Maternal death audit report - Nov 2023

1 Name
2 Age and gender
3 Name of Spouse and address
4 Delivery details

5 Name of PHC/CHC/Municipality/Corporation
6 Occupation
7 Date of onset of symptoms
8 Chronology of events till death
a
b
c Institution No. 1
d Institution No. 2
Institution No. 3
9 Comorbidities (DM,HTN,CVA,CHDetc)
10 Cause of death as in death certificate
11 Interval between
Conclusions onset
of the auditofcommittee
disease/symptoms
regardingand
thedeath
disease/conditions causing
12 death
13 Suggestions for prevention of similar conditions/causes in future
14 Name & designation of Audit team members
15 Name & Signature of MO
Maternal death audit report - Nov 2023
No meternal death reported till this month

Rejula - JPHN
Dr. Parvathy G Nair
 Maternal death audit report - Dec 2023
1 Name
2 Age and gender
3 Name of Spouse and address
4 Delivery details

5 Name of PHC/CHC/Municipality/Corporation
6 Occupation
7 Date of onset of symptoms
8 Chronology of events till death
a
b
c Institution No. 1
d Institution No. 2
Institution No. 3
9 Comorbidities (DM,HTN,CVA,CHDetc)
10 Cause of death as in death certificate
11 Interval between
Conclusions onset
of the auditofcommittee
disease/symptoms
regardingand
thedeath
disease/conditions causing
12 death
13 Suggestions for prevention of similar conditions/causes in future
14 Name & designation of Audit team members
15 Name & Signature of MO
Maternal death audit report - Dec 2023
No meternal death reported till this month

Rejula - JPHN
Dr. Parvathy G Nair
 Maternal death audit report - Jan 2024
1 Name
2 Age and gender
3 Name of Spouse and address
4 Delivery details

5 Name of PHC/CHC/Municipality/Corporation
6 Occupation
7 Date of onset of symptoms
8 Chronology of events till death
a
b
c Institution No. 1
d Institution No. 2
Institution No. 3
9 Comorbidities (DM,HTN,CVA,CHDetc)
10 Cause of death as in death certificate
11 Interval between
Conclusions onset
of the auditofcommittee
disease/symptoms
regardingand
thedeath
disease/conditions causing
12 death
13 Suggestions for prevention of similar conditions/causes in future
14 Name & designation of Audit team members
15 Name & Signature of MO
Maternal death audit report - Jan 2024
No meternal death reported till this month

Rejula - JPHN
Dr. Parvathy G Nair
 Maternal death audit report - Feb 2024
1 Name
2 Age and gender
3 Name of Spouse and address
4 Delivery details

5 Name of PHC/CHC/Municipality/Corporation
6 Occupation
7 Date of onset of symptoms
8 Chronology of events till death
a
b
c Institution No. 1
d Institution No. 2
Institution No. 3
9 Comorbidities (DM,HTN,CVA,CHDetc)
10 Cause of death as in death certificate
11 Interval between
Conclusions onset
of the auditofcommittee
disease/symptoms
regardingand
thedeath
disease/conditions causing
12 death
13 Suggestions for prevention of similar conditions/causes in future
14 Name & designation of Audit team members
15 Name & Signature of MO
Maternal death audit report - Feb 2024
No meternal death reported till this month

Rejula - JPHN
Dr. Parvathy G Nair
 Maternal death audit report - March 2024
1 Name
2 Age and gender
3 Name of Spouse and address
4 Delivery details

5 Name of PHC/CHC/Municipality/Corporation
6 Occupation
7 Date of onset of symptoms
8 Chronology of events till death
a
b
c Institution No. 1
d Institution No. 2
Institution No. 3
9 Comorbidities (DM,HTN,CVA,CHDetc)
10 Cause of death as in death certificate
11 Interval between
Conclusions onset
of the auditofcommittee
disease/symptoms
regardingand
thedeath
disease/conditions causing
12 death
13 Suggestions for prevention of similar conditions/causes in future
14 Name & designation of Audit team members
15 Name & Signature of MO
Maternal death audit report - March 2024
No meternal death reported till this month

Rejula - JPHN
Dr. Parvathy G Nair
 Maternal death audit report - April 2024
1 Name
2 Age and gender
3 Name of Spouse and address
4 Delivery details

5 Name of PHC/CHC/Municipality/Corporation
6 Occupation
7 Date of onset of symptoms
8 Chronology of events till death
a
b
c Institution No. 1
d Institution No. 2
Institution No. 3
9 Comorbidities (DM,HTN,CVA,CHDetc)
10 Cause of death as in death certificate
11 Interval between
Conclusions onset
of the auditofcommittee
disease/symptoms
regardingand
thedeath
disease/conditions causing
12 death
13 Suggestions for prevention of similar conditions/causes in future
14 Name & designation of Audit team members
15 Name & Signature of MO
Maternal death audit report - April 2024
No meternal death reported till this month

Rejula - JPHN
Dr. Parvathy G Nair