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Table 2 Forms

From: Iatrogenic newborn weight loss: knowledge translation using a study protocol for your maternity setting

Form

Questions

Notes

Prenatal information

1. parity - we counted all children including newborn (i.e. no zeros, although prenatally they are nulliparous)

2. maternal age at birth

3. mom's first language

4. relationship status (committed or not)

5. maternal education

6. family income

- collect data at registration

- need description to determine if sample is representative of population

Maternal fluids

- divide into columns for oral and IV fluids

- highlight the 2 hr fluids

- plan to total amounts before inputting into database

- recommend parents record oral fluids for accuracy

- reminder is needed for estimating the last 2 hour-IV amount

Output record

- divide into 12 hour columns with several rows for each diaper weight

- note weight of dry diapers

- be clear about whether recorded weight includes dry weight of diaper

- leave space for missed diapers

- plan to add all columns before inputting into database

- use hours (0-12, > 12-24, > 24-36) not day to indicate timing for diapers

- participants can confuse first day and second day when the birth time is in between

Weight record

- using 12 hour increments, put one time per line

- be clear that weight should be in grams

- leave a column for notes

- use a column to confirm baby was naked

- use a column to indicate any extra weight (e.g. yes/no for security tag)

- weight in grams can be entered directly into the database

- timing of weights tend to be simpler than diapers

- establish a chart for converting pounds and ounces to grams

Infant feeding

- simple chart to track any supplements

- record amount in mls

- prospective records separate from medical records might be more accurate

Postpartum

information

1. gestational age

2. infant sex

3. birth type (vaginal or c-section)

4. supplemented (yes/no)

5. amount of supplement

- collect data at discharge when information is known

- need description to determine if sample is representative of population

- will use supplementation data in analysis