I agree with Henry that i0377 and associated questions are particularly important for possible stillbirths, but they must not be skipped for confirmed neonatal deaths. That would be an unintended and unhelpful consequence of creating the separate stillbirth section near the top.
Peter
Peter Byass
Professor of Global Health, Umeå University
Honorary Professor, Universities of Aberdeen and the Witwatersrand
In the neonatal questionnaire, id10377, id10379_unit and accompanying id10380 and id10379 are currently in the section for confirmed neonatal deaths. However, these questions are most useful for distinguishing antepartum from intrapartum stillbirths, and therefore should be in the section for confirmed stillbirths. They would be best placed together with id10116 on maceration, which serves the same purpose of differentiating antepartum from intrapartum stillbirths (although there have been several publications recently questioning the utility of reported maceration for this purpose, given the finding of poor agreement both between health providers’ assessment of maceration and time since fetal death and VA respondents’ reports of maceration and fetal movement before or after labor onset; all of which increases the importance of mothers’ reports of fetal movement to make the antepartum/intrapartum determination). These questions could also be kept in the neonatal section if needed by the algorithm (? mixed antepartum/intrapartum-related event/asphyxia ?).
aurdipas
commented
2 years ago
I agree with Henry that i0377 and associated questions are particularly important for possible stillbirths, but they must not be skipped for confirmed neonatal deaths. That would be an unintended and unhelpful consequence of creating the separate stillbirth section near the top.
Peter
Peter Byass
Professor of Global Health, Umeå University
Honorary Professor, Universities of Aberdeen and the Witwatersrand
In the neonatal questionnaire, id10377, id10379_unit and accompanying id10380 and id10379 are currently in the section for confirmed neonatal deaths. However, these questions are most useful for distinguishing antepartum from intrapartum stillbirths, and therefore should be in the section for confirmed stillbirths. They would be best placed together with id10116 on maceration, which serves the same purpose of differentiating antepartum from intrapartum stillbirths (although there have been several publications recently questioning the utility of reported maceration for this purpose, given the finding of poor agreement both between health providers’ assessment of maceration and time since fetal death and VA respondents’ reports of maceration and fetal movement before or after labor onset; all of which increases the importance of mothers’ reports of fetal movement to make the antepartum/intrapartum determination). These questions could also be kept in the neonatal section if needed by the algorithm (? mixed antepartum/intrapartum-related event/asphyxia ?).
Best regards,
Henry