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Stillbirth Reduction 1.0PID 25
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 07/04/2025 10:19pm
Field finder: — When viewing this page, collapse:
Data Dictionary Codebook
Stillbirth Reduction 1.0 (PID: 25)
07/04/2025 10:19pm
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 [section_1_icmr_still_birth] SECTION 1: ICMR - STILL BIRTH REDUCTION descriptive
3 [date_of_interview] Date of Interview text (datetime_seconds_dmy), Required
Field Annotation: @NOW-SERVER
4 [field_investigator_code] Field Investigator code text, Required
5 [block] Block radio, Required
1Urban
2Rural
6 [taluk_name] Taluk Name text, Required
7 [rural_village_name_or_loc]
Show the field ONLY if:
[block] = '2'
If Rural, Village name (or Locality name) text, Required
8 [if_urban]
Show the field ONLY if:
[block] = '1'
If Urban, radio, Required
1City
2Town
9 [household_id_where_survey] Household ID (where survey is done) text, Required
10 [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
11 [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)
12 [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)
13 [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)
14 [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)
15 [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)
16 [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)
17 [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)
18 [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)
19 [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)
20 [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)
21 [household_address] Household Address text, Required
22 [pin_code] Pin code text (number), Required
23 [informant_name] Informant name text, Required
24 [informant_mobile_no] Informant Mobile No text (number, Min: 0000000000, Max: 9999999999), Required
Field Annotation: @PLACEHOLDER='10 Digits Number' @FORCE-MINMAX
25 [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.
26 [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
27 [household_id_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Household ID text, Required
28 [mcp_card_number_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
MCP Card number text, Required
29 [mother_id_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Mother ID text, Required
30 [pregnancy_id_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Pregnancy ID text, Required
31 [baby_id_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Baby ID text, Required
32 [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
33 [age_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Current age of the pregnant women text (number), Required
34 [husband_s_name_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Husband's name text, Required
35 [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
36 [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
37 [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
38 [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
39 [household_address_of_pregnant_women]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Household address of the pregnant women text
40 [pincod_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Pincode text (number)
41 [household_address_of_the_husband]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Household address of the husband text
42 [husband_add_pincod_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Pincode text (number)
43 [informant_relation]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Informant relation with pregnant woman text, Required
44 [lmp]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
LMP text (date_dmy), Required
45 [edd]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
EDD text (date_dmy), Required
46 [date_of_delivery]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Date of Delivery text (date_dmy), Required
47 [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
48 [place_of_delivery]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Place of delivery radio, Required
1Private
2Public
3Home
49 [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
4VBAC: A vaginal birth after a C-section
50 [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
4Neonatal
51 [how_is_the_baby_now]
Show the field ONLY if:
[outcome_of_pregnancy] = '1'
How is the baby now? radio, Required
1Live
2Dead
52 [mention_date_of_death]
Show the field ONLY if:
[how_is_the_baby_now] = '2'
Please mention date of death

 text (date_dmy), Required
53 [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
54 [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
55 [weight_of_newborn]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '1'
Birth Weight of newborn (in gms) text (number), Required
56 [verbal_autopsy]
Show the field ONLY if:
[how_is_the_baby_now] = '2'
For Verbal autopsy interview
notes
57 [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
58 [autopsy_preferred_date]
Show the field ONLY if:
[how_is_the_baby_now] = '2'
Preferred Date text (date_dmy)
59 [autopsy_preferred_time]
Show the field ONLY if:
[how_is_the_baby_now] = '2'
Preferred Time text (time)
60 [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
61 [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
62 [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
63 [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
64 [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
65 [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
66 [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
67 [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
68 [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
69 [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'
70 [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'
71 [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
72 [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
73 [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
74 [pincod_2_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Pincod text
75 [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
76 [husband_pin_2_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Pincode text
77 [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
78 [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
79 [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
80 [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
81 [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
82 [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
83 [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
4VBAC: A vaginal birth after a C-section
84 [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
4Neonatal
85 [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
86 [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
87 [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
88 [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
89 [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
90 [verbal_autopsy_2_1]
Show the field ONLY if:
[how_is_the_baby_now_2_1] = '2'
For Verbal autopsy interview
notes
91 [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
92 [autopsy_preferred_date_2_1]
Show the field ONLY if:
[how_is_the_baby_now_2_1] = '2'
Preferred Date text (date_dmy)
93 [autopsy_preferred_time_2_1]
Show the field ONLY if:
[how_is_the_baby_now] = '2'
Preferred Time text (time)
94 [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
95 [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
96 [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
97 [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
98 [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
99 [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
100 [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
101 [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
102 [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
103 [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'
104 [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'
105 [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
106 [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
107 [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
108 [pgwmn_pincod_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Pincode text
109 [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
110 [husband_pin_2_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '2'
Pincode text
111 [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
112 [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
113 [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
114 [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
115 [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
116 [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
117 [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
4VBAC: A vaginal birth after a C-section
118 [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
4Neonatal
119 [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
120 [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
121 [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
122 [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
123 [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
124 [verbal_autopsy_2_2]
Show the field ONLY if:
[how_is_the_baby_now_2_2] = '2'
For Verbal autopsy interview
notes
125 [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
126 [autopsy_preferred_date_2_2]
Show the field ONLY if:
[how_is_the_baby_now_2_2] = '2'
Preferred Date text (date_dmy)
127 [autopsy_preferred_time_2_2]
Show the field ONLY if:
[how_is_the_baby_now_2_2] = '2'
Preferred Time text (time)
128 [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
129 [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
130 [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
131 [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
132 [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
133 [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
134 [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
135 [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
136 [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
137 [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
138 [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
139 [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
140 [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
141 [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
142 [pincod_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Pincode text (number)
143 [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
144 [husband_add_pincod_3_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Pincode text (number)
145 [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
146 [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
147 [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
148 [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
149 [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
150 [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
151 [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
4VBAC: A vaginal birth after a C-section
152 [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
4Neonatal
153 [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
154 [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
155 [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
156 [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
157 [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
158 [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
159 [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
160 [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)
161 [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)
162 [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
163 [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
164 [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
165 [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
166 [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
167 [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
168 [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
169 [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
170 [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
171 [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
172 [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
173 [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
174 [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
175 [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
176 [pincod_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Pincode text (number)
177 [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
178 [husband_add_pincod_3_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Pincode text (number)
179 [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
180 [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
181 [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
182 [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
183 [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
184 [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
185 [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
4VBAC: A vaginal birth after a C-section
186 [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
4Neonatal
187 [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
188 [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
189 [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
190 [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
191 [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
192 [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
193 [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
194 [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)
195 [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)
196 [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
197 [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
198 [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
199 [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
200 [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
201 [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
202 [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
203 [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
204 [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
205 [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
206 [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
207 [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
208 [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
209 [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
210 [pincod_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Pincode text (number)
211 [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
212 [husband_add_pincod_3_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '3'
Pincode text (number)
213 [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
214 [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
215 [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
216 [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
217 [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
218 [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
219 [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
4VBAC: A vaginal birth after a C-section
220 [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
4Neonatal
221 [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
222 [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
223 [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
224 [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
225 [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
226 [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
227 [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
228 [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)
229 [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)
230 [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
231 [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
232 [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
233 [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
234 [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
235 [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
236 [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
237 [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
238 [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
239 [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'
240 [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'
241 [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
242 [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
243 [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
244 [prgwmn_pin_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Pincode text
245 [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
246 [husband_pin_4_1]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Pincode text
247 [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
248 [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
249 [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
250 [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
251 [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
252 [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
4VBAC: A vaginal birth after a C-section
253 [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
254 [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
4Neonatal
255 [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
256 [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
257 [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
258 [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
259 [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
260 [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
261 [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
262 [autopsy_preferred_date_4_1]
Show the field ONLY if:
[how_is_the_baby_now_4_1] = '2'
Preferred Date text (date_dmy)
263 [autopsy_preferred_time_4_1]
Show the field ONLY if:
[how_is_the_baby_now_4_1] = '2'
Preferred Time text (time)
264 [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
265 [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
266 [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
267 [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
268 [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
269 [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
270 [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
271 [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
272 [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
273 [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'
274 [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'
275 [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
276 [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
277 [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
278 [prgwmn_pin_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Pincode text
279 [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
280 [husband_pin_4_2]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Pincode text
281 [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
282 [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
283 [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
284 [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
285 [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
286 [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
287 [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
288 [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
4Neonatal
289 [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
290 [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
291 [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
292 [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
293 [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
294 [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
295 [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
296 [autopsy_preferred_date_4_2]
Show the field ONLY if:
[how_is_the_baby_now_4_2] = '2'
Preferred Date text (date_dmy)
297 [autopsy_preferred_time_4_2]
Show the field ONLY if:
[how_is_the_baby_now_4_2] = '2'
Preferred Time text (time)
298 [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
299 [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
300 [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
301 [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
302 [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
303 [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
304 [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
305 [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
306 [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
307 [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'
308 [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'
309 [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
310 [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
311 [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
312 [prgwmn_pin_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Pincode text
313 [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
314 [husband_pin_4_3]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Pincode text
315 [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
316 [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
317 [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
318 [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
319 [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
320 [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
4VBAC: A vaginal birth after a C-section
321 [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
322 [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
4Neonatal
323 [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
324 [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
325 [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
326 [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
327 [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
328 [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
329 [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
330 [autopsy_preferred_date_4_3]
Show the field ONLY if:
[how_is_the_baby_now_4_3] = '2'
Preferred Date text (date_dmy)
331 [autopsy_preferred_time_4_3]
Show the field ONLY if:
[how_is_the_baby_now_4_3] = '2'
Preferred Time text (time)
332 [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
333 [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
334 [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
335 [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
336 [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
337 [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
338 [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
339 [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
340 [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
341 [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'
342 [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'
343 [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
344 [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
345 [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
346 [prgwmn_pin_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Pincode text
347 [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
348 [husband_pin_4_4]
Show the field ONLY if:
[number_of_pregnant_women_last_year] = '4'
Pincode text
349 [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
350 [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
351 [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
352 [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
353 [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
354 [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
4VBAC: A vaginal birth after a C-section
355 [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
356 [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
4Neonatal
357 [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
358 [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
359 [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
360 [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
361 [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
362 [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
363 [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
364 [autopsy_preferred_date_4_4]
Show the field ONLY if:
[how_is_the_baby_now_4_4] = '2'
Preferred Date text (date_dmy)
365 [autopsy_preferred_time_4_4]
Show the field ONLY if:
[how_is_the_baby_now_4_4] = '2'
Preferred Time text (time)
366 [thank_you]
Show the field ONLY if:
[result_please_tick] = '2' OR [result_please_tick] = '3'
    Thank you! descriptive
 
 367 [form_1_complete]
Section Header: Form Status
Complete? 		dropdown
0Incomplete
1Unverified
2Complete
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