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Form · OBS-FRM-002 · Version 1.0 · Approved by the ASF Expert Committee

Supports: Standard 12 (Obstetrics and Gynaecology), criterion 12.2, 12.9

Purpose

Records each birth, the staff present, the route used and the identifiers of mother and newborn.

How to complete

Checks

Check Entry
Date, time and type of birth Yes
Staff present and training checked (yes or no) Yes
Complication and route to support used Yes or N/A
Mother identifier Yes
Newborn identifier matched to mother Yes
Recorded by and time Yes

Evidence

Reference Note
E-009 Based on the WHO recommendations on antenatal care for a positive pregnancy experience (2016) and the WHO Standards for improving quality of maternal and newborn care in health facilities (2016).
E-006 ASF Policy Framework v1.2. Adapted.
E-009 ASF Expert Committee consensus.

Change history

Version Date What changed Approval
1.0 the date of approval First version set Expert Committee approval

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