Focus areas | Specific information | |
---|---|---|
Pregnancy history | Pregnancy risk factors / complications | |
Delivery mode | ||
Maternal age | ||
Neonatal characteristics | Gestational age | |
Sex | ||
Medical needs at birth and in NICU | • Need for resuscitation • Need for respiratory support • Medical complications • Infection • Intervention therapies • Medication prescriptions | |
Weight | • Birth weight (on admission to NICU/neonatal ward) • Weight on admission to C-KMC • Discharge weight | |
Head circumference | • At birth • On admission to C-KMC • On discharge | |
Body temperature | • On admission • During hospitalization in the NICU • During C-KMC • On discharge | |
Operational characteristics | Type of feeds – breast milk (tube/finger/direct), formula, mixed) | • In NICU • In C-KMC • At discharge |
Practice of C-KMC | • Intermittent KMC in NICU (Yes/No) • Mean duration of C-KMC (hours per day) • Maternal cooperation during C-KMC • Attendant to assist / substitute mother in doing C-KMC • Family support with and attitudes towards KMC | |
Duration of hospitalization (days) | • In NICU • In C-KMC | |
Discharge | Discharge permission signed by doctor | Â |
Parental socio-demographic | Mother’s educational level | |
Father’s educational level | ||
Place of residence | ||
Family income |