Variables in Delivery Report Form (DRF)
Question# Question Field name Response nature Response options
1 PID number PID ### ###
2 Child PID number drf_A 9### 9###
3 Initials of the mother drf _B XX XX
4 Researcher code drf _C ## ##
5 Date of Interview
(according to English calender)
drf _D dd-mmm-yy dd-mmm-yy
6 Date of Birth of child
(according to English calender)
drf_1 dd-mmm-yy dd-mmm-yy
7 Place of delivery?  drf_2 ## 1=Study site, 2=Bhaktapur H., 3=Maternity H., 4=Patan H., 5=T. U. Teaching H., 6=Dhulikhel H., 7=Kathmandu Medical College (KMC), 8=Scheer Memorial H.Banepa, 9=Home, 10=Other
8 Gestational age (wks) at delivery drf _3 ##  
9 Type of Delivery  drf _4 # 1=Vaginal/normal, 2= Induced vaginal delivery, 3=Caesarian section, 4=Vacuums/forceps delivery, 5=Other
10 If other than normal delivery, specify indication of CS or instrumental delivery drf _4 txt TXT NA if drf_4=1;
TEXT if drf_4ǂ1
11 Any labor/ delivery complication drf_5 ## 2=No, 3=Preterm labor/ delivery, 4= Premature Rupture of Membranes (PROM) 5=Abnormal position/presentation, 6= Cord prolapse, 7=Fetal Distress (Meconium Stained Liquor/Tachy/bradycardia),  8=Prolonged labor/failure to progress, 9=NA, 10=Precipitate Labor, 11=Pre-eclampsia/Eclampsia, 12=III degree/IV degree perineal tear, 13= Post-partum hemorrhage (PPH), 14=Others
12 Is there any more complication?  drf _5_i ## 2=No, 3=Preterm labor/ delivery, 4= Premature Rupture of Membranes (PROM) 5=Abnormal position/presentation, 6= Cord prolapse, 7=Fetal Distress (Meconium Stained Liquor/Tachy/bradycardia),  8=Prolonged labor/failure to progress, 9=NA, 10=Precipitate Labor, 11=Pre-eclampsia/Eclampsia, 12=III degree/IV degree perineal tear, 13= Post-partum hemorrhage (PPH), 14=Others
13 If other/more complication, specify drf _5_ii TXT TEXT if drf_5_i=14
NA if drf_5_iǂ14
14 Was the baby alive?  drf _6 # 1=Yes, 2=No (still birth)
15 Did the baby cry just after birth? drf_7 # 1=Yes, 2=No 
16 Apgar scores (in total of 10)  
17 i.                at1 min  drf_8i ## ##
18 ii.              at 5 min  drf_8ii ## ##
19 Sex of the baby  drf_9 # 1=Male, 2=Female, 3=Unknown
20 Any complications or medication for baby after birth?  drf _10 # 1=Yes, 2=No 
21 If yes, specify drf _10txt TXT TEXT if drf_10=1
NA if drf_102
22 Any congenital anomaly? drf _11 # 1=Yes, 2=No 
23 If yes, Specify drf _11txt TXT TEXT if drf_11=1
NA if drf_11=2
24 Admission of baby in hospital after birth?                                               drf _12  # 1=NICU, 2=No, 3=Other ward
25 If admitted, specify diagnosis. Drf_12txt TXT NA if drf_12=2
TEXT if drf_12ǂ2
26 Any complication with mother and medication use? drf _13 # 1=Yes, 2=No 
27 If yes, specify drf _13txt TXT TEXT if drf_13=1
NA if drf_13=2
28 Did the mother need prolonged hospitalization after delivery? drf _14 # 1=Yes, 2=No 
29 If yes, specify reason drf _14txt TXT TEXT if drf_14=1
NA if drf_14=2
30 Was prelacteal feeding done? If yes which food was given?  drf _15 # 2=No, 3=Donor milk, 4=Formula milk, 5=Glucose water, 6=Animal milk, 7=Honey, 8=Others
31 If others, specify drf _15_a   TXT TEXT if drf_15=8
NA if drf_15ǂ 8
32 Reason for prelacteal feeding?  drf _15_b  # 1=Caesarian section, 2=Preterm/LBW 3=Illness of Baby, 4=Illness of mother, 5=No milk secretion, 6= Others
33 If others, specify drf _15_c TXT TEXT if drf_15_b=6
NA if drf_15_bǂ 6
34 When was breastfeeding initiated after birth?  drf _16 # 1=within 1 hour, 2=1-2 hours, 3=2-4 hours 4=5-24 hours, 5= after 24 hours
35 Birth weight of the baby (gm)
(According to hospital record)
drf _17 ####  
Anthropometric measurement of the neonate on the day of interview
(Measurement by field)
36 Weight of the baby (gm) drf _18 ####  
37 Weight of the baby (gm) drf _18_i ####  
38 Length of the baby (cm) drf_19 ##.#  
39 Length of the baby (cm) drf_19_i ##.#  
40 Head circumference (cm) drf_20 ##.#  
41 Head circumference (cm) drf_20_i ##.#  
42 Remarks   TXT