Should capture the details of Infants from Delivery Outcome section
From 'Delivery Outcome' section based on the value (No of Live Births) of "Outcomes of Delivery" and "Live Births", Infant Registration should be multiplied, that is for each of the "Live Birth" baby one new 'Infant Registration' section should be created automatically.
Example: for 2 "Live Birth" babies there should be 2 'Infant Registration'

 

 

 

 


Photo

Woman Name:

w/o:

Age:

 

Phone No.

MCP No.

RCH Id:

 

Date of Delivery:

 

 


S No

Name of Data Field

Field Type

Value/ Options

Validation/ Logic/ Condition

1

Name of Baby

 
  • default Name is 'Baby of' <Mother Name>

Auto-populate, default Name is 'Baby of' <Mother Name>
Or
'Baby one of' <Mother Name>, 'Baby Two of' <Mother Name>,

2

Infant Term

Text Box
  • Appears as
    Full Term - F/Preterm – P
  • Display Full Term, if Delivery Date is between 37 completed weeks to less than 42 completed weeks w.r.t LMP Date.
  • Display Preterm, if Delivery Date is less than 37 completed weeks w.r.t LMP Date.

3

Was Corticosteroid Inj. given?

Radio Button
  • Options as

    Yes - Y/ No- N / Don't Know- NA
    Default - null
  • Default value null

4

Sex of Infant

Radio Button
  • Options as
    Male - M / Female - F

 

5

Baby Cried Immediately at Birth

Radio Button
  • Options as

    Yes - Y / No – N
    Default - null
  • Default value null
  • Open "If No, Resuscitation Done" data field on selection of No option and is mandatory.

6

If No, Resuscitation Done

Radio Button
  • Options as

    Yes- Y / No – N
    Default - 0

 

7

Referred to higher facility for further management

Radio Button
  • Options as

    Yes - Y/ No- N/
    Not Applicable - NA
  • Default Value: to be "Not Applicable" if no data is entered

8

Any birth defect seen at birth?

Radio Button
  • Options as
    Yes / No
  • Open "Any defect seen at birth" data field on selection of Yes option.

9

Defect seen at birth

Spinner

Choose:

  • Cleft Lip / Cleft Palate
  • Club Foot
  • Down's Syndrome
  • Hydrrocephalus
  • Imperforate Anus
  • Neural Tube Defect (Spinal Bifida)
  • Other
  • If "Other" is selected, Open "Other defect seen at birth"

10

Other defect seen at birth

Text Box
  • Accept only alphabets and special character
  • Character limit 50

 

11

Weight at Birth (kg)

Custom Number Picker
  • Accept numeric (integer) value up to one decimal place only
  • Values from 0.5 to 7.0

If Weight of Baby is Less than 2.5 kg, then treat as LBW Baby
Then flag as LBW Baby Case and show in scheduler till DOB + 42 days

12

Breast feeding started within one hour of birth

Radio Button
  • Choose from
    Yes - Y/No - N

 

13

OPV0 Dose

Calendar
  • Choose the date from the calendar
  • Format: dd-mm-yyyy
  • Default value is null
  • Accept date between Delivery Date to 15 days from Delivery Date.
  • Not greater than Today's Date

14

BCG Dose

Calendar
  • Choose the date from the calendar
  • Format: dd-mm-yyyy
  • Default value is null
  • Accept date between Delivery Date to 1 year from Delivery Date.
  • Not greater than Today's Date

15

HEP B-0 Dose

Calendar
  • Choose the date from the calendar
  • Format: dd-mm-yyyy
  • Default value is null
  • Accept date between Delivery Date to 1 day after Delivery Date.
  • Not greater than Today's Date

16

VITK Dose

Calendar
  • Choose the date from the calendar
  • Format: dd-mm-yyyy
  • Default value is null
  • Accept date between Delivery Date to 1 day after Delivery Date.
  • Not greater than Today's Date



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