Special Report on Maternal Mortality and Severe Morbidity in Canada Enhanced Surveillance: The Path to Prevention

References

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Appendix A.

Maternal Death Data Collection Tool

Date of form completion:

Province:

A. Background Information

1. Date of death
2. Date of birth
3. Age (in years)
4. Cause of death
   (as determined by coroner/review committee where applicable/all sections on death certificate where available)
5. ICD-9 code
6. Was this a coroner's case
7. Was an autopsy performed
8. Gestation at time of death or termination of pregnancy
9. Was gestation confirmed by ultrasound
10. a) For deaths < 24 weeks' gestation: still pregnant
    • miscarriage/abortion/mole
    • ectopic
      
    • b) For deaths 24 weeks' gestation or later: ante-partum
    • intra-partum
    • post-partum < 42 days
    • post-partum
11. Place of death (hospital, home, other)
12. Deceased marital status
13. Deceased place of birth
14. Immigration status
15. Ethnicity
16. Language
17. Deceased occupation
18. Details of drug/alcohol/tobacco use
19. Relevant personal/social history/circumstances

B. Reproductive/Medical History

20. Contraceptive history (where available)
21. History of infertility (where available)
22. Previous pregnancies
    (dates, gestation, birthweight, complications, delivery methods, other relevant details)
23. Past medical/surgical history

C. Current Pregnancy

24. LNMP
25. Ultrasound confirmation (if yes, at what gestational age)
26. Record of antenatal care
27. Specific comments of antenatal care

For deaths from miscarriage or termination of pregnancy

28. Date of miscarriage or TOP
29. a) Miscarriage (complete, incomplete, missed abortion, hydatidiform mole)
    b) TOP (legal, other)
30. Location of death (home, hospital, other)

For deaths from ectopic pregnancy

31. Did the woman know she was pregnant
32. Was pregnancy confirmed by MD, midwife
33. Was diagnosis confirmed by ultrasound
34. Location of death
35. Medical personnel attending
36. Details of events leading to death, including operation, ICU

For deaths occurring before labour, other than ectopic or abortion

37. Cause of death
38. Summary of events

For deaths during labour and delivery

39. Date of delivery
40. Gestation at delivery
41. Admission to hospital (date and time)
42. Admission to delivery suite (date and time)
43. Onset of labour (date and time)
44. Place of delivery
45. Transfer in labour
46. Attendance during labour/delivery
47. Duration of labour by stage (hours and minutes)
48. Was labour spontaneous/induced (details of method, drug, dosages and times)
    
49. Mode of delivery
50. If assisted, method
51. Other relevant comments, including difficulty or delay in obtaining services/products, abnormalities arising out of labour, and indications for operative delivery

For cesarean section

52. Type
53. Medical staff
54. Describe operation and any difficulties encountered

Third stage

55. Estimated primary blood loss
56. Laceration/episiotomy/repair
57. Method of delivery of placenta
58. Membranes and placenta complete
59. Other comments on placenta
60. IV infusions required
61. Oxytocic drugs used during/after third stage
62. Other comments on third stage

Baby/babies

63. Birthweight
64. Gestational age at birth
65. Male/female
66. If live birth, outcome -- asphyxia, death, transferred to ICU
67. If stillbirth, during/before labour
68. Autopsy findings on infant (where available)

Puerperium

69. Date of discharge
70. Time after termination of pregnancy (days/hours)
71. Details of any puerperal complications
72. Relevant laboratory findings, i.e., Hgb
73. Blood transfusion
74. Transfer to ICU
75. Readmission
76. Details of readmission (days after delivery, reasons)

D. Specific Categories of Death

Deaths from other medical or surgical conditions

77. Specific disorder
78. Pre-date pregnancy (age at onset and previous treatment)
79. Special care during pregnancy
80. Summary of events leading to death

Deaths from thromboembolism

81. Diagnosis date (gestation or time post-partum)
82. Site of thrombosis
83. Site of embolism
84. Past history of thromboembolism
85. Family history of thromboembolism
86. Risk factors
87. Thromboprophylaxis during pregnancy or delivery
88. Summary of events leading to death

E. Psychiatric and Social Services

89. History of problem
90. Summary of events leading to death
91. Mental health/social services provided before, during and after pregnancy
92. If suicide, post-natal depression, puerperal psychosis, relapse or recurrence of mental illness

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