Primary outcome indicators | Definition | Methods to obtain outcome |
---|---|---|
 Fresh Stillbirth rate | Number of fresha stillbirths of at least 1000 g expressed per 1000 live and stillbirths | Perinatal e-registry |
 In-facility early perinatal mortality | Number of fresh stillbirths (as above) and up-to discharge neonatal deaths per 1000 live and stillbirths (composite indicator) | Perinatal e-registry |
Secondary outcomes | ||
 Hypoxic-ischaemic event rate | No of neonates with APGAR < 7 at 5 min per 1000 live and stillbirths | Perinatal e-registry |
 Hypoxic-ischaemic event rate | Umbilical cord lactate of > 5.5 mmolb per 1000 live and stillbirths | Perinatal e-registry, (sub-sample) |
 Neonatal seizures | No of neonates diagnosed with seizures per 1000 live and stillbirths | Perinatal e-registry |
 Caesarean section rate (%) | No of caesarean section per 100 live and stillbirths | Perinatal e-registry |
 Severe maternal morbidity | No of women with morbiditiesc per 1000 live and stillbirths | Perinatal e-registry |
 Responsiveness (%) | Validated questionnaire [39] (% score) per 100 live and stillbirths | Survey among women at discharge (exit interviews) |
 Mistreatment (%) | Proportion of women reporting mistreatment per 100 live and stillbirths | Survey among women at discharge (exit interviews) |
Process indicators (selected) | ||
 Detection of foetal distress | No. of detected foetal distress events per 100 deliveries defined by FIGO [40] | Perinatal e-registry |
 Decision-to-birth time for caesarean section | Median time (minutes) between decision to do a caesarean section to the birth of the baby | Perinatal e-registry |