Table 1 Perinatal audit form for identification of suboptimal factors and grading

Level of delay

1 = Maternal social (community level)

2 = Infrastructure service organization

3 = Care

4 = Infrastructure and care

5 = All of above

6 = No delay

Contribution of the suboptimal care to the foetal death

1 = Unlikely

2 = Possibly

3 = Likely

Final grading

Grade 0 -No suboptimal care identified

Grade I -Suboptimal care, identified but unlikely to have contributed to the fatal outcome, different management would have made no difference to the outcome

Grade II -Suboptimal care identified and might have contributed to the fatal outcome. Different management might have made a difference to the outcome.

Grade III -Suboptimal care identified and is likely to have contributed to the fatal outcome. Different management would reasonably be expected to have made a difference to the outcome. A clearly avoidable factor implying that the adverse outcome could have been prevented.

Overall suboptimal graded 0, 1, II or III according to above definition

Do you think there was sufficient information available to assign a final grade in this case

1 = Yes

2 = No

Do you consider likely that this death was preventable?

1 = Yes

2 = No

Number of panel member..................

Date..............................