doppler_a8 "Where was the Doppler done at 8th ANC visit?"
doppler_findings_a8 "Findings of Doppler at 8th ANC visit"
any_oth_radiological_tests_a8 "Any other Radiological tests done in the 8th ANC visit?"
oth_investigation_test_name_a8 "Name of any other radiological test done at the 8th ANC visit"
oth_investigation_test_date_a8 "Date of the Radiological test at the 8th ANC visit"
reason_for_otr_radio_exa_anc_8 "Reason for other radiological examination"
where_done_oth_investigation_a8 "Where was the Radiological test done at the 8th ANC visit?"
oth_investigation_findings_a8 "Findings of the Radiological test at the 8th ANC visit"
prescribe_folic_acid_iron "5.1.1. Iron & Folic acid(only in 1st trimester) "
took_iron_folic_acid "Took the medication (Iron & Folic acid)"
folic_acid_details "How many tablets were bought/given"
iron_fa_tablets_comsumed "How many tablets were consumed?"
prescribed_ca "5.1.2. Calcium"
taken_ca "Taken medication Calcium?"
details_ca_medication "Details of calcium medication"
prescribed_asp "5.1.3. Low dose Aspirin"
taken_asp "Taken Medication Aspirin?"
details_asp_medication "Details"
pih_hypertension "5.1.4. PIH/ Hypertension"
took_pih_hyp_medication "Then specify if you took the medication"
pih_hyp_names "Name"
details_pih_hyp_medication "Details"
prescribed_inj_tt "5.1.5 Injection TT(on registration, then 1 mont... xt visit) / dT?"
taken_inj_tt "Took the medication Injection TT?"
date_1st_tt "Date of 1st dose"
date_2nd_tt "Date of 2nd dose"
date_of_booster_dose "Date of Booster Dose (if no of pregnancy second / third / ect. )"
prescribed_inj_iron "5.1.6 Prescribed Injection Iron?"
took_inj_iron "Then specify if you took the medication"
date_inj_iron "Date"
prescribed_antibiotics "5.1.7 Anti-D"
taken_antibiotics "Taken Anti-D?"
date_antibiotics "Date"
prescribed_diab_medication "5.1.8 Diabetes"
took_diabetes_medication "Then specify if you took the medication"
name_diab_medication "Name"
details_diabetes_medication "Details"
thyroid_medication_prescribed "5.1.9 Thyroid supplement"
took_thyroid_medication "Then specify if you took the medication"
name_thyroid_medication "Name"
details_thyroid_medication "Details"
oth_tablets_prescribed "5.1.10 Other tablets / Syrup"
took_oth_medication "then specify if you took the medication"
name_oth_medication "Name"
oth_inj_medication "5.1.11 Other injections"
took_oth_inj "then specify if you took the medication"
oth_inj_name "Name"
take_adequate_rest "a. Take adequate rest."
who_gave_information "Who gave information"
complied_counselling_1 "Complied"
sleep_side_right_or_left "b. Sleep on a side (right or left side)"
who_gave_information_2 "Who gave information"
complied_counselling_2 "Complied"
perform_adequate_physical "c. Perform adequate physical activity."
who_gave_information_3 "Who gave information"
complied_counselling_3 "Complied"
consume_a_balanced_diet "d. Consume a balanced diet / Take dietary supplements from ICDS."
who_gave_information_4 "Who gave information"
complied_counselling_4 "Complied"
take_medications_prescrib "e. Take medications prescribed."
who_gave_information_5 "Who gave information"
complied_counselling_5 "Complied"
check_daily_fetal_movement "f. Check daily fetal movement (FM begins 16-22... ts by 26 weeks."
who_gave_information_6 "Who gave information"
complied_counselling_6 "Complied"
look_danger_signs_report "g. Look for danger signs and report"
complied_counselling_7 "Complied"
birth_preparednes_and_plan "h. Birth preparedness and plan"
who_gave_information_8 "Who gave information"
complied_counselling_8 "Complied"
refer_higher_level_faci "5.2 Was the mother referred to seek care at a h... level facility?"
moth_referal_reason "Why was she referred? Specify"
admitted_during_preg "5.3 Was admitted any time during pregnancy?"
yes_admitted_during_preg "5.3.1 Why"
when_admitted_during_preg "5.3.2 When was she admitted"
where_admitted_during_preg "5.3.3 Where was she admitted during pregnancy?"
no_admitted_during_preg "5.3.4 How many times was she admitted during pregnancy?"
same_health_facility "5.3.5 Did she go to the same health facility?[I... not applicable]"
no_where "5.3.6 Where did she go? and why?"
no_where_why "Why?"
incentives "5.4 Received any incentives?"
which_recvd "5.4.1 If Yes, specify which of the following were received"
pmmvy_incevtive "a. Pradhana Mantri Matru Vandana Yojana (PMMVY)"
early_reg_preg_incentives "Early registration of Pregnancy"
pmmvy_ea_reg_incen_aftr_d_m "Please specify how many days/ months after the... t was received:"
anc_incentive_reci "ANC visit (After 6 months of pregnancy with at... e ANC check-up)"
pmmvy_anc_incen_aftr_d_m "please specify how many days/ months after the... it was received"
pmsma "b. Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)"
jsy "c. Janani Suraksha Yojana (JSY)"
food_suppl "5.5. Received any food supplements during pregnancy?"
oth_food_supplements "Any other"
outcome_of_crnt_pregnancy "Outcome of current pregnancy"
general_comments "General Comments"
form_1_complete "Complete?"
Ascending order
Descending order