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MO-03.MONARCH.ANTENATAL.AND.DELIVERY.MCR
Monarch.Antenatal.and.Delivery.MCR.03
South Africa
,
2015 - 2016
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Reference ID
MO-03.Monarch.Antenatal.and.Delivery.MCR
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Created on
Jun 06, 2017
Last modified
Jun 06, 2017
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Study Description
Data Dictionary
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MO-03 Monarch
Antenatal &
Delivery MCR
Data file: MO-03 Monarch Antenatal & Delivery MCR
Cases:
2551
Variables:
531
Variables
SfDate10Ad
SF Measurement at Tenth ANC Visit (Date10)
UrineTest10Ad
Date 10: Was an urine test done?
PhdoneDate10Ad
Date 10: was the pH of the urine recorded?
UrineDip10Protein
P (protein): nil
UrineDip10Ptrace
P trace
UrineDip10P2Plus
P 1+
UrineDip10P3Plus
P 2+
UrineDip10P4Plus
P 3+
UrineDip10Sugar
S (sugar): nil
UrineDip10Strace
S trace
UrineDip10S1Plus
S 1+
UrineDip10S2Plus
S 2+
UrineDip10S3Plus
S 3+
UrineDip10Unknown
Unknown
UrineDip10Other
Other (specify)
PhDate10Ad
If yes, what was the pH for Date 10?
OtherUrineDate10Ad
For Date 10 were there any other urine results noted?
ResultOtherUrine10Ad
If other urine results (eg Bilirubin) were recorded, what was the results?
Papsmear10Ad
For Date 10: Pap smear done?
ResultPapsmear10Ad
Date 10: Result of pap smear
PapsmearOtherRes10Ad
If Other, please specify
AbnormalPapmng10Ad
Date 10: If abnormal pap smear result (CIN I, II,III,Cervical Cancer, indetermina
Date10RvdTestAd
Date 10: Did the mother have a HIV Antibody (RVD) test?
RvdResult10Ad
If Yes, what was the result?
Cd4Date10Ad
Date 10: Was the CD4 count determined?
ResultCd4Date10Ad
If Yes, what was the CD4 count?
ViralDate10RequestAd
Date 10: Was there any viral load requested or done?
ViraLaod10Ad
If Yes, what was the viral load?
Artrx10Ad
On Date 10, was she initiated on ART? (antiretroviral therapy) at THIS antenatal
SyphScrt10Ad
Did the mother receive a rapid syphilis test?
SyphScr10Ad
If yes what was the result?
ResrprSyph10Ad
If the syphilis screen was positive what was the RPR (titre)?
TphaSyph10Ad
If syphilis screen was positive what was the TPHA?
ArtStarComb10Fixed
Fixed dose combination (TDF/FTC/EFV)
ArtStarComb10TDF
TDF (tenofovir)
ArtStarComb10FTC
FTC (emtricitabine)
ArtStarComb10AZT
AZT (zidovudine)
ArtStarComb103TC
3TC (lamivudine)
ArtStarComb10ABC
ABC (abacavir)
ArtStarComb10d4T
d4T (stavudine)
ArtStarComb10EFV
EFV (efavirenz)
ArtStarComb10NVP
NVP (nevirapine)
ArtStarComb10LPV
LPV/r (lopinavir/ritonavir, aluvia)
ArtStarComb10ATV
ATV/r (atazanavir/ritonavir)
ArtStarComb10RAL
RAL (raltegravir)
ArtStarComb10Unknown
Unknown
SyphTreatment10Ad
If syphilis positive did the mother receive treatment?
Date10TbScrAd
For Date 10, was the mother screened for Tb during pregnancy?
Date10TbScrResultAd
For Date 10, if yes to above, what was the result?
Date10TbpxAd
For Date 10, was the mother prescribed isoniazid (INH) prophylaxis (with pyridox
Date10TbTreatAd
For Date 10, was the mother started on Tb treatment?
Date10TbTreatNot
Not screened for Tb
Date10TbTreatNeg
Tb screen negative
Date10TbTreatIsoniazid
Isoniazid (INH or H)
Date10TbTreatRifampicin
Rifampicin (RIF, or R)
Date10TbTreatRifabutin
Rifabutin
Date10TbTreatEthambutol
Ethambutol (E)
Date10TbTreatPyrazinamide
Pyrazinamide (Z)
Date10TbTreatPyridoxine
Pyridoxine (vitamin for INH side effects)
Date10TbTreatStreptomycin
Streptomycin
Date10TbTreatAmikacin
Amikacin
Date10TbTreatClarithromycin
Clarithromycin
Date10TbTreatAzithromycin
Azithromycin
Date10TbTreatCiprofloxacin
Ciprofloxacin
Date10TbTreatMoxifloxacin
Moxifloxacin
Date10TbTreatPAS
Para Amino Salicylic acid (PAS)
Date10TbTreatCapreomycin
Capreomycin
Date10TbTreatEthionamide
Ethionamide
Date10TbTreatCycloserine
Cycloserine
Date10TbTreatBedaquiline
Bedaquiline
Date10TbTreatUnknown
Unknown
Date10Suppl1Multi
Multi-vitamins (mvt)
Date10Suppl1Ferrous
Ferrous Sulphate/FeSO4/Iron
Date10Suppl1Folic
Folic Acid
Date10Suppl1Calcium
Calcium Suppl
Date10Suppl1Pregamal
Pregamal
Date10Suppl1VitaminB
Vitamin B-Complex
Date10Suppl1Other
Other
OtherSuppl10Ad
On Date 10, which other supplements were prescribed?
Date10AdviceContracepAd
For Date 10, was any advice/information/counselling on contraception/safe sex giv
AdviceInfDate10Ad
For Date 10, was there any advice/counselling/information given with regards to i
Date10AddAdviceAd
For Date 10, was there anything else in clinical notes not covered by the above?
AntenatalUss10Ad
Did the mother have an ultrasound during pregnancy?
UssResult10Ad
If yes, what was the result of the USS? Enter BPD, FL, Abd.Circ., Placenta, Other
Date10PalpitationsAd
For Date 10 were there any palpitations reported?
Date10IxpalpnsAd
What investigations were performed for palpitations? e.g. ECG, ECHO, scans (Date
Date10TxpalpnsAd
Was any treatment prescribed for palpitations?
Date10HypertensionAd
For Date 10 was there any Hypertension (HPT)/Pregnancy Induced Hypertension (PIH)
Date10OtherHypertensionAd
If Other, please specify
IxhtDate10Ad
What investigations were performed for hypertension?
Date10hyperAldomet
Aldomet (methyldopa)
Date10hyperAdalat
Adalat (nifedipine)
Date10hyperNil
Nil Treatment prescribed
Date10hyperOther
Other (specify)
Date10hyperBeta
Beta blocker (e.g. labetalol)
Date10HypertxAd
If Other treatment for hypertension related conditions, please specify.
Headache10Ad
Date 10: Was there any headache recorded?
HeadacheInvest10Ad
What investigations were performed for headache?
RxHeadache10Ad
Date 10: Was there any treatment prescribed for the headache?
GestdiabScrDate10Ad
Was the mother screened for diabetes in pregnancy?
Gest10DiabUrine
Urine dipstick (glucose)
Gest10DiabRandom
Random blood glucose (blood test)
Gest10DiabFasting
Fasting blood glucose (blood test)
Gest10DiabGlucose
Glucose tolerance test, OGTT (blood tests over 3 hours)
Gest10DiabUnknown
Unknown
GestDiabResult10Ad
If yes, what was the result of the diabetes screening test?
TxGestDiabDate10Ad
What treatment and/or advice was the mother given for diabetes (or glucose intole
Date10OtherCondAd
For Date 10, please list other conditions not listed above.
ixdate10othercondAd
Were any additional investigations performed for Other Conditions listed above?
Date10OtherMedPrescAd
For Date 10, were there any other medications prescribed? eg. Amoxil, Panado
IxOtherProt10Ad
Which other investigations/protocols were followed 9according to the Maternity Ca
OtherLab10Ad
Date 10: Were there other lab results available?
OtherLabRes10Sodium
Sodium
OtherLabRes10Potassium
Potassium
OtherLabRes10Chloride
Chloride
OtherLabRes10Bicarbonate
Bicarbonate
OtherLabRes10Urea
Urea
OtherLabRes10Creatinine
Creatinine
OtherLabRes10Albumin
Albumin
OtherLabRes10ALT
ALT (alanine aminotransferase)
OtherLabRes10ALP
ALP (alkaline phosphatase)
OtherLabRes10GGT
GGT (gamma glutamyl transferase)
OtherLabRes10AST
AST (aspartate aminotransferase)
OtherLabRes10Bilirubin
Bilirubin
OtherLabRes10HepatitisB
Hepatitis B tests
OtherLabRes10HepatitisC
Hepatitis C tests
OtherLabRes10CMV
CMV
OtherLabRes10Virology
Other virology
OtherLabRes10Hb
Haemoglobin (Hb)
OtherLabRes10WBC
White blood cells
OtherLabRes10Platelets
Platelets
HbDate10Ad
Date10: What was the Hb value on this result?
Mrnhema10Ad
Date 10: If Yes to any of the above lab tests, what was the MRN for Haematology?
LabnoHaem10Ad
Date 10: If yes to any of the above lab tests, what is the lab number for Haemato
MrnChempath10Ad
Date 10: If yes to any of the above lab tests, what was the MRN for Chemical Path
LabnoChempath10Ad
If yes to any of the above lab tests, what is the lab number for Chemical Patholo
MrnVirol10Ad
Date 10: If yes to any of the above lab tests, what was the MRN for Virology?
LabnoVirol10Ad
Date 10: If yes to any of the above lab tests, what is the lab number for Virolog
MrnImmunol10Ad
Date 10: Is there an MRN for Immunology?
LabnoImmunol10Ad
Date 10: Is there a lab number for Immunology?
BarcodeDate10Ad
For Date 10, is there any barcoded sticker for lab tests on the clinical notes?
AnnrBarcode10Ad
Date 10: What are the AA codes underneath the barcode?
AncVisitsOverTenAd
MORE THAN 10 ANC VISITS:
NewHivDxAd
Was the mother newly diagnosed with HIV during the current pregnancy?
NewHivDxFixed
Fixed dose combination (TDF/FTC/EFV)
NewHivDxTDF
TDF (tenofovir)
NewHivDxFTC
FTC (emtricitabine)
NewHivDxAZT
AZT (zidovudine)
NewHivDx3TC
3TC (lamivudine)
NewHivDxABC
ABC (abacavir)
NewHivDxd4T
d4T (stavudine)
NewHivDxEFV
EFV (efavirenz)
NewHivDxNVP
NVP (nevirapine)
NewHivDxLPV
LPV/r (lopinavir/ritonavir, aluvia)
NewHivDxATV
ATV/r (atazanavir/ritonavir)
NewHivDxRAL
RAL (raltegravir)
NewHivDxUnknown
Unknown
HivStatusBeforePregAd
Was the mother known to be HIV positive before pregnancy?
HivOnArtBeforePregAd
If HIV positive before pregnancy, was the mother on ART before the current pregna
ArtPrioFixed
Fixed dose combination (TDF/FTC/EFV)
ArtPrioTDF
TDF (tenofovir)
ArtPrioFTC
FTC (emtricitabine)
ArtPrioAZT
AZT (zidovudine)
ArtPrio3TC
3TC (lamivudine)
ArtPrioABC
ABC (abacavir)
ArtPriod4T
d4T (stavudine)
ArtPrioEFV
EFV (efavirenz)
ArtPrioNVP
NVP (nevirapine)
ArtPrioLPV
LPV/r (lopinavir/ritonavir, aluvia)
ArtPrioATV
ATV/r (atazanavir/ritonavir) |
ArtPrioRAL
RAL (raltegravir)
ArtPrioUnknown
unknown
HivNotOnArtBeforePregAd
If HIV positive before pregnancy and not on ART prior to current pregnancy (or Un
HivKnownFixed
Fixed dose combination (TDF/FTC/EFV)
HivKnownTDF
TDF (tenofovir)
HivKnownFTC
FTC (emtricitabine)
HivKnownAZT
AZT (zidovudine)
HivKnown3TC
3TC (lamivudine)
HivKnownABC
ABC (abacavir)
HivKnownd4T
d4T (stavudine)
HivKnownEFV
EFV (efavirenz)
HivKnownNVP
NVP (nevirapine)
HivKnownLPV
LPV/r (lopinavir/ritonavir, aluvia)
HivKnownATV
ATV/r (atazanavir/ritonavir)
HivKnownRAL
RAL (raltegravir)
HivKnownUnknown
unknown
NumHivScrTestsAd
How many HIV screening tests did the mother have in total this pregnancy?
NumHivVlAd
How many HIV viral load tests in total did the mother have during pregnancy?
MoreThanTenAd
If Mother had more than 10 ANC Visits, write down the dates and clinical notes ma
DischargeBlankAd
Is the discharge summary completed/partially completed?
DelDateAd
Date of delivery:
DateDischargeAd
Discharge date
DeliveryTypeAd
Type of Delivery:
SyphDischargeAd
Syphilis status of mother
HivDischargeAd
HIV Status of Mother
HivRxSumdischAd
HIV treatment summary
Cd4DischargeAd
If available, what was the CD4 -count?
ViralLoadAd
If lab results available for viral load, what is the viral load?
MedsDischAd
Discharge medications
ContraceptiveDisAd
Which contraception method was discussed before discharge with the mother?
ContracepReceivedAd
If a method was decided on, was any given to the mother?
InfantFeedingAd
Were infant feeding options discussed with mother at discharge?
NumBabiesAd
How many children were delivered this pregnancy?
FeedingChoice1Ad
What was the choice of feeding method (first child if multiple births)?
FeedingChoice2Ad
What was the choice of feeding method for the second child in case of twins?
FeedingChoice3Ad
What was the choice of feeding method for the third child in case of triplets ?
WeightInfant1Ad
How much did the infant weigh at birth?
LengthInfant1Ad
What was the infant's length?
HeadCircum1Ad
What was the infants head circumference?
Infant1GenderAd
lblGender
Infant1ArvpxAd
Did the infant receive ARV prophylaxis?
Infant1ArvpxChoiceAd
If yes, what did the infant receive?
Infant1ArvpxdurnAd
How long did the infant receive ARV prophylaxis for?
WeightInfant2Ad
If twins, how much did the 2nd infant weigh at birth?
LengthInfant2Ad
What was the second infant's length?
HeadCircumAd
What was the head circumference of the second infant?
GenderInfant2Ad
If twins, is the second infant a male or female?
Infant2ArvpxAd
Did the second infant receive ARV prophylaxis?
Infant2arvpxChoiceAd
If yes, what did the second infant receive?
Infant2ArvpxdurnAd
How long did the infant receive ARV prophylaxis for?
WeightInfant3Ad
If triplets, how much did the third infant weigh at birth?
LengthInfant3Ad
What was the length of the third infant?
HeadCircum3Ad
What was the third infants head circumference?
GenderInfant3Ad
If triplets, is the third infant a male or female?
Infant3ArvpxAd
Did the third infant receive ARV prophylaxis?
Infant3ArvpxChoiceAd
If yes, what did the third infant receive?
Infant3ArvpxdurnAd
How long did the third infant receive ARV prophylaxis for?
PostnatalBookingAd
What was the date for the First Postnatal Visit?
RefClinicNamePostnatal1Ad
To which clinic was the mother referred to for the first Postnatal visit?
OtherPostnatal1Ad
If other, specify
McrComplete
MCR Complete
Total: 531
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