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ANNEX 7 Neonatal Mortality Reporting Form. DIRECTION The Neonatal Mortality Review Form below should be filled out by the midwife based on the.

How to fill out neonatal death reporting form

How to fill out a neonatal death reporting form:

1. Begin by gathering all the necessary information. This includes the newborn's full name, date of birth, and date of death. Make sure to also collect the parents' names, contact information, and any relevant medical history.
2. Next, carefully review the form instructions. Each form may have specific requirements or sections that need to be completed. Familiarize yourself with these guidelines to ensure accurate and thorough completion of the form.
3. Start by providing the basic demographic details of the newborn. This may include their gender, race, and any identifying marks or characteristics. Fill in these sections accordingly.
4. Proceed to complete the medical information. This may involve documenting the cause of death, any contributing factors, and any medical interventions or treatments provided. It is important to be as precise and detailed as possible, using medical terminology when necessary.
5. In certain cases, additional information related to the circumstances of the death may be required. This can involve questions about prenatal care, any complications during the birth, or any postnatal factors that may have contributed to the death. Answer these questions accurately and thoroughly.
6. Provide contact information for the healthcare providers involved in the care of the newborn. This usually includes the attending physician or healthcare facility, as well as any specialists or other professionals consulted during the care.
7. Finally, review the completed form for any errors or omissions. Double-check all the information provided to ensure accuracy. If needed, seek assistance or clarification from a healthcare professional or relevant authority before submitting the form.

Who needs a neonatal death reporting form:

A neonatal death reporting form is typically required by healthcare professionals involved in the care of newborns. This includes physicians, nurses, midwives, and any healthcare facilities responsible for the birth and postnatal care of infants. Additionally, certain authorities or regulatory bodies may also require this information for statistical and research purposes. It is essential to comply with the legal and professional requirements of reporting neonatal deaths to ensure accurate data collection and analysis.

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