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Stillbirth reduction - 2PID 23
My Projects Project Home Project Setup Online Designer Data Dictionary Codebook

The Codebook is a human-readable, read-only version of the project's Data Dictionary and serves as a quick reference for viewing the attributes of any given field in the project without having to download and interpret the Data Dictionary. Note: Checkbox fields have their coded values displayed both in the format defined by users in the Online Designer/Data Dictionary as well as in the extended format seen in data imports and exports (i.e., field___code).

Data Dictionary Codebook 07/05/2025 1:37am
Field finder: — When viewing this page, collapse:
Data Dictionary Codebook
Stillbirth reduction - 2 (PID: 23)
07/05/2025 1:37am
Instruments
Instrument Form Name
Form 1 form_1
# Variable / Field Name Field Label
Field Note
 Field Attributes (Field Type, Validation, Choices, Calculations, etc.)
Instrument:Form 1(form_1) Enabled as survey
1 [record_id] Record ID text
2 [name_of_field_officer] Name of field officer text, Required
3 [section_1_icmr_still_birth] SECTION 1: ICMR - STILL BIRTH REDUCTION descriptive
4 [date_of_interview] Date of Interview text (datetime_seconds_dmy), Required
Field Annotation: @NOW-SERVER
5 [field_investigator_code] Field Investigator code text, Required
6 [block] Block radio, Required
1Urban
2Rural
7 [taluk_name] Taluk Name text, Required
8 [rural_village_name_or_loc]
Show the field ONLY if:
[block] = '2'
If Rural, Village name (or Locality name) text, Required
9 [if_urban]
Show the field ONLY if:
[block] = '1'
If Urban, radio, Required
1City
2Town
10 [household_id_where_survey] Household ID (where survey is done) text, Required
11 [number_of_pregnant_women_last_year] Number of Pregnant women in the last one year [1st Jan 2023 to 31st Aug 2024] radio, Required
00
11
22
33
44
12 [num_of_pregnancies_in_wom1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Number of pregnancies in pregnant women 1 text (number)
13 [num_of_pregnancies_in_wom2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Number of pregnancies in pregnant women 1 text (number)
14 [num_of_pregnancies_in_wom2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Number of pregnancies in pregnant women 2 text (number)
15 [num_of_pregnancies_in_wom3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Number of pregnancies in pregnant women 1 text (number)
16 [num_of_pregnancies_in_wom3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Number of pregnancies in pregnant women 2 text (number)
17 [num_of_pregnancies_in_wom3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Number of pregnancies in pregnant women 3 text (number)
18 [num_of_pregnancies_in_wom4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Number of pregnancies in pregnant women 1 text (number)
19 [num_of_pregnancies_in_wom4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Number of pregnancies in pregnant women 2 text (number)
20 [num_of_pregnancies_in_wom4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Number of pregnancies in pregnant women 3 text (number)
21 [num_of_pregnancies_in_wom4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Number of pregnancies in pregnant women 4 text (number)
22 [household_address] Household Address text, Required
23 [pin_code] Pin code text (number), Required
24 [informant_name] Informant name text, Required
25 [informant_mobile_no] Informant Mobile No text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @PLACEHOLDER='10 Digits Number' @FORCE-MINMAX
26 [result_please_tick] Result: (Please tick)
 radio
1Eligible and consented. (Please fill in Q 14 onwards) Household (HH) is eligible with at least 1 pregnant woman in the last 1 year and consented to take part in the study.
2Eligible and not consented. (Please stop the survey) Eligible and not consented - HH is eligible with at least 1 pregnant woman in the last 1 year and but did not consent to take part in the study even after explaining the details of the study.
3Not eligible. (Please stop the survey) HH did not have any pregnancy woman in the last 1 year, hence not eligible.
27 [section_2_please_check_tha]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
SECTION 2: [Please check hospital record to confirm the data details] descriptive
28 [household_id_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Household ID text, Required
29 [mcp_card_number_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
MCP Card number text, Required
30 [mother_id_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Mother ID text, Required
31 [pregnancy_id_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Pregnancy ID text, Required
32 [baby_id_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Baby ID text, Required
33 [name_of_the_pregnant_women_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Name of the pregnant women text, Required
34 [age_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Current age of the pregnant women text (number), Required
35 [husband_s_name_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Husband's name text, Required
36 [number_of_pregnant_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Mobile number of pregnant women text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX
37 [number_of_husband]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Mobile number of husband text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX
38 [pregnant_woman_s_house]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Is this pregnant woman's mother house or
husband house. 		radio, Required
1Mother house
2Husband house
39 [pregnant_woman_usual_resident]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Is this the pregnant woman's usual resident? yesno, Required
1Yes
0No
40 [household_address_of_pregnant_women]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Household address of the pregnant women text
41 [pincod_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Pincode text (number)
42 [household_address_of_the_husband]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Household address of the husband text
43 [husband_add_pincod_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Pincode text (number)
44 [informant_relation]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Informant relation with pregnant woman text, Required
45 [lmp]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
LMP text (date_dmy), Required
46 [edd]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
EDD text (date_dmy), Required
47 [date_of_delivery]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Date of Delivery text (date_dmy), Required
48 [gestational_age_at_deliver]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Gestational Age at delivery (MCP - CARD) text (number), Required
49 [place_of_delivery]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Place of delivery radio, Required
1Private
2Public
3Home
50 [mode_of_delivery]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Mode of delivery radio, Required
1Vaginal delivery: A natural, unassisted birth
2Assisted vaginal delivery: A birth that uses forceps or a vacuum
3C-section: A Cesarean birth
51 [outcome_of_pregnancy]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
What was the outcome of the pregnancy? radio, Required
1Live birth
2Abortion
3Still birth
52 [type_of_stillbirth]
Show the field ONLY if:
[outcome_of_pregnancy] = '3'
Type of stillbirth radio, Required
1Macerated
2Fresh
53 [how_is_the_baby_now]
Show the field ONLY if:
[outcome_of_pregnancy] = '1'
How is the baby now? radio, Required
1Live
2Dead
54 [is_the_baby_die_within_28]
Show the field ONLY if:
[how_is_the_baby_now] = '2'
Is the baby die within the 28 days after delivery yesno, Required
1Yes
0No
55 [baby_dies_within_day_no_of]
Show the field ONLY if:
[is_the_baby_die_within_28]='1'
Baby dies within day
(No of days) 		text (number), Required
56 [mention_date_of_death]
Show the field ONLY if:
[how_is_the_baby_now] = '2'
Please mention date of death

 text (date_dmy), Required
57 [baby_stop_moving_womb]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Did the baby stop "moving" in the womb before labor pain started yesno, Required
1Yes
0No
58 [baby_show_any_sign]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Did the baby show any sign of life (cry or move) after delivery? yesno, Required
1Yes
0No
59 [weight_of_newborn]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Birth Weight of newborn (in gms) text (number), Required
60 [verbal_autopsy]
Show the field ONLY if:
[how_is_the_baby_now] = '2'
For Verbal autopsy interview
notes
61 [check_with_informant_regarding_time_date]
Show the field ONLY if:
[how_is_the_baby_now] = '2'
Please check with the informant regarding the preferred time for the verbal autopsy interview with the
mother/ care giver who was present at the time of delivery. 		descriptive
62 [autopsy_preferred_date]
Show the field ONLY if:
[how_is_the_baby_now] = '2'
Preferred Date text (date_dmy)
63 [autopsy_preferred_time]
Show the field ONLY if:
[how_is_the_baby_now] = '2'
Preferred Time text (time)
64 [please_check_tha_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
SECTION 2: [Please check hospital record to confirm the data details] descriptive
65 [household_id_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Household ID
(of the pregnant women 1) 		text, Required
66 [mcp_card_number_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
MCP Card number
(of the pregnant women 1) 		text, Required
67 [mother_id_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Mother ID
(of the pregnant women 1) 		text, Required
68 [pregnancy_id_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Pregnancy ID of women

(of the pregnant women 1) 		text, Required
69 [baby_id_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Baby ID

(of the pregnant women 1) 		text, Required
70 [name_of_the_pregnant_women_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Name of the pregnant women

(of the pregnant women 1) 		text, Required
71 [age_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Current age

(of the pregnant women 1) 		text (number), Required
72 [husband_s_name_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Husband's name

(of pregnant women 1) 		text, Required
73 [number_of_pregnant_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Mobile number

(of pregnant women 1) 		text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX @PLACEHOLDER='10 digits'
74 [number_of_husband_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Mobile number of husband

(of pregnant women 1) 		text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX @PLACEHOLDER='10 digits'
75 [pregnant_woman_s_house_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Is this pregnant woman's mother house or husband house

(of pregnant women 1) 		radio, Required
1Mother house
2Husband house
76 [pregnant_woman_usual_resident_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Is this the pregnant woman's usual resident

(of pregnant women 1) 		yesno, Required
1Yes
0No
77 [household_address_of_pregnant_women_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Household address

(of the pregnant women 1) 		text
78 [pincod_2_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Pincod text
79 [household_address_of_the_husband_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Household address of the husband

(of pregnant women 1) 		text
80 [husband_pin_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Pincode text
81 [informant_relation_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Informant relation with pregnant woman

(Of the pregnant women 1) 		text, Required
82 [lmp_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
LMP

(Of the pregnant women 1) 		text (date_dmy), Required
83 [edd_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
EDD

(Of the pregnant women 1) 		text (date_dmy), Required
84 [date_of_delivery_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Date of Delivery

(Of the pregnant women 1) 		text (date_dmy), Required
85 [gestational_age_at_deliver_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Gestational Age at delivery (MCP - CARD)
(of the pregnant women 1) 		text (number), Required
86 [place_of_delivery_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Place of delivery radio, Required
1Private
2Public
3Home
87 [mode_of_delivery_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Mode of delivery radio, Required
1Vaginal delivery: A natural, unassisted birth
2Assisted vaginal delivery: A birth that uses forceps or a vacuum
3C-section: A Cesarean birth
88 [outcome_of_pregnancy_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
What was the outcome of the pregnancy?
(of the pregnant women 1) 		radio, Required
1Live birth
2Abortion
3Still birth
89 [type_of_stillbirth_2_1]
Show the field ONLY if:
[outcome_of_pregnancy_2_1] = '3'
Type of stillbirth radio, Required
1Macerated
2Fresh
90 [how_is_the_baby_now_2_1]
Show the field ONLY if:
[outcome_of_pregnancy_2_1] = '1'
How is the baby now?

(of the pregnant women 1) 		radio, Required
1Live
2Dead
91 [is_the_baby_die_within_28_2_1]
Show the field ONLY if:
[how_is_the_baby_now_2_1] = '2'
Is the baby die within the 28 days after delivery yesno, Required
1Yes
0No
92 [baby_dies_within_day_no_of_2_1]
Show the field ONLY if:
[is_the_baby_die_within_28_2_1]='1'
Baby dies within day
(No of days) 		text (number), Required
93 [mention_date_of_death_2_1]
Show the field ONLY if:
[how_is_the_baby_now_2_1] = '2'
Please mention date of death

(of the pregnant women 1) 		text (date_dmy), Required
94 [baby_stop_moving_womb_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Did the baby stop "moving" in the womb before labor pain started
(of the pregnant women 1) 		yesno, Required
1Yes
0No
95 [baby_show_any_sign_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Did the baby show any sign of life (cry or move) after delivery?

(of the pregnant women 1) 		yesno, Required
1Yes
0No
96 [weight_of_newborn_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Birth Weight of newborn (in gms)

(of the pregnant women 1) 		text (number), Required
97 [verbal_autopsy_2_1]
Show the field ONLY if:
[how_is_the_baby_now_2_1] = '2'
For Verbal autopsy interview
notes
98 [check_with_informant_regarding_time_date_2_1]
Show the field ONLY if:
[how_is_the_baby_now_2_1] = '2'
Please check with the informant regarding the preferred time for the verbal autopsy interview with the
mother/ care giver who was present at the time of delivery. 		descriptive
99 [autopsy_preferred_date_2_1]
Show the field ONLY if:
[how_is_the_baby_now_2_1] = '2'
Preferred Date text (date_dmy)
100 [autopsy_preferred_time_2_1]
Show the field ONLY if:
[how_is_the_baby_now] = '2'
Preferred Time text (time)
101 [please_check_tha_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
SECTION 2: [Please check hospital record to confirm the data details] descriptive
102 [household_id_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Household ID
(of the pregnant women 2) 		text, Required
103 [mcp_card_number_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
MCP Card number 2

(of the pregnant women 2) 		text, Required
104 [mother_id_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Mother ID

(of the pregnant women 2) 		text, Required
105 [pregnancy_id_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Pregnancy ID of women

(of the pregnant women 2) 		text, Required
106 [baby_id_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Baby ID

(of the pregnant women 2) 		text, Required
107 [name_of_the_pregnant_women_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Name of the pregnant women

(of the pregnant women 2) 		text, Required
108 [age_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Current age

(of the pregnant women 2) 		text (number), Required
109 [husband_s_name_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Husband's name

(of pregnant women 2) 		text, Required
110 [number_of_pregnant_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Mobile number

(of pregnant women 2) 		text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX @PLACEHOLDER='10 digits'
111 [number_of_husband_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Mobile number of husband

(of pregnant women 2) 		text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX @PLACEHOLDER='10 digits'
112 [pregnant_woman_s_house_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Is this pregnant woman's mother house or
husband house of pregnant women 2 		radio, Required
1Mother house
2Husband house
113 [pregnant_woman_usual_resident_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Is this the pregnant woman's usual resident

(of pregnant women 2) 		yesno, Required
1Yes
0No
114 [household_address_of_the_pregnant_women_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Household address

(of the pregnant women 2) 		text
115 [pgwmn_pincod_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Pincode text
116 [household_address_of_the_husband_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Household address of the husband

(of pregnant women 2) 		text
117 [husband_pin_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Pincode text
118 [informant_relation_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Informant relation with pregnant woman

(Of the pregnant women 2) 		text, Required
119 [lmp_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
LMP

(Of the pregnant women 2) 		text (date_dmy), Required
120 [edd_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
EDD

(Of the pregnant women 2) 		text (date_dmy), Required
121 [date_of_delivery_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Date of Delivery

(of the pregnant women 2) 		text (date_dmy), Required
122 [gestational_age_at_deliver_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Gestational Age at delivery (MCP - CARD)
(of the pregnant women 2) 		text (number), Required
123 [place_of_delivery_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Place of delivery radio, Required
1Private
2Public
3Home
124 [mode_of_delivery_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Mode of delivery radio, Required
1Vaginal delivery: A natural, unassisted birth
2Assisted vaginal delivery: A birth that uses forceps or a vacuum
3C-section: A Cesarean birth
125 [outcome_of_pregnancy_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
What was the outcome of the pregnancy?
(of the pregnant women 2) 		radio, Required
1Live birth
2Abortion
3Still birth
126 [type_of_stillbirth_2_2]
Show the field ONLY if:
[outcome_of_pregnancy_2_2] = '3'
Type of stillbirth radio, Required
1Macerated
2Fresh
127 [how_is_the_baby_now_2_2]
Show the field ONLY if:
[outcome_of_pregnancy_2_2] = '1'
How is the baby now?

(of the pregnant women 2) 		radio, Required
1Live
2Dead
128 [is_the_baby_die_within_28_2_2]
Show the field ONLY if:
[how_is_the_baby_now_2_2] = '2'
Is the baby die within the 28 days after delivery yesno, Required
1Yes
0No
129 [baby_dies_within_day_no_of_2_2]
Show the field ONLY if:
[is_the_baby_die_within_28_2_2]='1'
Baby dies within day
(No of days) 		text (number), Required
130 [mention_date_of_death_2_2]
Show the field ONLY if:
[how_is_the_baby_now_2_2] = '2'
Please mention date of death

(of the pregnant women 2) 		text (date_dmy), Required
131 [baby_stop_moving_womb_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Did the baby stop "moving" in the womb before labor pain started
(of the pregnant women 2) 		yesno, Required
1Yes
0No
132 [baby_show_any_sign_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Did the baby show any sign of life (cry or move) after delivery?

(of the pregnant women 2) 		yesno, Required
1Yes
0No
133 [weight_of_newborn_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Birth Weight of newborn (in gms)

(of the pregnant women 2) 		text (number), Required
134 [verbal_autopsy_2_2]
Show the field ONLY if:
[how_is_the_baby_now_2_2] = '2'
For Verbal autopsy interview
notes
135 [check_with_informant_regarding_time_date_2_2]
Show the field ONLY if:
[how_is_the_baby_now_2_2] = '2'
Please check with the informant regarding the preferred time for the verbal autopsy interview with the
mother/ care giver who was present at the time of delivery. 		descriptive
136 [autopsy_preferred_date_2_2]
Show the field ONLY if:
[how_is_the_baby_now_2_2] = '2'
Preferred Date text (date_dmy)
137 [autopsy_preferred_time_2_2]
Show the field ONLY if:
[how_is_the_baby_now_2_2] = '2'
Preferred Time text (time)
138 [section_2_please_check_tha_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
SECTION 2: [Please check hospital record to confirm the data details] descriptive
139 [household_id_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Household ID
(Of the pregnant women 1) 		text, Required
140 [mcp_card_number_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
MCP Card number
(Of the pregnant women 1) 		text, Required
141 [mother_id_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Mother ID
(Of the pregnant women 1) 		text, Required
142 [pregnancy_id_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Pregnancy ID

(Of the pregnant women 1) 		text, Required
143 [baby_id_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Baby ID

(Of the pregnant women 1) 		text, Required
144 [name_of_the_pregnant_women_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Name of the pregnant women

(Of the pregnant women 1) 		text, Required
145 [age_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Current age of the pregnant women

(of the pregnant women 1) 		text (number), Required
146 [husband_s_name_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Husband's name

(Of the pregnant women 1) 		text, Required
147 [number_of_pregnant_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Mobile number of pregnant women

(Of the pregnant women 1) 		text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX
148 [number_of_husband_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Mobile number of husband

(Of the pregnant women 1) 		text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX
149 [pregnant_woman_s_house_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Is this pregnant woman's mother house or husband house.

(Of the pregnant women 1) 		radio, Required
1Mother house
2Husband house
150 [pregnant_woman_usual_resident_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Is this the pregnant woman's usual resident?

(Of the pregnant women 1) 		yesno, Required
1Yes
0No
151 [household_address_of_pregnant_women_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Household address

(of the pregnant women 1) 		text
152 [pincod_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Pincode text (number)
153 [house_add_of_husband_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Household address of the husband

(Of the pregnant women 1) 		text
154 [husband_add_pincod_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Pincode text (number)
155 [informant_relation_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Informant relation with pregnant woman

(Of the pregnant women 1) 		text, Required
156 [lmp_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
LMP

(Of the pregnant women 1) 		text (date_dmy), Required
157 [edd_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
EDD

(Of the pregnant women 1) 		text (date_dmy), Required
158 [date_of_delivery_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Date of Delivery

(Of the pregnant women 1) 		text (date_dmy), Required
159 [gestational_age_deliver_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Gestational Age at delivery (MCP - CARD)

(Of the pregnant women 1) 		text (number), Required
160 [place_of_delivery_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Place of delivery radio, Required
1Private
2Public
3Home
161 [mode_of_delivery_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Mode of delivery radio, Required
1Vaginal delivery: A natural, unassisted birth
2Assisted vaginal delivery: A birth that uses forceps or a vacuum
3C-section: A Cesarean birth
162 [outcome_of_pregnancy_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
What was the outcome of the pregnancy?

(Of the pregnant women 1) 		radio, Required
1Live birth
2Abortion
3Still birth
163 [type_of_stillbirth_3_1]
Show the field ONLY if:
[outcome_of_pregnancy_3_1] = '3'
Type of stillbirth radio, Required
1Macerated
2Fresh
164 [how_is_the_baby_now_3_1]
Show the field ONLY if:
[outcome_of_pregnancy_3_1] = '1'
How is the baby now?

(Of the pregnant women 1) 		radio, Required
1Live
2Dead
165 [is_the_baby_die_within_28_3_1]
Show the field ONLY if:
[how_is_the_baby_now_3_1] = '2'
Is the baby die within the 28 days after delivery yesno, Required
1Yes
0No
166 [baby_dies_within_day_no_of_3_1]
Show the field ONLY if:
[is_the_baby_die_within_28_3_1]='1'
Baby dies within day
(No of days) 		text (number), Required
167 [mention_date_of_death_3_1]
Show the field ONLY if:
[how_is_the_baby_now_3_1] = '2'
Please mention date of death

(Of the pregnant women 1)

 text (date_dmy), Required
168 [baby_stop_moving_womb_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Did the baby stop "moving" in the womb before labor pain started

(Of the pregnant women 1) 		yesno, Required
1Yes
0No
169 [baby_show_any_sign_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Did the baby show any sign of life (cry or move) after delivery?

(Of the pregnant women 1) 		yesno, Required
1Yes
0No
170 [weight_of_newborn_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Birth Weight of newborn (in gms)

(Of the pregnant women 1) 		text (number), Required
171 [verbal_autopsy_3_1]
Show the field ONLY if:
[how_is_the_baby_now_3_1] = '2'
For Verbal autopsy interview

(Of the pregnant women 1) 		notes
172 [check_with_informant_regarding_time_date_3_1]
Show the field ONLY if:
[how_is_the_baby_now_3_1] = '2'
Please check with the informant regarding the preferred time for the verbal autopsy interview with the
mother/ care giver who was present at the time of delivery.

(Of the pregnant women 1) 		descriptive
173 [autopsy_preferred_date_3_1]
Show the field ONLY if:
[how_is_the_baby_now_3_1] = '2'
Preferred Date

(Of the pregnant women 1) 		text (date_dmy)
174 [autopsy_preferred_time_3_1]
Show the field ONLY if:
[how_is_the_baby_now_3_1] = '2'
Preferred Time

(Of the pregnant women 1) 		text (time)
175 [section_2_please_check_tha_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
SECTION 2: [Please check hospital record to confirm the data details] descriptive
176 [household_id_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Household ID
(Of the pregnant women 2) 		text, Required
177 [mcp_card_number_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
MCP Card number
(Of the pregnant women 2) 		text, Required
178 [mother_id_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Mother ID
(Of the pregnant women 2) 		text, Required
179 [pregnancy_id_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Pregnancy ID

(Of the pregnant women 2) 		text, Required
180 [baby_id_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Baby ID

(Of the pregnant women 2) 		text, Required
181 [name_of_the_pregnant_women_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Name of the pregnant women

(Of the pregnant women 2) 		text, Required
182 [age_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Current age of the pregnant women

(of the pregnant women 2) 		text (number), Required
183 [husband_s_name_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Husband's name

(Of the pregnant women 2) 		text, Required
184 [number_of_pregnant_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Mobile number of pregnant women

(Of the pregnant women 2) 		text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX
185 [number_of_husband_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Mobile number of husband

(Of the pregnant women 2) 		text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX
186 [pregnant_woman_s_house_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Is this pregnant woman's mother house or husband house.

(Of the pregnant women 2) 		radio, Required
1Mother house
2Husband house
187 [pregnant_woman_usual_resident_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Is this the pregnant woman's usual resident?

(Of the pregnant women 2) 		yesno, Required
1Yes
0No
188 [household_address_of_pregnant_women_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Household address

(of the pregnant women 2) 		text
189 [pincod_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Pincode text (number)
190 [house_add_of_husband_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Household address of the husband

(Of the pregnant women 2) 		text
191 [husband_add_pincod_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Pincode text (number)
192 [informant_relation_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Informant relation with pregnant woman

(Of the pregnant women 2) 		text, Required
193 [lmp_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
LMP

(Of the pregnant women 2) 		text (date_dmy), Required
194 [edd_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
EDD

(Of the pregnant women 2) 		text (date_dmy), Required
195 [date_of_delivery_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Date of Delivery

(Of the pregnant women 2) 		text (date_dmy), Required
196 [gestational_age_deliver_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Gestational Age at delivery (MCP - CARD)

(Of the pregnant women 2) 		text (number), Required
197 [place_of_delivery_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Place of delivery radio, Required
1Private
2Public
3Home
198 [mode_of_delivery_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Mode of delivery radio, Required
1Vaginal delivery: A natural, unassisted birth
2Assisted vaginal delivery: A birth that uses forceps or a vacuum
3C-section: A Cesarean birth
199 [outcome_of_pregnancy_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
What was the outcome of the pregnancy?

(Of the pregnant women 2) 		radio, Required
1Live birth
2Abortion
3Still birth
200 [type_of_stillbirth_3_2]
Show the field ONLY if:
[outcome_of_pregnancy_3_2] = '3'
Type of stillbirth radio, Required
1Macerated
2Fresh
201 [how_is_the_baby_now_3_2]
Show the field ONLY if:
[outcome_of_pregnancy_3_2] = '1'
How is the baby now?

(Of the pregnant women 2) 		radio, Required
1Live
2Dead
202 [is_the_baby_die_within_28_3_2]
Show the field ONLY if:
[how_is_the_baby_now_3_2] = '2'
Is the baby die within the 28 days after delivery yesno, Required
1Yes
0No
203 [baby_dies_within_day_no_of_3_2]
Show the field ONLY if:
[is_the_baby_die_within_28_3_2]='1'
Baby dies within day
(No of days) 		text (number), Required
204 [mention_date_of_death_3_2]
Show the field ONLY if:
[how_is_the_baby_now_3_2] = '2'
Please mention date of death

(Of the pregnant women 2)

 text (date_dmy), Required
205 [baby_stop_moving_womb_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Did the baby stop "moving" in the womb before labor pain started

(Of the pregnant women 2) 		yesno, Required
1Yes
0No
206 [baby_show_any_sign_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Did the baby show any sign of life (cry or move) after delivery?

(Of the pregnant women 2) 		yesno, Required
1Yes
0No
207 [weight_of_newborn_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Birth Weight of newborn (in gms)

(Of the pregnant women 2) 		text (number), Required
208 [verbal_autopsy_3_2]
Show the field ONLY if:
[how_is_the_baby_now_3_2] = '2'
For Verbal autopsy interview

(Of the pregnant women 2) 		notes
209 [check_with_informant_regarding_time_date_3_2]
Show the field ONLY if:
[how_is_the_baby_now_3_2] = '2'
Please check with the informant regarding the preferred time for the verbal autopsy interview with the
mother/ care giver who was present at the time of delivery.

(Of the pregnant women 2) 		descriptive
210 [autopsy_preferred_date_3_2]
Show the field ONLY if:
[how_is_the_baby_now_3_2] = '2'
Preferred Date

(Of the pregnant women 2) 		text (date_dmy)
211 [autopsy_preferred_time_3_2]
Show the field ONLY if:
[how_is_the_baby_now_3_2] = '2'
Preferred Time

(Of the pregnant women 2) 		text (time)
212 [section_2_please_check_tha_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
SECTION 2: [Please check hospital record to confirm the data details] descriptive
213 [household_id_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Household ID
(Of the pregnant women 3) 		text, Required
214 [mcp_card_number_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
MCP Card number
(Of the pregnant women 3) 		text, Required
215 [mother_id_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Mother ID
(Of the pregnant women 3) 		text, Required
216 [pregnancy_id_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Pregnancy ID

(Of the pregnant women 3) 		text, Required
217 [baby_id_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Baby ID

(Of the pregnant women 3) 		text, Required
218 [name_of_the_pregnant_women_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Name of the pregnant women

(Of the pregnant women 3) 		text, Required
219 [age_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Current age of the pregnant women

(of the pregnant women 3) 		text (number), Required
220 [husband_s_name_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Husband's name

(Of the pregnant women 3) 		text, Required
221 [number_of_pregnant_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Mobile number of pregnant women

(Of the pregnant women 3) 		text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX
222 [number_of_husband_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Mobile number of husband

(Of the pregnant women 3) 		text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX
223 [pregnant_woman_s_house_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Is this pregnant woman's mother house or husband house.

(Of the pregnant women 3) 		radio, Required
1Mother house
2Husband house
224 [pregnant_woman_usual_resident_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Is this the pregnant woman's usual resident?

(Of the pregnant women 3) 		yesno, Required
1Yes
0No
225 [household_address_of_pregnant_women_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Household address

(of the pregnant women 3) 		text
226 [pincod_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Pincode text (number)
227 [house_add_of_husband_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Household address of the husband

(Of the pregnant women 3) 		text
228 [husband_add_pincod_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Pincode text (number)
229 [informant_relation_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Informant relation with pregnant woman

(Of the pregnant women 3) 		text, Required
230 [lmp_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
LMP

(Of the pregnant women 3) 		text (date_dmy), Required
231 [edd_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
EDD

(Of the pregnant women 3) 		text (date_dmy), Required
232 [date_of_delivery_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Date of Delivery

(Of the pregnant women 3) 		text (date_dmy), Required
233 [gestational_age_deliver_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Gestational Age at delivery (MCP - CARD)

(Of the pregnant women 3) 		text (number), Required
234 [place_of_delivery_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Place of delivery radio, Required
1Private
2Public
3Home
235 [mode_of_delivery_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Mode of delivery radio, Required
1Vaginal delivery: A natural, unassisted birth
2Assisted vaginal delivery: A birth that uses forceps or a vacuum
3C-section: A Cesarean birth
236 [outcome_of_pregnancy_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
What was the outcome of the pregnancy?

(Of the pregnant women 3) 		radio, Required
1Live birth
2Abortion
3Still birth
237 [type_of_stillbirth_3_3]
Show the field ONLY if:
[outcome_of_pregnancy_3_3] = '3'
Type of stillbirth radio, Required
1Macerated
2Fresh
238 [how_is_the_baby_now_3_3]
Show the field ONLY if:
[outcome_of_pregnancy_3_3] = '1'
How is the baby now?

(Of the pregnant women 3) 		radio, Required
1Live
2Dead
239 [is_the_baby_die_within_28_3_3]
Show the field ONLY if:
[how_is_the_baby_now_3_3] = '2'
Is the baby die within the 28 days after delivery yesno, Required
1Yes
0No
240 [baby_dies_within_day_no_of_3_3]
Show the field ONLY if:
[is_the_baby_die_within_28_3_3]='1'
Baby dies within day
(No of days) 		text (number), Required
241 [mention_date_of_death_3_3]
Show the field ONLY if:
[how_is_the_baby_now_3_3] = '2'
Please mention date of death

(Of the pregnant women 3)

 text (date_dmy), Required
242 [baby_stop_moving_womb_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Did the baby stop "moving" in the womb before labor pain started

(Of the pregnant women 3) 		yesno, Required
1Yes
0No
243 [baby_show_any_sign_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Did the baby show any sign of life (cry or move) after delivery?

(Of the pregnant women 3) 		yesno, Required
1Yes
0No
244 [weight_of_newborn_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Birth Weight of newborn (in gms)

(Of the pregnant women 3) 		text (number), Required
245 [verbal_autopsy_3_3]
Show the field ONLY if:
[how_is_the_baby_now_3_3] = '2'
For Verbal autopsy interview

(Of the pregnant women 3) 		notes
246 [check_with_informant_regarding_time_date_3_3]
Show the field ONLY if:
[how_is_the_baby_now_3_3] = '2'
Please check with the informant regarding the preferred time for the verbal autopsy interview with the
mother/ care giver who was present at the time of delivery.

(Of the pregnant women 3) 		descriptive
247 [autopsy_preferred_date_3_3]
Show the field ONLY if:
[how_is_the_baby_now_3_3] = '2'
Preferred Date

(Of the pregnant women 3) 		text (date_dmy)
248 [autopsy_preferred_time_3_3]
Show the field ONLY if:
[how_is_the_baby_now_3_3] = '2'
Preferred Time

(Of the pregnant women 3) 		text (time)
249 [section_2_please_check_tha_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
SECTION 2: [Please check hospital record to confirm the data details] descriptive
250 [household_id_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Household ID
(of the pregnant women 1) 		text, Required
251 [mcp_card_number_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
MCP Card number
(of the pregnant women 1) 		text, Required
252 [mother_id_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Mother ID
(of the pregnant women 1) 		text, Required
253 [pregnancy_id_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Pregnancy ID of women

(of the pregnant women 1) 		text, Required
254 [baby_id_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Baby ID

(of the pregnant women 1) 		text, Required
255 [name_of_the_pregnant_women_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Name of the pregnant women

(of the pregnant women 1) 		text, Required
256 [age_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Current age

(of the pregnant women 1) 		text (number), Required
257 [husband_s_name_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Husband's name

(of pregnant women 1) 		text, Required
258 [number_of_pregnant_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Mobile number

(of pregnant women 1) 		text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX @PLACEHOLDER='10 digits'
259 [number_of_husband_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Mobile number of husband

(of pregnant women 1) 		text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX @PLACEHOLDER='10 digits'
260 [pregnant_woman_s_house_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Is this pregnant woman's mother house or husband house

(of pregnant women 1) 		radio, Required
1Mother house
2Husband house
261 [pregnant_woman_usual_resident_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Is this the pregnant woman's usual resident

(of pregnant women 1) 		yesno, Required
1Yes
0No
262 [household_address_of_pregnant_women_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Household address

(of the pregnant women 1) 		text
263 [prgwmn_pin_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Pincode text
264 [household_address_of_the_husband_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Household address of the husband

(of pregnant women 1) 		text
265 [husband_pin_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Pincode text
266 [informant_relation_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Informant relation with pregnant woman

(Of the pregnant women 1) 		text, Required
267 [lmp_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
LMP

(Of the pregnant women 1) 		text (date_dmy), Required
268 [edd_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
EDD

(Of the pregnant women 1) 		text (date_dmy), Required
269 [gestational_age_at_deliver_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Gestational Age at delivery (MCP - CARD)
(of the pregnant women 1) 		text (number), Required
270 [place_of_delivery_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Place of delivery radio, Required
1Private
2Public
3Home
271 [mode_of_delivery_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Mode of delivery radio, Required
1Vaginal delivery: A natural, unassisted birth
2Assisted vaginal delivery: A birth that uses forceps or a vacuum
3C-section: A Cesarean birth
272 [date_of_delivery_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Date of Delivery

(Of the pregnant women 1) 		text (date_dmy), Required
273 [outcome_of_pregnancy_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
What was the outcome of the pregnancy?
(of the pregnant women 1) 		radio, Required
1Live birth
2Abortion
3Still birth
274 [type_of_stillbirth_4_1]
Show the field ONLY if:
[outcome_of_pregnancy_4_1] = '3'
Type of stillbirth radio, Required
1Macerated
2Fresh
275 [how_is_the_baby_now_4_1]
Show the field ONLY if:
[outcome_of_pregnancy_4_1] = '1'
How is the baby now?

(of the pregnant women 1) 		radio, Required
1Live
2Dead
276 [is_the_baby_die_within_28_4_1]
Show the field ONLY if:
[how_is_the_baby_now_4_1] = '2'
Is the baby die within the 28 days after delivery yesno, Required
1Yes
0No
277 [baby_dies_within_day_no_of_4_1]
Show the field ONLY if:
[is_the_baby_die_within_28_4_1]='1'
Baby dies within day
(No of days) 		text (number), Required
278 [mention_date_of_death_4_1]
Show the field ONLY if:
[how_is_the_baby_now_4_1] = '2'
Please mention date of death

(of the pregnant women 1) 		text (date_dmy), Required
279 [baby_stop_moving_womb_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Did the baby stop "moving" in the womb before labor pain started
(of the pregnant women 1) 		yesno, Required
1Yes
0No
280 [baby_show_any_sign_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Did the baby show any sign of life (cry or move) after delivery?

(of the pregnant women 1) 		yesno, Required
1Yes
0No
281 [weight_of_newborn_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Birth Weight of newborn (in gms)

(of the pregnant women 1) 		text (number), Required
282 [verbal_autopsy_4_1]
Show the field ONLY if:
[how_is_the_baby_now_4_1] = '2'
For Verbal autopsy interview

(Of the pregnant women 1) 		notes
283 [check_with_informant_regarding_time_date_4_1]
Show the field ONLY if:
[how_is_the_baby_now_4_1] = '2'
Please check with the informant regarding the preferred time for the verbal autopsy interview with the
mother/ care giver who was present at the time of delivery. 		descriptive
284 [autopsy_preferred_date_4_1]
Show the field ONLY if:
[how_is_the_baby_now_4_1] = '2'
Preferred Date text (date_dmy)
285 [autopsy_preferred_time_4_1]
Show the field ONLY if:
[how_is_the_baby_now_4_1] = '2'
Preferred Time text (time)
286 [section_2_please_check_tha_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
SECTION 2: [Please check hospital record to confirm the data details] descriptive
287 [household_id_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Household ID
(of the pregnant women 2) 		text, Required
288 [mcp_card_number_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
MCP Card number
(of the pregnant women 2) 		text, Required
289 [mother_id_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Mother ID
(of the pregnant women 2) 		text, Required
290 [pregnancy_id_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Pregnancy ID of women

(of the pregnant women 2) 		text, Required
291 [baby_id_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Baby ID

(of the pregnant women 2) 		text, Required
292 [name_of_the_pregnant_women_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Name of the pregnant women

(of the pregnant women 2) 		text, Required
293 [age_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Current age

(of the pregnant women 2) 		text (number), Required
294 [husband_s_name_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Husband's name

(of the pregnant women 2) 		text, Required
295 [number_of_pregnant_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Mobile number

(of the pregnant women 2) 		text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX @PLACEHOLDER='10 digits'
296 [number_of_husband_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Mobile number of husband

(of the pregnant women 2) 		text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX @PLACEHOLDER='10 digits'
297 [pregnant_woman_s_house_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Is this pregnant woman's mother house or husband house

(of the pregnant women 2) 		radio, Required
1Mother house
2Husband house
298 [pregnant_woman_usual_resident_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Is this the pregnant woman's usual resident

(of the pregnant women 2) 		yesno, Required
1Yes
0No
299 [household_address_of_pregnant_women_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Household address

(of the pregnant women 2) 		text
300 [prgwmn_pin_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Pincode text
301 [household_address_of_the_husband_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Household address of the husband

(of the pregnant women 2) 		text
302 [husband_pin_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Pincode text
303 [informant_relation_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Informant relation with pregnant woman

(Of the pregnant women 2) 		text, Required
304 [lmp_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
LMP

(Of the pregnant women 2) 		text (date_dmy), Required
305 [edd_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
EDD

(Of the pregnant women 2) 		text (date_dmy), Required
306 [gestational_age_at_deliver_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Gestational Age at delivery (MCP - CARD)
(Of the pregnant women 2) 		text (number), Required
307 [place_of_delivery_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Place of delivery radio, Required
1Private
2Public
3Home
308 [mode_of_delivery_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Mode of delivery radio, Required
1Vaginal delivery: A natural, unassisted birth
2Assisted vaginal delivery: A birth that uses forceps or a vacuum
3C-section: A Cesarean birth
4VBAC: A vaginal birth after a C-section
309 [date_of_delivery_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Date of Delivery

(Of the pregnant women 2) 		text (date_dmy), Required
310 [outcome_of_pregnancy_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
What was the outcome of the pregnancy?
(Of the pregnant women 2) 		radio, Required
1Live birth
2Abortion
3Still birth
311 [type_of_stillbirth_4_2]
Show the field ONLY if:
[outcome_of_pregnancy_4_2] = '3'
Type of stillbirth radio, Required
1Macerated
2Fresh
312 [how_is_the_baby_now_4_2]
Show the field ONLY if:
[outcome_of_pregnancy_4_2] = '1'
How is the baby now?

(Of the pregnant women 2) 		radio, Required
1Live
2Dead
313 [is_the_baby_die_within_28_4_2]
Show the field ONLY if:
[how_is_the_baby_now_4_2] = '2'
Is the baby die within the 28 days after delivery yesno, Required
1Yes
0No
314 [baby_dies_within_day_no_of_4_2]
Show the field ONLY if:
[is_the_baby_die_within_28_4_2]='1'
Baby dies within day
(No of days) 		text (number), Required
315 [mention_date_of_death_4_2]
Show the field ONLY if:
[how_is_the_baby_now_4_2] = '2'
Please mention date of death

(Of the pregnant women 2) 		text (date_dmy), Required
316 [baby_stop_moving_womb_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Did the baby stop "moving" in the womb before labor pain started
(Of the pregnant women 2) 		yesno, Required
1Yes
0No
317 [baby_show_any_sign_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Did the baby show any sign of life (cry or move) after delivery?

(Of the pregnant women 2) 		yesno, Required
1Yes
0No
318 [weight_of_newborn_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Birth Weight of newborn (in gms)

(Of the pregnant women 2) 		text (number), Required
319 [verbal_autopsy_4_2]
Show the field ONLY if:
[how_is_the_baby_now_4_2] = '2'
For Verbal autopsy interview

(Of the pregnant women 2) 		notes
320 [check_with_informant_regarding_time_date_4_2]
Show the field ONLY if:
[how_is_the_baby_now_4_2] = '2'
Please check with the informant regarding the preferred time for the verbal autopsy interview with the
mother/ care giver who was present at the time of delivery. 		descriptive
321 [autopsy_preferred_date_4_2]
Show the field ONLY if:
[how_is_the_baby_now_4_2] = '2'
Preferred Date text (date_dmy)
322 [autopsy_preferred_time_4_2]
Show the field ONLY if:
[how_is_the_baby_now_4_2] = '2'
Preferred Time text (time)
323 [section_2_please_check_tha_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
SECTION 2: [Please check hospital record to confirm the data details] descriptive
324 [household_id_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Household ID
(of the pregnant women 3) 		text, Required
325 [mcp_card_number_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
MCP Card number
(of the pregnant women 3) 		text, Required
326 [mother_id_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Mother ID
(of the pregnant women 3) 		text, Required
327 [pregnancy_id_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Pregnancy ID of women

(of the pregnant women 3) 		text, Required
328 [baby_id_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Baby ID

(of the pregnant women 3) 		text, Required
329 [name_of_the_pregnant_women_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Name of the pregnant women

(of the pregnant women 3) 		text, Required
330 [age_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Current age

(of the pregnant women 3) 		text (number), Required
331 [husband_s_name_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Husband's name

(of the pregnant women 3) 		text, Required
332 [number_of_pregnant_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Mobile number

(of the pregnant women 3) 		text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX @PLACEHOLDER='10 digits'
333 [number_of_husband_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Mobile number of husband

(of the pregnant women 3) 		text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX @PLACEHOLDER='10 digits'
334 [pregnant_woman_s_house_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Is this pregnant woman's mother house or husband house

(of the pregnant women 3) 		radio, Required
1Mother house
2Husband house
335 [pregnant_woman_usual_resident_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Is this the pregnant woman's usual resident

(of the pregnant women 3) 		yesno, Required
1Yes
0No
336 [household_address_of_pregnant_women_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Household address

(of the pregnant women 3) 		text
337 [prgwmn_pin_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Pincode text
338 [household_address_of_the_husband_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Household address of the husband

(of the pregnant women 3) 		text
339 [husband_pin_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Pincode text
340 [informant_relation_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Informant relation with pregnant woman

(of the pregnant women 3) 		text, Required
341 [lmp_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
LMP

(of the pregnant women 3) 		text (date_dmy), Required
342 [edd_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
EDD

(of the pregnant women 3) 		text (date_dmy), Required
343 [gestational_age_at_deliver_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Gestational Age at delivery (MCP - CARD)
(of the pregnant women 3) 		text (number), Required
344 [place_of_delivery_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Place of delivery radio, Required
1Private
2Public
3Home
345 [mode_of_delivery_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Mode of delivery radio, Required
1Vaginal delivery: A natural, unassisted birth
2Assisted vaginal delivery: A birth that uses forceps or a vacuum
3C-section: A Cesarean birth
346 [date_of_delivery_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Date of Delivery

(of the pregnant women 3) 		text (date_dmy), Required
347 [outcome_of_pregnancy_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
What was the outcome of the pregnancy?
(of the pregnant women 3) 		radio, Required
1Live birth
2Abortion
3Still birth
348 [type_of_stillbirth_4_3]
Show the field ONLY if:
[outcome_of_pregnancy_4_3] = '3'
Type of stillbirth radio, Required
1Macerated
2Fresh
349 [how_is_the_baby_now_4_3]
Show the field ONLY if:
[outcome_of_pregnancy_4_3] = '1'
How is the baby now?

(of the pregnant women 3) 		radio, Required
1Live
2Dead
350 [is_the_baby_die_within_28_4_3]
Show the field ONLY if:
[how_is_the_baby_now_4_3] = '2'
Is the baby die within the 28 days after delivery yesno, Required
1Yes
0No
351 [baby_dies_within_day_no_of_4_3]
Show the field ONLY if:
[is_the_baby_die_within_28_4_3]='1'
Baby dies within day
(No of days) 		text (number), Required
352 [mention_date_of_death_4_3]
Show the field ONLY if:
[how_is_the_baby_now_4_3] = '2'
Please mention date of death

(of the pregnant women 3) 		text (date_dmy), Required
353 [baby_stop_moving_womb_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Did the baby stop "moving" in the womb before labor pain started
(of the pregnant women 3) 		yesno, Required
1Yes
0No
354 [baby_show_any_sign_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Did the baby show any sign of life (cry or move) after delivery?

(of the pregnant women 3) 		yesno, Required
1Yes
0No
355 [weight_of_newborn_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Birth Weight of newborn (in gms)

(of the pregnant women 3) 		text (number), Required
356 [verbal_autopsy_4_3]
Show the field ONLY if:
[how_is_the_baby_now_4_3] = '2'
For Verbal autopsy interview

(Of the pregnant women 2) 		notes
357 [check_with_informant_regarding_time_date_4_3]
Show the field ONLY if:
[how_is_the_baby_now_4_3] = '2'
Please check with the informant regarding the preferred time for the verbal autopsy interview with the
mother/ care giver who was present at the time of delivery. 		descriptive
358 [autopsy_preferred_date_4_3]
Show the field ONLY if:
[how_is_the_baby_now_4_3] = '2'
Preferred Date text (date_dmy)
359 [autopsy_preferred_time_4_3]
Show the field ONLY if:
[how_is_the_baby_now_4_3] = '2'
Preferred Time text (time)
360 [section_2_please_check_tha_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
SECTION 2: [Please check hospital record to confirm the data details] descriptive
361 [household_id_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Household ID
(of the pregnant women 4) 		text, Required
362 [mcp_card_number_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
MCP Card number
(of the pregnant women 4) 		text, Required
363 [mother_id_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Mother ID
(of the pregnant women 4) 		text, Required
364 [pregnancy_id_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Pregnancy ID of women

(of the pregnant women 4) 		text, Required
365 [baby_id_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Baby ID

(of the pregnant women 4) 		text, Required
366 [name_of_the_pregnant_women_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Name of the pregnant women

(of the pregnant women 4) 		text, Required
367 [age_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Current age

(of the pregnant women 4) 		text (number), Required
368 [husband_s_name_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Husband's name

(of the pregnant women 4) 		text, Required
369 [number_of_pregnant_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Mobile number

(of the pregnant women 4) 		text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX @PLACEHOLDER='10 digits'
370 [number_of_husband_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Mobile number of husband

(of the pregnant women 4) 		text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @FORCE-MINMAX @PLACEHOLDER='10 digits'
371 [pregnant_woman_s_house_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Is this pregnant woman's mother house or husband house

(of the pregnant women 4) 		radio, Required
1Mother house
2Husband house
372 [pregnant_woman_usual_resident_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Is this the pregnant woman's usual resident

(of the pregnant women 4) 		yesno, Required
1Yes
0No
373 [household_address_of_pregnant_women_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Household address

(of the pregnant women 4) 		text
374 [prgwmn_pin_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Pincode text
375 [household_address_of_the_husband_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Household address of the husband

(of the pregnant women 4) 		text
376 [husband_pin_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Pincode text
377 [informant_relation_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Informant relation with pregnant woman

(of the pregnant women 4) 		text, Required
378 [lmp_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
LMP

(of the pregnant women 4) 		text (date_dmy), Required
379 [edd_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
EDD

(of the pregnant women 4) 		text (date_dmy), Required
380 [gestational_age_at_deliver_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Gestational Age at delivery (MCP - CARD)
(of the pregnant women 4) 		text (number), Required
381 [place_of_delivery_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Place of delivery radio, Required
1Private
2Public
3Home
382 [mode_of_delivery_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Mode of delivery radio, Required
1Vaginal delivery: A natural, unassisted birth
2Assisted vaginal delivery: A birth that uses forceps or a vacuum
3C-section: A Cesarean birth
383 [date_of_delivery_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Date of Delivery

(of the pregnant women 4) 		text (date_dmy), Required
384 [outcome_of_pregnancy_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
What was the outcome of the pregnancy?
(of the pregnant women 4) 		radio, Required
1Live birth
2Abortion
3Still birth
385 [type_of_stillbirth_4_4]
Show the field ONLY if:
[outcome_of_pregnancy_4_4] = '3'
Type of stillbirth radio, Required
1Macerated
2Fresh
386 [how_is_the_baby_now_4_4]
Show the field ONLY if:
[outcome_of_pregnancy_4_4] = '1'
How is the baby now?

(of the pregnant women 4) 		radio, Required
1Live
2Dead
387 [is_the_baby_die_within_28_4_4]
Show the field ONLY if:
[how_is_the_baby_now_4_4] = '2'
Is the baby die within the 28 days after delivery yesno, Required
1Yes
0No
388 [baby_dies_within_day_no_of_4_4]
Show the field ONLY if:
[is_the_baby_die_within_28_4_4]='1'
Baby dies within day
(No of days) 		text (number), Required
389 [mention_date_of_death_4_4]
Show the field ONLY if:
[how_is_the_baby_now_4_4] = '2'
Please mention date of death

(of the pregnant women 4) 		text (date_dmy), Required
390 [baby_stop_moving_womb_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Did the baby stop "moving" in the womb before labor pain started
(of the pregnant women 4) 		yesno, Required
1Yes
0No
391 [baby_show_any_sign_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Did the baby show any sign of life (cry or move) after delivery?

(of the pregnant women 4) 		yesno, Required
1Yes
0No
392 [weight_of_newborn_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Birth Weight of newborn (in gms)

(of the pregnant women 4) 		text (number), Required
393 [verbal_autopsy_4_4]
Show the field ONLY if:
[how_is_the_baby_now_4_4] = '2'
For Verbal autopsy interview

(of the pregnant women 4) 		notes
394 [check_with_informant_regarding_time_date_4_4]
Show the field ONLY if:
[how_is_the_baby_now_4_4] = '2'
Please check with the informant regarding the preferred time for the verbal autopsy interview with the
mother/ care giver who was present at the time of delivery. 		descriptive
395 [autopsy_preferred_date_4_4]
Show the field ONLY if:
[how_is_the_baby_now_4_4] = '2'
Preferred Date text (date_dmy)
396 [autopsy_preferred_time_4_4]
Show the field ONLY if:
[how_is_the_baby_now_4_4] = '2'
Preferred Time text (time)
397 [thank_you]
Show the field ONLY if:
[result_please_tick] = '2' OR [result_please_tick] = '3'
    Thank you! descriptive
 
 398 [form_1_complete]
Section Header: Form Status
Complete? 		dropdown
0Incomplete
1Unverified
2Complete
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